HCPCS code G0249: Home INR supplies, equipment and testing materials2026 Medicare rate & RVUs in South Dakota
Reports equipment and test materials for eligible patients performing home INR monitoring, including supplies for three tests and reporting results every four weeks.
In South Dakota, Medicare pays $65.58 for G0249 in the office.
Check a contract rate as a % of Medicare · G0249 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How South Dakota compares for G0249
Across 109 of 109 payment localities, the office rate for G0249 runs from $56.41 in Arkansas to $94.58 in San Benito County, CA. South Dakota pays $65.58. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$65.58
- Los Angeles, CA · California$77.67+$12.09
- Washington, DC area · District of Columbia$77.49+$11.91
- Miami, FL · Florida$68.99+$3.41
- Chicago, IL · Illinois$66.56+$0.98
- Manhattan, NY · New York$76.60+$11.02
- Alaska · Alaska$69.91+$4.33
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $57.47 | — |
| ArkansasArkansas | $56.41 | — |
| ArizonaArizona | $63.72 | — |
| Bakersfield, CACalifornia | $71.95 | — |
| Chico, CACalifornia | $71.93 | — |
| El Centro, CACalifornia | $71.93 | — |
| Fresno, CACalifornia | $71.93 | — |
| Hanford, CACalifornia | $71.93 | — |
| Madera, CACalifornia | $71.93 | — |
| Merced, CACalifornia | $71.93 | — |
| Modesto, CACalifornia | $71.93 | — |
| Napa, CACalifornia | $86.45 | — |
| Oxnard, CACalifornia | $77.59 | — |
| Redding, CACalifornia | $71.93 | — |
| Rest of CaliforniaCalifornia | $71.93 | — |
| Riverside, CACalifornia | $72.04 | — |
| Sacramento, CACalifornia | $76.32 | — |
| Salinas, CACalifornia | $76.05 | — |
| San Diego, CACalifornia | $78.48 | — |
| Marin County, CACalifornia | $92.46 | — |
| San Francisco, CACalifornia | $92.45 | — |
| San Benito County, CACalifornia | $94.58 | — |
| Santa Clara County, CACalifornia | $94.53 | — |
| San Luis Obispo, CACalifornia | $74.74 | — |
| Santa Cruz, CACalifornia | $79.72 | — |
| Santa Maria, CACalifornia | $76.51 | — |
| Santa Rosa, CACalifornia | $80.57 | — |
| Stockton, CACalifornia | $71.93 | — |
| Vallejo, CACalifornia | $86.44 | — |
| Visalia, CACalifornia | $71.93 | — |
| Yuba City, CACalifornia | $71.93 | — |
| ColoradoColorado | $69.92 | — |
| ConnecticutConnecticut | $70.91 | — |
| DelawareDelaware | $64.98 | — |
| Fort Lauderdale, FLFlorida | $66.92 | — |
| Rest of FloridaFlorida | $63.09 | — |
| Atlanta, GAGeorgia | $66.91 | — |
| Rest of GeorgiaGeorgia | $58.79 | — |
| Hawaii, Guam, HIHawaii | $74.63 | — |
| IowaIowa | $60.03 | — |
| IdahoIdaho | $60.39 | — |
| East St. Louis, ILIllinois | $60.90 | — |
| Rest of IllinoisIllinois | $60.29 | — |
| Suburban Chicago, ILIllinois | $67.83 | — |
| IndianaIndiana | $60.85 | — |
| KansasKansas | $59.35 | — |
| KentuckyKentucky | $58.50 | — |
| New Orleans, LALouisiana | $61.98 | — |
| Rest of LouisianaLouisiana | $58.26 | — |
| Metropolitan Boston, MAMassachusetts | $78.46 | — |
| Rest of MassachusettsMassachusetts | $69.20 | — |
| Baltimore area, MDMaryland | $70.66 | — |
| Rest of MarylandMaryland | $66.56 | — |
| Rest of MaineMaine | $60.44 | — |
| Southern Maine, MEMaine | $65.09 | — |
| Detroit, MIMichigan | $63.74 | — |
| Rest of MichiganMichigan | $60.15 | — |
| MinnesotaMinnesota | $67.46 | — |
| Metropolitan Kansas City, MOMissouri | $61.80 | — |
| Metropolitan St. Louis, MOMissouri | $62.66 | — |
| Rest of MissouriMissouri | $56.76 | — |
| MississippiMississippi | $56.61 | — |
| MontanaMontana | $65.80 | — |
| North CarolinaNorth Carolina | $61.29 | — |
| North DakotaNorth Dakota | $65.60 | — |
| NebraskaNebraska | $60.55 | — |
| New HampshireNew Hampshire | $68.44 | — |
| Northern New JerseyNew Jersey | $76.30 | — |
| Rest of New JerseyNew Jersey | $71.86 | — |
| New MexicoNew Mexico | $60.43 | — |
| NevadaNevada | $65.81 | — |
| NYC suburbs and Long Island, NYNew York | $78.46 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $72.09 | — |
| Queens, NYNew York | $77.86 | — |
| Rest of New YorkNew York | $62.43 | — |
| OhioOhio | $60.11 | — |
| OklahomaOklahoma | $58.72 | — |
| Portland, OROregon | $72.98 | — |
| Rest of OregonOregon | $65.44 | — |
| Metropolitan Philadelphia, PAPennsylvania | $68.55 | — |
| Rest of PennsylvaniaPennsylvania | $60.41 | — |
| Puerto RicoPuerto Rico | $66.51 | — |
| Rhode IslandRhode Island | $67.92 | — |
| South CarolinaSouth Carolina | $60.77 | — |
| TennesseeTennessee | $59.69 | — |
| Austin, TXTexas | $69.56 | — |
| Beaumont, TXTexas | $59.88 | — |
| Brazoria, TXTexas | $65.14 | — |
| Dallas, TXTexas | $65.49 | — |
| Fort Worth, TXTexas | $64.84 | — |
| Galveston, TXTexas | $65.28 | — |
| Houston, TXTexas | $65.47 | — |
| Rest of TexasTexas | $62.43 | — |
| UtahUtah | $61.84 | — |
| VirginiaVirginia | $64.59 | — |
| Virgin Islands, VIUnited States Virgin Islands | $66.51 | — |
| VermontVermont | $64.98 | — |
| Rest of WashingtonWashington | $69.19 | — |
| King County, WAWashington | $80.60 | — |
| WisconsinWisconsin | $62.82 | — |
| West VirginiaWest Virginia | $57.37 | — |
| WyomingWyoming | $65.71 | — |
G0249 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$56.41
$83.26
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $69.91 | 1 |
| AL | $57.47 | 1 |
| AR | $56.41 | 1 |
| AZ | $63.72 | 1 |
| CA | $71.93–$94.58 | 29 |
| CO | $69.92 | 1 |
| CT | $70.91 | 1 |
| DC | $77.49 | 1 |
| DE | $64.98 | 1 |
| FL | $63.09–$68.99 | 3 |
| GA | $58.79–$66.91 | 2 |
| GU | $74.63 | 1 |
| HI | $74.63 | 1 |
| IA | $60.03 | 1 |
| ID | $60.39 | 1 |
| IL | $60.29–$67.83 | 4 |
| IN | $60.85 | 1 |
| KS | $59.35 | 1 |
| KY | $58.50 | 1 |
| LA | $58.26–$61.98 | 2 |
| MA | $69.20–$78.46 | 2 |
| MD | $66.56–$77.49 | 3 |
| ME | $60.44–$65.09 | 2 |
| MI | $60.15–$63.74 | 2 |
| MN | $67.46 | 1 |
| MO | $56.76–$62.66 | 3 |
| MS | $56.61 | 1 |
| MT | $65.80 | 1 |
| NC | $61.29 | 1 |
| ND | $65.60 | 1 |
| NE | $60.55 | 1 |
| NH | $68.44 | 1 |
| NJ | $71.86–$76.30 | 2 |
| NM | $60.43 | 1 |
| NV | $65.81 | 1 |
| NY | $62.43–$78.46 | 5 |
| OH | $60.11 | 1 |
| OK | $58.72 | 1 |
| OR | $65.44–$72.98 | 2 |
| PA | $60.41–$68.55 | 2 |
| PR | $66.51 | 1 |
| RI | $67.92 | 1 |
| SC | $60.77 | 1 |
| SD | $65.58 | 1 |
| TN | $59.69 | 1 |
| TX | $59.88–$69.56 | 8 |
| UT | $61.84 | 1 |
| VA | $64.59–$77.49 | 2 |
| VI | $66.51 | 1 |
| VT | $64.98 | 1 |
| WA | $69.19–$80.60 | 2 |
| WI | $62.82 | 1 |
| WV | $57.37 | 1 |
| WY | $65.71 | 1 |
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.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,149
- Code
- G0249
- Physician work
- 0.00
- Practice expense
- 1.96
- Malpractice
- 0.01
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.96 | × 1.000 | 1.9600 |
| Malpractice | 0.01 | × 0.336 | 0.0034 |
| Total RVUs | 1.9634 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$65.58
Office: (0 × 1 + 1.96 × 1 + 0.01 × 0.336) × $33.4009 = $65.58
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. |
How G0249 has changed in South Dakota
G0249 · Office / nonfacility
$65.58
Effective 2026-10-01
The base rate is $4.97 higher than on 2025-10-01, moving from $60.61 to $65.58 (8.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$60.61changed to$65.58
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.87 changed to 1.96
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$65.37changed to$60.61
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.96 changed to 1.87
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$64.30changed to$65.37
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$67.90changed to$64.30
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.00 changed to 1.96
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$48.22changed to$67.90
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.39 changed to 2.00
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$59.09changed to$48.22
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.69 changed to 1.39
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$58.96changed to$59.09
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.63 changed to 1.69
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$72.94changed to$58.96
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.02 changed to 1.63
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$90.14changed to$72.94
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.50 changed to 2.02
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$111.04changed to$90.14
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.09 changed to 2.50
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$112.21changed to$111.04
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.13 changed to 3.09
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$112.26changed to$112.21
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.12 changed to 3.13
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$111.70changed to$112.26
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$110.84changed to$111.70
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.09 changed to 3.12
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$112.08changed to$110.84
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.29 changed to 3.09
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $112.08
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $65.58 | Not available in this setting | RVU26D |
| 2026-07-01 | $65.58 | Not available in this setting | RVU26C |
| 2026-04-01 | $65.58 | Not available in this setting | RVU26B |
| 2026-01-01 | $65.58 | Not available in this setting | RVU26A |
| 2025-10-01 | $60.61 | Not available in this setting | RVU25D |
| 2025-07-01 | $60.61 | Not available in this setting | RVU25C |
| 2025-04-01 | $60.61 | Not available in this setting | RVU25B |
| 2025-01-01 | $60.61 | Not available in this setting | RVU25A |
| 2024-10-01 | $65.37 | Not available in this setting | RVU24D |
| 2024-07-01 | $65.37 | Not available in this setting | RVU24C |
| 2024-04-01 | $65.37 | Not available in this setting | RVU24B |
| 2024-03-09 | $65.37 | Not available in this setting | RVU24AR |
| 2024-01-01 | $64.30 | Not available in this setting | RVU24A |
| 2023-10-01 | $67.90 | Not available in this setting | RVU23D |
| 2023-07-01 | $67.90 | Not available in this setting | RVU23C |
| 2023-04-01 | $67.90 | Not available in this setting | RVU23B |
| 2023-01-01 | $67.90 | Not available in this setting | RVU23A |
| 2022-10-01 | $48.22 | Not available in this setting | RVU22D |
| 2022-07-01 | $48.22 | Not available in this setting | RVU22C |
| 2022-04-01 | $48.22 | Not available in this setting | RVU22B |
| 2022-01-01 | $48.22 | Not available in this setting | RVU22A |
| 2021-10-01 | $59.09 | Not available in this setting | RVU21D |
| 2021-07-01 | $59.09 | Not available in this setting | RVU21C |
| 2021-04-01 | $59.09 | Not available in this setting | RVU21B |
| 2021-01-01 | $59.09 | Not available in this setting | RVU21A |
| 2020-10-01 | $58.96 | Not available in this setting | RVU20D |
| 2020-07-01 | $58.96 | Not available in this setting | RVU20C |
| 2020-04-01 | $58.96 | Not available in this setting | RVU20B |
| 2020-01-01 | $58.96 | Not available in this setting | RVU20A |
| 2019-10-01 | $72.94 | Not available in this setting | RVU19D |
| 2019-07-01 | $72.94 | Not available in this setting | RVU19C |
| 2019-04-01 | $72.94 | Not available in this setting | RVU19B |
| 2019-01-01 | $72.94 | Not available in this setting | RVU19A |
| 2018-10-01 | $90.14 | Not available in this setting | RVU18D |
| 2018-07-01 | $90.14 | Not available in this setting | RVU18C |
| 2018-04-01 | $90.14 | Not available in this setting | RVU18B |
| 2018-01-01 | $90.14 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $111.04 | Not available in this setting | RVU17D |
| 2017-07-01 | $111.04 | Not available in this setting | RVU17C |
| 2017-04-01 | $111.04 | Not available in this setting | RVU17B |
| 2017-01-01 | $111.04 | Not available in this setting | RVU17A |
| 2016-10-01 | $112.21 | Not available in this setting | RVU16D |
| 2016-07-01 | $112.21 | Not available in this setting | RVU16C |
| 2016-04-01 | $112.21 | Not available in this setting | RVU16B |
| 2016-01-01 | $112.21 | Not available in this setting | RVU16A |
| 2015-10-01 | $112.26 | Not available in this setting | RVU15D |
| 2015-07-01 | $112.26 | Not available in this setting | RVU15C |
| 2015-04-01 | $111.70 | Not available in this setting | RVU15B |
| 2015-01-01 | $111.70 | Not available in this setting | RVU15A |
| 2014-10-01 | $110.84 | Not available in this setting | RVU14D |
| 2014-07-01 | $110.84 | Not available in this setting | RVU14C |
| 2014-04-01 | $110.84 | Not available in this setting | RVU14B |
| 2014-01-01 | $110.84 | Not available in this setting | RVU14A |
| 2013-10-01 | $112.08 | Not available in this setting | RVU13D |
| 2013-07-01 | $112.08 | Not available in this setting | RVU13C |
| 2013-04-01 | $112.08 | Not available in this setting | RVU13B |
| 2013-01-01 | $112.08 | Not available in this setting | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
Show the CMS file lines behind this rate
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