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See a sample rate comparisonHCPCS Q0497 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.
Battery clips for use with electric or 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 Q0497 |
National average reimbursement for HCPCS Q0497 by major payers:
$475.34
$305.13
$419.62
$446.81
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HCPCS Q0497
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$959.26Published rateAugusta Vamc
$385.52Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$283.45Published rateMiguel Arenas
Miguel A Arenas Md PC
$251.92Published rateChristine Harms
Attigo Infusion Inc
$209.94Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS Q0497 vs. Other Ventricular Assist Devices Codes
The HCPCS Q0497 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 Q0497 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 |
|---|---|---|
| Q0496-HCPCS | High | Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0497-HCPCS | Moderate | Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0498-HCPCS | Moderate | Holster for use with electric or 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 Q0497. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0497 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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