G0248 HCPCS - DEMONSTRATION, PRIOR TO INITIATION OF HOME INR MONITORING, FOR PATIENT WITH EITHER MECHANICAL HEART VALVE(S), CHRONIC ATRIAL FIBRILLATION, OR VENOUS THROMBOEMBOLISM WHO MEETS MEDICARE COVERAGE CRITERIA, UNDER THE DIRECTION OF A PHYSICIAN; INCLUDES: FACE-TO-FACE DEMONSTRATION OF USE AND CARE OF THE INR MONITOR, OBTAINING AT LEAST ONE BLOOD SAMPLE, PROVISION OF INSTRUCTIONS FOR REPORTING HOME INR TEST RESULTS, AND DOCUMENTATION OF PATIENT'S ABILITY TO PERFORM TESTING AND REPORT RESULTS

Code Information

HCPCS Code: G0248

Sequence Number: 0010

Short Description: Demonstrate use home inr mon

Long Description: Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results

Code Added Date: 7/1/2002

Action Code: N - No maintenance for this code

Action Effective Date: 3/19/2008

Classification: Temporary Procedures & Professional Services

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: M1A - Office visits - new
Type Of Service Code:
  • 5 - Diagnostic laboratory

Billing Information

Pricing Indicator Code:
  • 11 - Price established using national rvu's
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
  • 50.55
Medicare Carriers Manual Reference Section Number:
    N/A
    Coverage Code: D - Special coverage instructions apply

    HCPCS Record

    Field Name Field Value
    Healthcare Common Procedure Coding System Code G0248
    HCPCS Sequence Number 0010
    HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
    HCPCS Long Description Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results
    HCPCS Short Description Demonstrate use home inr mon
    HCPCS Pricing Indicator Code 1 11 - Price established using national rvu's
    HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
    HCPCS Coverage Issues Manual Reference Section Number 1 50.55
    HCPCS Coverage Code D - Special coverage instructions apply
    HCPCS Berenson-Eggers Type Of Service Code M1A - Office visits - new
    HCPCS Type Of Service Code 1 5 - Diagnostic laboratory
    HCPCS Anesthesia Base Unit Quantity 0
    HCPCS Code Added Date 7/1/2002
    HCPCS Action Effective Date 3/19/2008
    HCPCS Action Code N - No maintenance for this code

    Download Record

    Download this HCPCS record in Text format: Export

    Download this HCPCS record in Excel (CSV) format: Export

    Download this HCPCS record in XML format: Export

    This page was last updated on: 1/1/2018