Q0497 Bat clps elec/comb vad, rep

Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for Q0497

DMEPOS fee schedule, July 2026 (DME26-C)

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.

Payer policies and prior authorization for Q0497

Payer coverage policies that name Q0497

Q0497 appears in 6 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Shield of California, BlueCross BlueShield of South Carolina, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Regence.

PayerPolicyRole in policyReviewedDocument
AetnaVentricular Assist Devices (0654)covered if criteria are metSep 10, 2026payer document
Blue Cross & Blue Shield of MississippiTotal Artificial Hearts And Implantable Ventricular Assist Devicescovered if criteria are metpayer document
Blue Shield of CaliforniaTotal Artificial Hearts and Implantable Ventricular Assist Devices (7.03.11)listed, no stancepayer document
BlueCross BlueShield of South CarolinaTotal Artificial Hearts and Implantable Ventricular Assist Devices (CAM 70311)
33991 | ; both arterial and venous access, with transseptal puncture
listed, no stance (range Q0478-Q0509)Mar 1, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Ventricular Assist Devices and Total Artificial Hearts (SUR707.017)
HCPCS Codes L8698, Q0477, Q0478, Q0479, Q0480, Q0481, Q0482, Q0483, Q0484, Q0485,
listed, no stanceJan 1, 2026payer document
RegenceVentricular Assist Devices and Total Artificial Hearts (Surgery 52)listed, no stance (range Q0477-Q0509)Jan 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, OH, WA.

  • AZ: $671.45 (dme), effective Oct 1, 2026
  • IL: $415.20 (dme), effective Jan 1, 2026
  • IN: $480.37 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
  • OH: $441.28 (dme), effective Jan 1, 2026
  • TX: $405.04 (dmepos_tos_9_e_j_l_and_r, Home Health Dme), effective Jan 1, 2016
  • VT: $471.63 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $562.64 (physician, facility), effective Jul 1, 2026
  • WY: $0.00 (professional), effective Nov 1, 2016

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.