Q0504, Power adapter for pneumatic ventricular assist device, replacement only,
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Key Coverage Criteria
- Implantable VADs with FDA approval or clearance may be considered medically necessary as a bridge to heart transplantation for individuals listed as candidates and not expected to survive to donor or those undergoing evaluation for candidacy.
4 Active Policies
BCBSIL-SUR707.017, Ventricular Assist Devices and Total Artificial Hearts
BCBSMT-SUR707.017, Ventricular Assist Devices and Total Artificial Hearts
BCBSNM-SUR707.017, Ventricular Assist Devices and Total Artificial Hearts
BCBSOK-SUR707.017, Ventricular Assist Devices and Total Artificial Hearts
Related Codes
Have a follow-up question?
Ask Verity about documentation requirements, denial risks, or coverage in your state.