HCPCS Q0487 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Ventricular Assist Devices |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for Q0487 |
National average reimbursement for HCPCS Q0487 by major payers:
$342.91
$222.49
$287.32
$325.86
HCPCS Q0487 vs. Other Ventricular Assist Devices Codes
The HCPCS Q0487 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 Q0487 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 |
|---|---|---|
| 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 |
| Q0488-HCPCS | High | Power pack base for use with electric 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 Q0487. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0487 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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