HCPCS code G0249 — Provide inr test mater/equip.
Status: Active.
Effective Mar 19, 2008.
Source: CMS HCPCS Level II.
G0249
ActiveProvide inr test mater/equip
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Mar 19, 2008
Code type:
alphanumeric
OPPS Status:
V
— Clinic or emergency department visit
OPPS APC:
5012
MUE — Medically Unlikely Edits
Maximum units of G0249 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 3 |
| Practitioner Services | 3 |
Source: CMS Medicare NCCI Medically Unlikely Edits