AHA Coding Clinic® for HCPCS - 2005 Issue 3

New HCPCS codes created by CMS for ventricular assist devices (VADs)

To describe replacement accessories and supplies for implanted ventricular assist devices covered under the prosthetic accessories benefit, new codes will be added to HCPCS by the Centers for Medicare & Medicaid Services (CMS) effective October 1, 2005. On the basis of the prospective payment system for hospital inpatient services, payment for the implantation of ventricular assist devices (VAD) is made under Medicare Part A. Supplies and accessories provided in the inpatient setting that are necessary for the VAD to function are included in the Part A payment. When it becomes necessary to replace these accessories and supplies after the...

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