MedicaidCoverageMedium impact
INR Testing
Kentucky Medicaid·KY · Family Medicine, Internal Medicine, Cardiology +1 more·Provider Letter
Effective date
Apr 4, 2024
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid now mandates coverage for at-home prothrombin time (PT) and INR testing for anticoagulation management, including patient education and training. Three new billing codes (G0248, G0249, G0250) are now covered effective April 4, 2024, in addition to previously covered codes 93792 and 93793.
Action Required
Immediately: Billing team must update billing software to include newly covered codes G0248, G0249, and G0250 for Kentucky Medicaid at-home INR testing. Update encounter forms to include all five covered codes (G0248, G0249, G0250, 93792, 93793) for anticoagulation management services. Ensure billing system recognizes these codes for both Fee-for-Service and Managed Care Organization Medicaid plans in Kentucky.