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See a sample rate comparisonHCPCS Q0486 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Ventricular Assist Devices |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for Q0486 |
National average reimbursement for HCPCS Q0486 by major payers:
$296.03
$190.70
$249.90
$279.22
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HCPCS Q0486
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$630.65Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$298.91Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$177.16Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$154.24Published rateChristopher Raio
St Francis Hospital
$103.20Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS Q0486 vs. Other Ventricular Assist Devices Codes
The HCPCS Q0486 code is part of the Temporary Codes services used for Ventricular Assist Devices. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q0486 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q0485-HCPCS | Moderate | Monitor control cable for use with electric ventricular assist device, replacement only |
| Q0486-HCPCS | Moderate | Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only |
| Q0487-HCPCS | Moderate | Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q0486. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0486 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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