Home inr testing and management of home inr test results.
Inr testing machine hcpcs code.
Medicare claims processing cms.
The new codes are more user friendly than the former inr cpt codes 99363 and 99364 which were deleted for 2018.
Hcpcs code g0249 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.
Currently there are two sets of codes three hcpcs codes and two cpt codes.
Cpt 2018 introduces new codes for home and outpatient international normalized ratio inr services.
They aren t defined exactly the same and so take careful reading.
Such early testing is not expected to be the norm and does not allow for payment for more than 4 tests one unit of service uos in four weeks.
Requires long term greater than one year anticoagulation with warfarin.
The existence of hcpcs codes does not guarantee coverage or payment for any device by any insurance carrier or medicare.
Home prothrombin time self monitoring using an inr device is considered medically necessary for an individual who meets all of the following criteria.
Testing not occurring more frequently than once a week.
And requires at least weekly determinations of inr values.
Anticoagulant management for a patient taking warfarin must include review and interpretation of a new home office or lab international normalized ratio inr test result patient instructions dosage adjustment as needed and scheduling of additional test s when performed.
Coaguchek xs test strips bx.
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.
Hcpcs codes provided are believed to be accurate but not guaranteed.
Hcpcs codes covered if selection criteria are met.
The new codes include the ordering review and interpretation of new inr test result s patient instructions and dosage.
Provision of materials for use in the home and reporting of test results to physician.
Applicable hcpcs codes g0248 g0249 and g0250 will continue to.
Home diagnostic products pt inr coaguchek xs test strips bx.
Applicable hcpcs codes g0248 g0249 and g0250 will ab 02 180 cms.
And the treating physician prescribes the self monitoring device and home testing.
Should a situation occur where the beneficiary needs additional testing for example an abnormal inr on a home test such added home testing is not covered using the g0249 code.
Jul 25 2008 note.
Testing not occurring more frequently than once.
Demonstration use and care of the inr monitor obtaining at least one blood these services under revenue code is 920 or they may report hcpcs codes.
