HCPCS code G0248: Home INR training, monitor use demonstration2026 Medicare rate & RVUs in Texas
Reports a session demonstrating a home INR monitoring system and instructing a patient or caregiver in its use for qualifying Medicare coverage.
Medicare pays $96.08–$111.38 for G0248 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What G0248 covers
G0248 reports a session demonstrating a home INR monitoring system and instructing a patient or caregiver in its use. It is associated with home prothrombin-time/INR testing for a patient managed with warfarin. The demonstration may include showing how to use the system and obtain a test result. G0248 describes the training session, not the patient's recurring tests at home, the supply of testing equipment, or ongoing review of results.
Report the service per demonstration session and document who received the instruction, what monitor-use training was provided, and the clinical context supporting Medicare coverage. CMS classifies coverage as restricted, so payment is limited to specific circumstances. G0248 is technical-component-only; a separate code covers interpretation. G0249 addresses provision of home-testing equipment and materials, while G0250 addresses physician review and management of home INR results.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where G0248 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$96.08 to $111.38
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $111.38 | Unavailable |
| Beaumont, TX | $96.08 | Unavailable |
| Brazoria, TX | $104.24 | Unavailable |
| Dallas, TX | $104.89 | Unavailable |
| Fort Worth, TX | $103.88 | Unavailable |
| Galveston, TX | $104.53 | Unavailable |
| Houston, TX | $105.45 | Unavailable |
| Rest of Texas | $100.09 | Unavailable |
How the G0248 rate is calculated
Each of G0248’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G0248
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.11
3.11 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
3.1600
Conversion factor
$33.4009
Medicare rate
$105.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0248
The CMS indicators that decide how G0248 is paid alongside other services.
CMS payment indicators · G0248
Home INR training, monitor use demonstration
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
G0248 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G0249Home INR suppliesEquipment and testing materials
- Choose G0248 for a demonstration session and instruction in monitor use. Choose G0249 for provision of home INR testing equipment and materials.
- G0250INR managementHome monitoring review
- G0248 covers demonstration and instruction. G0250 addresses physician review and management of home INR test results.
- 93792INR trainingHome monitor initiation
- 93792 is the CPT code for training to initiate home INR monitoring. G0248 is the HCPCS Level II code; use the applicable code set.
G0248 billing questions
How does G0248 differ from G0249?
G0248 covers a demonstration session and instruction in using the home INR monitoring system. G0249 covers provision of home-testing equipment and materials.
Is G0248 reported for each home INR test?
No. G0248 is reported for a demonstration session, not for each test the patient performs at home.
Does G0248 include interpretation of the INR result?
No. G0248 is technical-component-only; a separate code covers interpretation. G0250 addresses physician review and management of home INR results.
What documentation supports G0248?
Document who received the instruction, the monitor-use training provided, and the clinical context supporting Medicare coverage.
Can every patient using warfarin receive Medicare payment for G0248?
No. Coverage is restricted, so payment is limited to specific circumstances.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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