Question 1

What is HCPCS code G0250?

Accepted Answer

HCPCS code G0250 is "Md 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

Question 2

What category is G0250 in?

Accepted Answer

G0250 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0250?

Accepted Answer

Use G0250 when billing for md inr test revie inter mgmt. 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 G0250 covered by Medicare?

Accepted Answer

Coverage for G0250 (Md inr test revie inter mgmt) 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 G0250?

Accepted Answer

Documentation for G0250 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).