Key facts for Q0506
- Medicare payment
- $1,026.54 to $1,065.38
- DMEPOS non-rural state fees
- Coverage code
- D
- special coverage instructions apply
- Practitioner MUE
- 8
- MAI 3
- NCCI PTP pairs
- 0
- practitioner file
- LCDs and articles
- 0 / 0
TL;DR
CMS describes HCPCS Q0506, added in 2010, as "Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only". Q0506 is paid from the DMEPOS fee schedule as prosthetics and orthotics (PO): $1,026.54 in AZ, CA, CT and 17 more to $1,065.38 in CO, MT, ND and 3 more (floor $939.78, ceiling $1,253.04), October 2026. MUE limits for Q0506: practitioner 8 (MAI 3, Nature of Equipment); hospital outpatient 8 (MAI 3, Nature of Equipment). No current LCD or billing article lists Q0506; its HCPCS coverage code is D (special coverage instructions apply). OPPS status indicator A: Services not paid under OPPS; paid under fee schedule or other payment system. HCPCS record: BETOS D1F (prosthetic/orthotic devices); pricing indicator 38; type of service P (lump-sum purchase of DME, prosthetics or orthotics). 1 other active code opens with "Battery"; related codes: Q0496, Q0508, Q0163, Q0112.
Q0506 descriptor and code status
The October 2026 HCPCS Level II file describes Q0506 as “Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only”. It sits in the Q section (temporary codes), listed with the other Q codes for services and supplies (non-drug).
| Field | Value |
|---|---|
| Short descriptor | Lith-ion batt elec/pneum vad |
| Added to HCPCS | 2010-01-01 |
| Last action | N (no maintenance), effective 2013-01-01 |
| Coverage code | D: special coverage instructions apply |
| Pricing indicator | 38: DMEPOS orthotics, prosthetics, prosthetic devices and vision services (floors and ceilings) |
| BETOS category | D1F: prosthetic/orthotic devices |
| Type of service | P: lump-sum purchase of DME, prosthetics or orthotics |
Medicare payment for Q0506
Q0506 is paid from the DMEPOS fee schedule as prosthetics and orthotics (PO): $1,026.54 in AZ, CA, CT and 17 more to $1,065.38 in CO, MT, ND and 3 more (floor $939.78, ceiling $1,253.04), October 2026. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.
Physician fee schedule (RVU26D)
Status E: excluded from the physician fee schedule by regulation. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).
DMEPOS fee schedule (DME26-D)
Jurisdiction L (local Part B MAC), payment category PO (prosthetics and orthotics). Fees are set per state; AK, HI, PR and VI are not subject to the national ceiling and floor and are listed separately. A rural fee applies only in ZIP codes on the CMS rural ZIP list.
| Modifier | Floor / ceiling | Non-rural state range | Rural range | AK / HI / PR / VI |
|---|---|---|---|---|
| none | $939.78 / $1,253.04 | $1,026.54 (AZ, CA, CT…) to $1,065.38 (CO, MT, ND…) | — | AK $1,026.54, HI $1,026.54, PR $1,129.20, VI $1,129.20 |
Hospital outpatient (OPPS Addendum B)
Status indicator A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.
Medically Unlikely Edits for Q0506
MUE limits for Q0506: practitioner 8 (MAI 3, Nature of Equipment); hospital outpatient 8 (MAI 3, Nature of Equipment). The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.
| Setting | MUE (units/DOS) | MAI | CMS rationale |
|---|---|---|---|
| Practitioner services | 8 | 3 Date of Service Edit: Clinical | Nature of Equipment |
| Facility outpatient hospital | 8 | 3 Date of Service Edit: Clinical | Nature of Equipment |
The MUE lookup for Q0506 shows every setting next to any other code on the same claim.
NCCI edits and add-on rules
No active practitioner PTP pair lists Q0506 in v323r0.
Q0506 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.
Pair counts show exposure, not the answer for one claim. Check Q0506 against a second code to see whether the pair bundles and whether a modifier can separate the services.
Medicare coverage policies for Q0506
No current LCD or billing and coding article lists Q0506. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.
Denials to expect on Q0506
the modifier reported is inconsistent with the code
the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier
Where QuickIntell fits for Q0506 claims
QuickAuth coordinates the requirement checks and documentation that DME claims for Q0506 depend on, with human review of each case, and QuickRCM carries claim readiness and the CARC 50, 151 and modifier denials these items draw.
Frequently asked questions: HCPCS Q0506
What does HCPCS code Q0506 describe?
"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only" (short descriptor "Lith-ion batt elec/pneum vad"), in the Q section (temporary codes). Added 2010-01-01; last action N (no maintenance) effective 2013-01-01.
Is Q0506 a CPT code?
No: CMS maintains Q0506 in HCPCS Level II, while the AMA maintains CPT. It goes in the same procedure-code field.
What does Medicare pay for Q0506?
Q0506 is paid from the DMEPOS fee schedule as prosthetics and orthotics (PO): $1,026.54 in AZ, CA, CT and 17 more to $1,065.38 in CO, MT, ND and 3 more (floor $939.78, ceiling $1,253.04), October 2026.
How many units of Q0506 can be billed per day?
MUE limits for Q0506: practitioner 8 (MAI 3, Nature of Equipment); hospital outpatient 8 (MAI 3, Nature of Equipment). For the practitioner MUE (MAI 3), units above 8 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.
Does Medicare cover Q0506?
No current LCD or billing article lists Q0506; its HCPCS coverage code is D (special coverage instructions apply).
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.
- HCPCS Level II alpha-numeric file, October 2026Version October 2026 · effective 2026-10-01 · file HCPC2026_OCT_ANWEB_09232026.txtSHA-256 c25240c63108756d…
- Medicare PFS national relative value file RVU26D (non-QPP), October 2026Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_nonQPP.csvSHA-256 4d0d3f19bd954ffc…
- Medicare PFS national relative value file RVU26D (qualifying APM participants), October 2026Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_QPP.csvSHA-256 59d3734704853936…
- DMEPOS fee schedule DME26-D, October 2026Version DME26-D (October 2026) · effective 2026-10-01 · file DMEPOS_OCT.csvSHA-256 a2824d58aadf4004…
- OPPS Addendum B, October 2026Version October 2026 · effective 2026-10-01 · file 508-compliant-version-2026_October_Web_Addendum_B.09.28.26.csvSHA-256 6ad7393a318bf1b9…
- Integrated Outpatient Code Editor v27.3 data tables: status and payment indicatorsVersion I/OCE v27.3 (October 2026) · effective 2026-10-01 · file Data_Status_Indicator.txtSHA-256 78f119ef0a435351…
- NCCI MUE table, practitioner services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_PractitionerServices_Eff_10-01-2026.csvSHA-256 ef038efaf902b7bd…
- NCCI MUE table, facility services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_OutpatientHospitalServices_Eff_10-01-2026.csvSHA-256 3af9f4e99cc587e2…
- NCCI MUE table, dme services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_DMESupplierServices_Eff_10-01-2026.csvSHA-256 6fa4fbba852f7b74…
- NCCI PTP edits, practitioner, v323r0 (four files)Version v323r0 (2026 Q4) · effective 2026-10-01 · file ccipra-v323r0-f1.TXTSHA-256 7793c0b6686c1e22…
Disclaimer
This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.
Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.