What is CPT G0249?

July 27, 2019 Off By idswater

What is CPT G0249?

G0249: Provision of test materials and equipment for home INR monitoring to patient with mechanical heart valve(s) who meets Medicare coverage criteria. Includes provision of materials for use in the home and reporting of test results to physician; per 4 tests.

Is G0249 covered by Medicare?

G0249 is a valid 2021 HCPCS code for 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 …

What is the CPT code for INR machine?

Here are the new codes | CPT 93792, 93793

Code Brief description Total National facility RVUs
93792 Pt/caregiver train home inr NA
93793 Anticoag mgmt pt warfarin NA

How do I bill for PT INR?

Report CPT code 93793. Patient has an INR test at a lab in the office or at the point of care and follows up with a visit to discuss results. Report CPT codes 85610 (prothrombin time) and 93793. Patient presents for an office visit during which the physician also discusses INR monitoring.

What is CPT code G0250?

G0250: Physician review; interpretation and patient management of home INR testing for a patient with mechanical heart valve(s) who meets other coverage criteria; per 4 tests (does not require face-to-face).

How do I monitor my INR?

It can be monitored by drawing blood from a vein and sending the blood to an accredited laboratory to test, or it can be monitored by testing blood from a fingerstick with an INR test meter outside of a laboratory.

Does Medicare pay for g0250?

Medicare will cover the use of home PT/INR monitoring for chronic, oral anticoagulation management for patients with mechanical heart valves, chronic atrial fibrillation, or venous thromboembolism (inclusive of deep venous thrombosis and pulmonary embolism) on warfarin.

Does Medicare cover PT INR?

Is self-testing covered by insurance? Medicare has approved PT/INR self-testing for patients taking warfarin (Coumadin) and who have mechanical heart valves, chronic atrial fibrillation, deep vein thrombosis (DVT), pulmonary embolism and hypercoagulable state.

What is procedure code 85730?

CPT® Code 85730 in section: Thromboplastin time, partial (PTT)