HCPCS code G0250: INR management, home monitoring review2026 Medicare rate & RVUs in Massachusetts
Reports a physician’s review, interpretation, and management of home INR results for chronic anticoagulation when Medicare coverage conditions are satisfied.
Medicare pays $9.19–$9.75 for G0250 in the office in Massachusetts, from Rest of Massachusetts to Metropolitan Boston, MA. 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 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 in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | $9.75 | Unavailable |
| Rest of Massachusetts | $9.19 | Unavailable |
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.
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. |
G0250 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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