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US · guidance

CMS Pub. 100-04, ch. 32, § 60.6

Carrier Claims Requirements

activein force · 2026-08-25 – presentas-observed

Note this test is not covered as durable medical equipment. Therefore, claims submitted to DMERCs will not be paid.

It is covered under the physician fee schedule. Also note that the cost of the device and supplies is included in the

payment for G0249 and therefore not separately billed to Medicare. G0249 continues to include materials for 4 tests.

Additionally, G0250 continues to mean per 4 tests and should be billed no more frequently than once every 4 weeks.

History

(Rev. 1562, Issued: 07-25-08, Effective: 03-19-08, Implementation: 08-25-08)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
911fc0eec494faafbae4797325b2b50cf1918d61b69941d015ca279ee1050a62
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