Ventricular Assist Device Supplies

Published 03/06/2025

Ventricular assist device (VAD) dressing supplies are billed using HCPCS codes Q0507, Q0508, and Q0509.

  • 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

When billing for VAD supplies, the following information must be provided: 

  • Invoice(s) for the supplies or accessories provided; and
  • List of the supplies or accessories provided

Note: The invoice must clearly show if the item is individually packaged or in a kit. The invoice will not be accepted if it is not clearly for the items being billed on the claim. 

Please see the Guidance on Invoices article from your jurisdiction for more information on what is expected on invoices submitted for contractor-priced codes.

The list of the supplies or accessories can be provided as a narrative comment. 

Narrative Comments

Table 1. Electronic Claims.

Electronic Claims
Loop 2300, NTE, 02 Claim Level Comment (Claim Notes):
Used when the documentation does not apply to a specific service line; documentation is applied to entire claim.
Loop 2400, NTE, 02 Line Level Comment (Line Notes):
Used when the documentation applies to a specific service line; documentation is applied to that service line only.

Table 2. Paper Claims.

Paper Claims
Box 19 Enter claim information in this item; if submitting on an attachment, there must be an indication in box “Box 19” to refer to the attached documentation. 
Attachment Attach documentation pertaining to services billed on 1500 claim form.

Documentation Requirements

If an invoice is not submitted, the HCPCS code will be rejected and must be resubmitted as a new claim with the invoice. When covered, each claim will be priced individually using the invoice submitted. Providers should follow the appeal process if they disagree with the payment on these claims.

Upon request, providers must also be prepared to submit the following:

  • Physician’s order for the supplies or accessories — the frequency and duration of their use must be included
  • Office or progress notes for the patient documenting the presence of a VAD device

See the Submitting Additional Documentation article from your jurisdiction for more information on how to submit invoices and/or supporting documentation with your claim.


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