2021/2022 HCPCS Code Q0504

Power adapter for pneumatic ventricular assist device, replacement only, vehicle type
Short Description Pwr adpt pneum vad, rep veh
Procedure Note 0178 = SEE NCDM 20.9.
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2013
HCPCS Code Added Date October 01, 2005
HCPCS Pricing Indicator Code 38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Type Of Service Code P = Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity 0