Does Q0496 require prior authorization?

No, Q0496 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for Q0496?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

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.

BCBSIL-SUR707.017, Ventricular Assist Devices and Total Artificial Hearts

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