HCPCS code G0250 — Md inr test revie inter mgmt.
Status: Active.
Effective Mar 19, 2008.
Source: CMS HCPCS Level II.
G0250
ActiveMd inr test revie inter mgmt
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Mar 19, 2008
Code type:
alphanumeric
OPPS Status:
M
— Items / services not billable to the fiscal intermediary or MAC
MUE — Medically Unlikely Edits
Maximum units of G0250 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 | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
G0250 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0337 | Modifier may bypass edit |
| G0402 | Modifier may bypass edit |
| G0463 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)