HCPCS code G0249: Home INR supplies, equipment and testing materials2026 Medicare rate & RVUs in Florida
Reports equipment and test materials for eligible patients performing home INR monitoring, including supplies for three tests and reporting results every four weeks.
Medicare pays $63.09–$68.99 for G0249 in the office in Florida, from Rest of Florida to Miami, FL. 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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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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$63.09 to $68.99
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $66.92 | Unavailable |
| Miami, FL | $68.99 | Unavailable |
| Rest of Florida | $63.09 | Unavailable |
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.
How the rate is built · G0249
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense1.96
1.96 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.9700
Conversion factor
$33.4009
Medicare rate
$65.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0249
The CMS indicators that decide how G0249 is paid alongside other services.
CMS payment indicators · G0249
Home INR supplies, equipment and testing materials
| 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. |
G0249 compared with similar codes
Compare codes · National
4 codes, side by side
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.
G0249 billing questions
How is G0249 different from G0248?
G0248 covers the initial demonstration of home-monitor use. G0249 covers recurring equipment and test materials for home monitoring.
Does G0249 include interpretation of the INR result?
No. G0249 covers equipment, test materials, and reporting results to the physician, but not interpretation. G0250 describes the separate physician review, interpretation, and management service.
Is G0249 reported for each home test?
No. Report the applicable four-week supply service, which includes materials for three tests, rather than one unit for each reading.
What documentation supports G0249?
Document the patient’s anticoagulant therapy, home-monitoring arrangement, and the equipment and testing materials furnished. The record must also support the circumstances required for Medicare coverage.
Can the physician's home-test review be reported separately?
Yes. G0250 describes the separate physician review, interpretation, and management service for home INR testing when performed and documented.
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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