Question 1

What is HCPCS code G0248?

Accepted Answer

HCPCS code G0248 is "Demonstrate use home inr mon". 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

Question 2

What category is G0248 in?

Accepted Answer

G0248 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0248?

Accepted Answer

Use G0248 when billing for demonstrate use home inr mon. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G0248 covered by Medicare?

Accepted Answer

Coverage for G0248 (Demonstrate use home inr mon) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G0248?

Accepted Answer

Documentation for G0248 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).