`G0248` Demonstrate use home inr mon

What G0248 is

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 Level II long description, CMS October 2026 file. See the G codes page for the full section.

Medicare payment for G0248 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	0.00	3.11	0.05	3.16	$105.55
Facility (hospital, ASC)	0.00	3.11	0.05	3.16	$105.55

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.

Adjust for a Medicare locality:

Status: Restricted coverage - payable only in specific circumstances. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps G0248 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with G0248? These codes are bundled into it

G0248 is a Column 1 code in 14 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`93241`	Xtrnl ecg rec>48hr<7d	0 - no modifier bypass	Check pair
`93242`	Ext ecg>48hr<7d recording	0 - no modifier bypass	Check pair
`93243`	Ext ecg>48hr<7d scan a/r	0 - no modifier bypass	Check pair
`93244`	Ext ecg>48hr<7d rev&interpj	0 - no modifier bypass	Check pair
`93245`	Ext ecg>7d<15d rec scan a/r	0 - no modifier bypass	Check pair
`93246`	Ext ecg>7d<15d recording	0 - no modifier bypass	Check pair
`93247`	Ext ecg>7d<15d scan a/r	0 - no modifier bypass	Check pair
`93248`	Ext ecg>7d<15d rev&interpj	0 - no modifier bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair
`99091`	Collj & interpj data ea 30 d	0 - no modifier bypass	Check pair
`99452`	Ntrprof ph1/ntrnet/ehr rfrl	0 - no modifier bypass	Check pair
`99473`	Self-meas bp pt educaj/train	0 - no modifier bypass	Check pair

G0248 is bundled into these codes

G0248 appears as a Column 2 code in 92 active edits. Reported with one of these Column 1 codes on the same date of service, G0248 is the code that denies.

Column 1 code	Short description	Modifier indicator
`0378T`	Visual field assmnt rev/rprt	0	Check pair
`0379T`	Vis field assmnt tech suppt	0	Check pair
`0578T`	Rem interrog dev icds phys	0	Check pair
`0579T`	Rem interrog dev icds tech	0	Check pair
`0604T`	Rem oct rta dev setup&educaj	1	Check pair
`0605T`	Rem oct rta techl sprt min 8	1	Check pair
`0606T`	Rem oct rta phys/qhp ea 30d	1	Check pair
`0733T`	Rem r-t mtn nrehab ther sply	1	Check pair
`0734T`	Rem r-t mtn nrehab tx mgmt	1	Check pair
`0740T`	Rem auton alg nsln cal setup	0	Check pair
`93224`	Xtrnl ecg rec up to 48 hrs	0	Check pair
`93225`	Xtrnl ecg rec<48 hrs rec	0	Check pair
`93226`	Xtrnl ecg rec<48 hr scan a/r	0	Check pair
`93227`	Xtrnl ecg rec<48 hr r&i	0	Check pair
`93228`	Remote 30 day ecg rev/report	0	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.