Does Q0499 require prior authorization?

No, Q0499 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for Q0499?

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

HCPCS/CPT

No Prior Auth Required

Code is 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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