HCPCS code G0249: Home INR supplies, equipment and testing materials2026 Medicare rate & RVUs

Medicare pays $65.80 for G0249 nationally in the office. Local office rates run $56.41–$94.58.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G0249 covers

G0249 covers furnishing the equipment and test materials for a patient’s home INR monitoring, including materials for three tests during each four-week period and reporting the results to the physician. A home-monitoring supplier typically provides the equipment and supplies; the patient performs the tests outside the laboratory. This is the recurring supply service, distinct from the initial demonstration of monitor use and the physician’s review of results.

Report the applicable four-week supply service, not a separate unit for each home reading. Documentation should identify the patient’s anticoagulant therapy, the home-monitoring arrangement, and the equipment and materials furnished. Medicare payment is restricted to specific circumstances, so the record must support the applicable coverage criteria. G0249 covers the technical supply portion, not interpretation. The separate physician review, interpretation, and management service may be reported under G0250 when performed and supported.

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 G0249 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

G0249 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the G0249 rate is calculated

Each of G0249’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.

Payment rules and modifiers for G0249

The CMS indicators that decide how G0249 is paid alongside other services.

G0249 compared with similar codes

How to choose

G0248Home INR trainingMonitor use demonstration

Choose G0248 for the initial demonstration of home-monitor use. G0249 covers recurring equipment and testing materials.

G0250INR managementHome monitoring review

G0250 describes the physician’s review, interpretation, and management of home INR results; G0249 covers equipment and test materials and includes result reporting.

85610Prothrombin timeRoutine coagulation test

85610 is used for a prothrombin time test performed on a specimen. G0249 covers equipment and materials for patient-performed home INR monitoring.

Codes related to G0249

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates