Q0500 HCPCS code: Filters for use with electric or electric/pneumatic ventricular assist device, replacement only
Q0500 is the HCPCS Level II code for filters for use with electric or electric/pneumatic ventricular assist device, replacement only. The 2026 Medicare DMEPOS fee schedule pays $36.71 to $40.36 depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 10 per day on outpatient hospital claims. Its average fee ranks 1 of 6 Q05 codes (family range $37.42–$1,593.61).
Code details
| Field | Value |
|---|---|
| Section | Q codes — Temporary codes |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2005-10-01 |
| Last action effective | 2013-01-01 |
2026 Medicare DMEPOS fee schedule for Q0500
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $36.71 | $40.36 | $44.79 | $33.60 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $36.71 | — |
| AL | — | $37.80 | — |
| AR | — | $37.80 | — |
| AZ | — | $36.71 | — |
| CA | — | $36.71 | — |
| CO | — | $38.07 | — |
| CT | — | $36.71 | — |
| DC | — | $36.71 | — |
| DE | — | $36.71 | — |
| FL | — | $37.80 | — |
| GA | — | $37.80 | — |
| HI | — | $36.71 | — |
| IA | — | $37.40 | — |
| ID | — | $36.71 | — |
| IL | — | $37.58 | — |
| IN | — | $37.58 | — |
| KS | — | $37.40 | — |
| KY | — | $37.80 | — |
| LA | — | $37.80 | — |
| MA | — | $36.71 | — |
| MD | — | $36.71 | — |
| ME | — | $36.71 | — |
| MI | — | $37.58 | — |
| MN | — | $37.58 | — |
| MO | — | $37.40 | — |
| MS | — | $37.80 | — |
| MT | — | $38.07 | — |
| NC | — | $37.80 | — |
| ND | — | $38.07 | — |
| NE | — | $37.40 | — |
| NH | — | $36.71 | — |
| NJ | — | $36.71 | — |
| NM | — | $37.80 | — |
| NV | — | $36.71 | — |
| NY | — | $36.71 | — |
| OH | — | $37.58 | — |
| OK | — | $37.80 | — |
| OR | — | $36.71 | — |
| PA | — | $36.71 | — |
| PR | — | $40.36 | — |
| RI | — | $36.71 | — |
| SC | — | $37.80 | — |
| SD | — | $38.07 | — |
| TN | — | $37.80 | — |
| TX | — | $37.80 | — |
| UT | — | $38.07 | — |
| VA | — | $36.71 | — |
| VI | — | $40.36 | — |
| VT | — | $36.71 | — |
| WA | — | $36.71 | — |
| WI | — | $37.58 | — |
| WV | — | $36.71 | — |
| WY | — | $38.07 | — |
How the Q0500 fee compares
| Measure | Value |
|---|---|
| Rank among 6 Q05 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $37.42–$1,593.61 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 10 | Clinical: CMS Workgroup |
| practitioner claims | 10 | Clinical: CMS Workgroup |
What changed for Q0500
- 2026-01-01: Average state fee rose 2.0%: $36.69 to $37.42
- 2005-10-01: Q0500 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code Q0500?
Q0500 is the HCPCS Level II code for filters for use with electric or electric/pneumatic ventricular assist device, replacement only. Short descriptor: "Filters elec/combo vad, rep".
How much does Medicare pay for Q0500?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $36.71–$40.36. Rural fees can be higher.
Does Medicare cover Q0500?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for Q0500 change in 2026?
The average non-rural state fee moved from $36.69 in 2025 to $37.42 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of Q0500 can be billed per day?
10 on outpatient hospital claims; 10 on practitioner claims (NCCI medically unlikely edits).
Related Q05 codes
- Q0501 — Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ($613.75–$675.13)
- Q0502 — Mobility cart for pneumatic ventricular assist device, replacement only ($781.39–$859.54)
- Q0503 — Battery for pneumatic ventricular assist device, replacement only, each ($1,562.84–$1,719.11)
- Q0504 — Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ($824.68–$907.15)
- Q0506 — Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ($1,026.54–$1,129.20)
- Q0507 — Miscellaneous supply or accessory for use with an external ventricular assist device
- Q0508 — Miscellaneous supply or accessory for use with an implanted ventricular assist device
- Q0509 — Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a
- Q0510 — Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant
- Q0511 — Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period
- Q0512 — Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period
- Q0513 — Pharmacy dispensing fee for inhalation drug(s); per 30 days
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under Q0500
- Watch Q0500 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q0500
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.