Avoid delays when billing ventricular assist device (VAD) supplies

VAD dressing supplies are billed using HCPCS codes Q0507, Q0508 and Q0509. When billing for VAD supplies, the following information is required with the claim submission:

• Invoice for supplies / accessories provided
• List of supplies / accessories provided
  • Document whether individually packaged or in a kit (should also be noted on the invoice)

The invoice and list for supplies / accessories should be submitted via electronic submission of medical documentation (esMD) or paperwork (PWK), using the Part A PWK fax / mail / esMD coversheet or Part B PWK fax / mail / esMD coversheet.

Claims for VAD supplies MUST have documentation

Note: Claims received without the required information listed above will be rejected.

The following information must be maintained in the patient’s medical record and be available upon request:

• Physician’s order for supplies / accessories listing frequency and duration of its use
• Office / progress notes for the patient documenting the presence of a VAD device