HCPCS code G0250: INR management, home monitoring review2026 Medicare rate & RVUs

Medicare pays $9.02 for G0250 nationally in the office. Local office rates run $8.48–$12.05.

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

What G0250 covers

G0250 represents a physician’s review and interpretation of home INR results, along with related anticoagulation management, such as communicating instructions or adjusting a warfarin dose when needed. It is used for patients receiving chronic anticoagulation who test their INR at home. The physician documents the result reviewed and the management provided. This service is distinct from demonstrating how to use a home monitor or providing its equipment and testing materials.

Report G0250 for the professional review and management service, not for each test strip or device; it may be billed no more than once per week. Documentation should identify the INR result reviewed and resulting instructions, dosage decision, or other management. Medicare payment is restricted to specific circumstances. G0250 is professional-component-only, covering interpretation and reporting; a separate code covers the technical portion. G0249 covers provision of home INR testing equipment and materials.

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 G0250 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

G0250 rates by state

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

How the G0250 rate is calculated

Each of G0250’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 G0250

The CMS indicators that decide how G0250 is paid alongside other services.

G0250 compared with similar codes

How to choose

G0248Home INR trainingMonitor use demonstration

G0248 is for demonstrating home INR monitoring and teaching its use. G0250 is for physician review and management of home INR results.

G0249Home INR suppliesEquipment and testing materials

G0249 concerns home testing equipment and materials. G0250 covers the professional review and management service.

93793Warfarin managementINR review and patient instructions

CPT 93793 covers anticoagulation management more broadly; G0250 is specific to physician review and management of home INR testing.

Codes related to G0250

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