Q0501 HCPCS code: Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only
Q0501 is the HCPCS Level II code for shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only. The 2026 Medicare DMEPOS fee schedule pays $613.75 to $675.13 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 1 per day on outpatient hospital claims. Medicare volume rose 30% from 2022 to 2024 (50 to 65 services). In 2024, about 3 clinicians billed Medicare for Q0501 for 65 beneficiaries. Its average fee ranks 2 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 Q0501
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $613.75 | $675.13 | $749.20 | $561.90 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $613.75 | — |
| AL | — | $632.25 | — |
| AR | — | $632.22 | — |
| AZ | — | $613.75 | — |
| CA | — | $613.75 | — |
| CO | — | $637.03 | — |
| CT | — | $613.75 | — |
| DC | — | $613.75 | — |
| DE | — | $613.75 | — |
| FL | — | $632.25 | — |
| GA | — | $632.25 | — |
| HI | — | $613.75 | — |
| IA | — | $625.76 | — |
| ID | — | $613.75 | — |
| IL | — | $628.84 | — |
| IN | — | $628.84 | — |
| KS | — | $625.76 | — |
| KY | — | $632.25 | — |
| LA | — | $632.22 | — |
| MA | — | $613.75 | — |
| MD | — | $613.75 | — |
| ME | — | $613.75 | — |
| MI | — | $628.84 | — |
| MN | — | $628.84 | — |
| MO | — | $625.76 | — |
| MS | — | $632.25 | — |
| MT | — | $637.03 | — |
| NC | — | $632.25 | — |
| ND | — | $637.03 | — |
| NE | — | $625.76 | — |
| NH | — | $613.75 | — |
| NJ | — | $613.75 | — |
| NM | — | $632.22 | — |
| NV | — | $613.75 | — |
| NY | — | $613.75 | — |
| OH | — | $628.84 | — |
| OK | — | $632.22 | — |
| OR | — | $613.75 | — |
| PA | — | $613.75 | — |
| PR | — | $675.13 | — |
| RI | — | $613.75 | — |
| SC | — | $632.25 | — |
| SD | — | $637.03 | — |
| TN | — | $632.25 | — |
| TX | — | $632.22 | — |
| UT | — | $637.03 | — |
| VA | — | $613.75 | — |
| VI | — | $675.13 | — |
| VT | — | $613.75 | — |
| WA | — | $613.75 | — |
| WI | — | $628.84 | — |
| WV | — | $613.75 | — |
| WY | — | $637.03 | — |
How the Q0501 fee compares
| Measure | Value |
|---|---|
| Rank among 6 Q05 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $37.42–$1,593.61 |
| Rural fee uplift | — |
Who bills Q0501 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 3 |
| Medicare beneficiaries | 65 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q0501, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 50 | 50 | $529.56 | $419.11 |
| 2023 | 40 | 40 | $572.42 | $450.80 |
| 2024 | 65 | 65 | $587.26 | $467.90 |
States with the most Q0501 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 62 | $468.06 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Clinical: Data |
| practitioner claims | 1 | Clinical: Data |
What changed for Q0501
- 2026-01-01: Average state fee rose 2.0%: $613.58 to $625.85
- 2005-10-01: Q0501 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 Q0501?
Q0501 is the HCPCS Level II code for shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only. Short descriptor: "Shwr cov elec/combo vad, rep".
How much does Medicare pay for Q0501?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $613.75–$675.13. Rural fees can be higher.
Does Medicare cover Q0501?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for Q0501 change in 2026?
The average non-rural state fee moved from $613.58 in 2025 to $625.85 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of Q0501 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related Q05 codes
- Q0500 — Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ($36.71–$40.36)
- 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 Q0501
- Watch Q0501 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q0501
Sources: CMS HCPCS Level II release October 2025; 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.