HCPCS code G0250: INR management, home monitoring review2026 Medicare rate & RVUs in Washington, DC area
Reports a physician’s review, interpretation, and management of home INR results for chronic anticoagulation when Medicare coverage conditions are satisfied.
In Washington, DC area, Medicare pays $9.86 for G0250 in the office.
Check a contract rate as a % of Medicare · G0250 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 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.
How Washington, DC area compares for G0250
Across 109 of 109 payment localities, the office rate for G0250 runs from $8.48 in Arkansas to $12.05 in Alaska. Washington, DC area pays $9.86. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$9.86
- Los Angeles, CA · California$9.64−$0.22
- Miami, FL · Florida$9.64−$0.22
- Chicago, IL · Illinois$9.51−$0.35
- Manhattan, NY · New York$10.03+$0.17
- Alaska · Alaska$12.05+$2.19
- Alabama · Alabama$8.54−$1.32
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $8.48 | — |
| ArizonaArizona | $8.89 | — |
| Bakersfield, CACalifornia | $9.26 | — |
| Chico, CACalifornia | $9.22 | — |
| El Centro, CACalifornia | $9.22 | — |
| Fresno, CACalifornia | $9.22 | — |
| Hanford, CACalifornia | $9.22 | — |
| Madera, CACalifornia | $9.22 | — |
| Merced, CACalifornia | $9.22 | — |
| Modesto, CACalifornia | $9.22 | — |
| Napa, CACalifornia | $10.08 | — |
| Oxnard, CACalifornia | $9.55 | — |
| Redding, CACalifornia | $9.22 | — |
| Rest of CaliforniaCalifornia | $9.22 | — |
| Riverside, CACalifornia | $9.33 | — |
| Sacramento, CACalifornia | $9.52 | — |
| Salinas, CACalifornia | $9.47 | — |
| San Diego, CACalifornia | $9.57 | — |
| Marin County, CACalifornia | $10.50 | — |
| San Francisco, CACalifornia | $10.49 | — |
| San Benito County, CACalifornia | $10.71 | — |
| Santa Clara County, CACalifornia | $10.66 | — |
| San Luis Obispo, CACalifornia | $9.34 | — |
| Santa Cruz, CACalifornia | $9.56 | — |
| Santa Maria, CACalifornia | $9.48 | — |
| Santa Rosa, CACalifornia | $9.65 | — |
| Stockton, CACalifornia | $9.22 | — |
| Vallejo, CACalifornia | $10.07 | — |
| Visalia, CACalifornia | $9.22 | — |
| Yuba City, CACalifornia | $9.22 | — |
| ColoradoColorado | $9.19 | — |
| ConnecticutConnecticut | $9.41 | — |
| DelawareDelaware | $8.98 | — |
| Fort Lauderdale, FLFlorida | $9.32 | — |
| Rest of FloridaFlorida | $9.07 | — |
| Atlanta, GAGeorgia | $9.15 | — |
| Rest of GeorgiaGeorgia | $8.79 | — |
| Hawaii, Guam, HIHawaii | $9.24 | — |
| IowaIowa | $8.59 | — |
| IdahoIdaho | $8.63 | — |
| East St. Louis, ILIllinois | $9.14 | — |
| Rest of IllinoisIllinois | $8.97 | — |
| Suburban Chicago, ILIllinois | $9.39 | — |
| IndianaIndiana | $8.65 | — |
| KansasKansas | $8.60 | — |
| KentuckyKentucky | $8.69 | — |
| New Orleans, LALouisiana | $8.91 | — |
| Rest of LouisianaLouisiana | $8.70 | — |
| Metropolitan Boston, MAMassachusetts | $9.75 | — |
| Rest of MassachusettsMassachusetts | $9.19 | — |
| Baltimore area, MDMaryland | $9.39 | — |
| Rest of MarylandMaryland | $9.08 | — |
| Rest of MaineMaine | $8.68 | — |
| Southern Maine, MEMaine | $8.87 | — |
| Detroit, MIMichigan | $9.15 | — |
| Rest of MichiganMichigan | $8.83 | — |
| MinnesotaMinnesota | $8.86 | — |
| Metropolitan Kansas City, MOMissouri | $8.85 | — |
| Metropolitan St. Louis, MOMissouri | $8.89 | — |
| Rest of MissouriMissouri | $8.64 | — |
| MississippiMississippi | $8.56 | — |
| MontanaMontana | $9.02 | — |
| North CarolinaNorth Carolina | $8.72 | — |
| North DakotaNorth Dakota | $8.82 | — |
| NebraskaNebraska | $8.60 | — |
| New HampshireNew Hampshire | $9.09 | — |
| Northern New JerseyNew Jersey | $9.85 | — |
| Rest of New JerseyNew Jersey | $9.54 | — |
| New MexicoNew Mexico | $8.86 | — |
| NevadaNevada | $8.97 | — |
| NYC suburbs and Long Island, NYNew York | $10.19 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $9.61 | — |
| Queens, NYNew York | $10.04 | — |
| Rest of New YorkNew York | $8.79 | — |
| OhioOhio | $8.79 | — |
| OklahomaOklahoma | $8.66 | — |
| Portland, OROregon | $9.33 | — |
| Rest of OregonOregon | $8.91 | — |
| Metropolitan Philadelphia, PAPennsylvania | $9.30 | — |
| Rest of PennsylvaniaPennsylvania | $8.78 | — |
| Puerto RicoPuerto Rico | $9.04 | — |
| Rhode IslandRhode Island | $9.18 | — |
| South CarolinaSouth Carolina | $8.77 | — |
| South DakotaSouth Dakota | $8.80 | — |
| TennesseeTennessee | $8.62 | — |
| Austin, TXTexas | $9.15 | — |
| Beaumont, TXTexas | $8.75 | — |
| Brazoria, TXTexas | $8.97 | — |
| Dallas, TXTexas | $9.01 | — |
| Fort Worth, TXTexas | $8.99 | — |
| Galveston, TXTexas | $8.99 | — |
| Houston, TXTexas | $9.17 | — |
| Rest of TexasTexas | $8.85 | — |
| UtahUtah | $8.82 | — |
| VirginiaVirginia | $8.87 | — |
| Virgin Islands, VIUnited States Virgin Islands | $9.04 | — |
| VermontVermont | $8.83 | — |
| Rest of WashingtonWashington | $9.16 | — |
| King County, WAWashington | $9.86 | — |
| WisconsinWisconsin | $8.67 | — |
| West VirginiaWest Virginia | $8.81 | — |
| WyomingWyoming | $8.93 | — |
G0250 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.
$8.48
$12.05
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 | $12.05 | 1 |
| AL | $8.54 | 1 |
| AR | $8.48 | 1 |
| AZ | $8.89 | 1 |
| CA | $9.22–$10.71 | 29 |
| CO | $9.19 | 1 |
| CT | $9.41 | 1 |
| DC | $9.86 | 1 |
| DE | $8.98 | 1 |
| FL | $9.07–$9.64 | 3 |
| GA | $8.79–$9.15 | 2 |
| GU | $9.24 | 1 |
| HI | $9.24 | 1 |
| IA | $8.59 | 1 |
| ID | $8.63 | 1 |
| IL | $8.97–$9.51 | 4 |
| IN | $8.65 | 1 |
| KS | $8.60 | 1 |
| KY | $8.69 | 1 |
| LA | $8.70–$8.91 | 2 |
| MA | $9.19–$9.75 | 2 |
| MD | $9.08–$9.86 | 3 |
| ME | $8.68–$8.87 | 2 |
| MI | $8.83–$9.15 | 2 |
| MN | $8.86 | 1 |
| MO | $8.64–$8.89 | 3 |
| MS | $8.56 | 1 |
| MT | $9.02 | 1 |
| NC | $8.72 | 1 |
| ND | $8.82 | 1 |
| NE | $8.60 | 1 |
| NH | $9.09 | 1 |
| NJ | $9.54–$9.85 | 2 |
| NM | $8.86 | 1 |
| NV | $8.97 | 1 |
| NY | $8.79–$10.19 | 5 |
| OH | $8.79 | 1 |
| OK | $8.66 | 1 |
| OR | $8.91–$9.33 | 2 |
| PA | $8.78–$9.30 | 2 |
| PR | $9.04 | 1 |
| RI | $9.18 | 1 |
| SC | $8.77 | 1 |
| SD | $8.80 | 1 |
| TN | $8.62 | 1 |
| TX | $8.75–$9.17 | 8 |
| UT | $8.82 | 1 |
| VA | $8.87–$9.86 | 2 |
| VI | $9.04 | 1 |
| VT | $8.83 | 1 |
| WA | $9.16–$9.86 | 2 |
| WI | $8.67 | 1 |
| WV | $8.81 | 1 |
| WY | $8.93 | 1 |
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.
How the rate is built · G0250
RVUs × geographic indexes × conversion factor
Work0.18
0.18 RVUs× 1.000 GPCI
Practice expense0.08
0.08 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.2700
Conversion factor
$33.4009
Medicare rate
$9.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,150
- Code
- G0250
- Physician work
- 0.18
- Practice expense
- 0.08
- Malpractice
- 0.01
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.054 | 0.1897 |
| Practice expense | 0.08 | × 1.178 | 0.0942 |
| Malpractice | 0.01 | × 1.113 | 0.0111 |
| Total RVUs | 0.2951 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$9.86
Office: (0.18 × 1.054 + 0.08 × 1.178 + 0.01 × 1.113) × $33.4009 = $9.86
Payment rules and modifiers for G0250
The CMS indicators that decide how G0250 is paid alongside other services.
CMS payment indicators · G0250
INR management, home monitoring review
| 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 | 2 | Professional component only. |
How G0250 has changed in Washington, DC area
G0250 · Office / nonfacility
$9.86
Effective 2026-10-01
The base rate is $0.63 higher than on 2025-10-01, moving from $9.23 to $9.86 (6.8%).
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
$9.23changed to$9.86
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.07 changed to 0.08
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$9.50changed to$9.23
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$9.34changed to$9.50
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$9.74changed to$9.34
- Conversion factor 33.8872 changed to 32.7442
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$9.15changed to$9.74
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.05 changed to 0.07
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$8.80changed to$9.15
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.04 changed to 0.05
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$10.36changed to$8.80
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.07 changed to 0.04
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$10.27changed to$10.36
- Conversion factor 36.0391 changed to 36.0896
- Work GPCI 1.045 changed to 1.049
- Practice expense GPCI 1.205 changed to 1.221
- Malpractice GPCI 1.261 changed to 1.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$10.26changed to$10.27
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$10.25changed to$10.26
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$10.25changed to$10.25
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$10.29changed to$10.25
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$10.24changed to$10.29
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$10.22changed to$10.24
- Conversion factor 35.8228 changed to 35.7547
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
$9.66changed to$10.22
- Conversion factor 34.0230 changed to 35.8228
- Work GPCI 1.049 changed to 1.050
- Practice expense GPCI 1.198 changed to 1.202
- Malpractice GPCI 1.130 changed to 1.205
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $9.66
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $9.86 | Not available in this setting | RVU26D |
| 2026-07-01 | $9.86 | Not available in this setting | RVU26C |
| 2026-04-01 | $9.86 | Not available in this setting | RVU26B |
| 2026-01-01 | $9.86 | Not available in this setting | RVU26A |
| 2025-10-01 | $9.23 | Not available in this setting | RVU25D |
| 2025-07-01 | $9.23 | Not available in this setting | RVU25C |
| 2025-04-01 | $9.23 | Not available in this setting | RVU25B |
| 2025-01-01 | $9.23 | Not available in this setting | RVU25A |
| 2024-10-01 | $9.50 | Not available in this setting | RVU24D |
| 2024-07-01 | $9.50 | Not available in this setting | RVU24C |
| 2024-04-01 | $9.50 | Not available in this setting | RVU24B |
| 2024-03-09 | $9.50 | Not available in this setting | RVU24AR |
| 2024-01-01 | $9.34 | Not available in this setting | RVU24A |
| 2023-10-01 | $9.74 | Not available in this setting | RVU23D |
| 2023-07-01 | $9.74 | Not available in this setting | RVU23C |
| 2023-04-01 | $9.74 | Not available in this setting | RVU23B |
| 2023-01-01 | $9.74 | Not available in this setting | RVU23A |
| 2022-10-01 | $9.15 | Not available in this setting | RVU22D |
| 2022-07-01 | $9.15 | Not available in this setting | RVU22C |
| 2022-04-01 | $9.15 | Not available in this setting | RVU22B |
| 2022-01-01 | $9.15 | Not available in this setting | RVU22A |
| 2021-10-01 | $8.80 | Not available in this setting | RVU21D |
| 2021-07-01 | $8.80 | Not available in this setting | RVU21C |
| 2021-04-01 | $8.80 | Not available in this setting | RVU21B |
| 2021-01-01 | $8.80 | Not available in this setting | RVU21A |
| 2020-10-01 | $10.36 | Not available in this setting | RVU20D |
| 2020-07-01 | $10.36 | Not available in this setting | RVU20C |
| 2020-04-01 | $10.36 | Not available in this setting | RVU20B |
| 2020-01-01 | $10.36 | Not available in this setting | RVU20A |
| 2019-10-01 | $10.27 | Not available in this setting | RVU19D |
| 2019-07-01 | $10.27 | Not available in this setting | RVU19C |
| 2019-04-01 | $10.27 | Not available in this setting | RVU19B |
| 2019-01-01 | $10.27 | Not available in this setting | RVU19A |
| 2018-10-01 | $10.26 | Not available in this setting | RVU18D |
| 2018-07-01 | $10.26 | Not available in this setting | RVU18C |
| 2018-04-01 | $10.26 | Not available in this setting | RVU18B |
| 2018-01-01 | $10.26 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $10.25 | Not available in this setting | RVU17D |
| 2017-07-01 | $10.25 | Not available in this setting | RVU17C |
| 2017-04-01 | $10.25 | Not available in this setting | RVU17B |
| 2017-01-01 | $10.25 | Not available in this setting | RVU17A |
| 2016-10-01 | $10.25 | Not available in this setting | RVU16D |
| 2016-07-01 | $10.25 | Not available in this setting | RVU16C |
| 2016-04-01 | $10.25 | Not available in this setting | RVU16B |
| 2016-01-01 | $10.25 | Not available in this setting | RVU16A |
| 2015-10-01 | $10.29 | Not available in this setting | RVU15D |
| 2015-07-01 | $10.29 | Not available in this setting | RVU15C |
| 2015-04-01 | $10.24 | Not available in this setting | RVU15B |
| 2015-01-01 | $10.24 | Not available in this setting | RVU15A |
| 2014-10-01 | $10.22 | Not available in this setting | RVU14D |
| 2014-07-01 | $10.22 | Not available in this setting | RVU14C |
| 2014-04-01 | $10.22 | Not available in this setting | RVU14B |
| 2014-01-01 | $10.22 | Not available in this setting | RVU14A |
| 2013-10-01 | $9.66 | Not available in this setting | RVU13D |
| 2013-07-01 | $9.66 | Not available in this setting | RVU13C |
| 2013-04-01 | $9.66 | Not available in this setting | RVU13B |
| 2013-01-01 | $9.66 | Not available in this setting | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
G0250 billing questions
When should G0250 be selected instead of G0249?
G0250 is for physician review and management of home INR results. G0249 concerns provision of home INR testing equipment and materials.
Does G0250 include the home INR test itself?
G0250 represents the professional interpretation and management service; a separate code covers the technical portion.
What documentation supports G0250?
Record the INR result reviewed and the management provided, such as patient instructions or a dosage decision. The record should support that the service was a physician review of home monitoring results.
Is G0250 reported for every home INR test?
No. It represents review and management, not each individual test or the supplies, and may be billed no more than once per week.
How does G0250 differ from CPT 93793?
G0250 is specific to physician review and management of home INR testing. CPT 93793 describes anticoagulation management more broadly and is not the home-monitoring-specific code.
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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