HCPCS Range Ventricular Assist Devices

• 1 Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ( Q0478 )

• 2 Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0479 )

• 3 Driver for use with pneumatic ventricular assist device, replacement only ( Q0480 )

• 4 Microprocessor control unit for use with electric ventricular assist device, replacement only ( Q0481 )

• 5 Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ( Q0482 )

• 6 Monitor/display module for use with electric ventricular assist device, replacement only ( Q0483 )

• 7 Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0484 )

• 8 Monitor control cable for use with electric ventricular assist device, replacement only ( Q0485 )

• 9 Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ( Q0486 )

• 10 Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ( Q0487 )

• 11 Power pack base for use with electric ventricular assist device, replacement only ( Q0488 )

• 12 Power pack base for use with electric/pneumatic ventricular assist device, replacement only ( Q0489 )

• 13 Emergency power source for use with electric ventricular assist device, replacement only ( Q0490 )

• 14 Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ( Q0491 )

• 15 Emergency power supply cable for use with electric ventricular assist device, replacement only ( Q0492 )

• 16 Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ( Q0493 )

• 17 Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0494 )

• 18 Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0495 )

• 19 Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0496 )

• 20 Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0497 )

• 21 Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0498 )

• 22 Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ( Q0499 )

• 23 Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0500 )

• 24 Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0501 )

• 25 Mobility cart for pneumatic ventricular assist device, replacement only ( Q0502 )

• 26 Battery for pneumatic ventricular assist device, replacement only, each ( Q0503 )

• 27 Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ( Q0504 )

• 28 Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0506 )

• 29 Miscellaneous supply or accessory for use with an external ventricular assist device ( Q0507 )

• 30 Miscellaneous supply or accessory for use with an implanted ventricular assist device ( Q0508 )

• 31 Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under Medicare Part A ( Q0509 )

• 32 Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ( Q0477 )