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See a sample rate comparisonHCPCS Q0498 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.
Holster 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 Q0498 |
National average reimbursement for HCPCS Q0498 by major payers:
$517.17
$334.79
$435.72
$490.27
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HCPCS Q0498
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,107.13Published rateThe Hospital Authority Of Habersham County
$421.67Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$298.04Published rateNgmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
$276.42Published rateDevon Daney
Aztec Urgent Care LLC
$255.58Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS Q0498 vs. Other Ventricular Assist Devices Codes
The HCPCS Q0498 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 Q0498 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 |
|---|---|---|
| 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 |
| Q0499-HCPCS | Low | Belt/vest/bag for use to carry external peripheral components of any type 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 Q0498. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0498 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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