Ventricular Assist Device, Total Artificial Heart - Medicare Advantage

Covers implantation and use of ventricular assist devices (VADs) and total artificial hearts (TAHs), including associated supplies and accessories, as mechanical circulatory support. Intended for adults with advanced heart failure, cardiogenic shock, or decreased cardiac function when optimal medical and device-based therapies have failed and MCS is expected to reduce mortality or improve quality of life; TAH is reserved for intractable biventricular failure not amenable to VAD therapy. Coverage is subject to Medicare NCD/LCD requirements and applicable local jurisdictional LCDs, and this excerpt excludes pediatric use and provides no explicit frequency or age limits.

"Q0486: Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only"

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