Coumadin Clinics / Medicare expands home INR test coverage and revises G codes to include afib, embolism

Why This Topic Matters

The update affects whether certain Medicare beneficiaries qualify for home INR monitoring and how claims for the associated services are handled. It is important for organizations that bill Medicare for anticoagulation management and related home testing services.

Article Sections

1. Coverage expansion and eligibility requirements

   This section summarizes the Medicare change expanding home INR monitoring coverage and outlines the broad eligibility and timing requirements discussed in the article.

2. Revised Medicare G-codes for home INR testing

   This section reviews the Medicare billing codes associated with home INR monitoring and the general categories of services they represent under the updated coverage policy.

3. Monitors are not DME

   This section addresses how Medicare classifies home INR monitors and where claims for the related service should be submitted.