Medicare Coverage
Medicare Coverage
Hello,
Medicare covers patient's who have had mechanical heart valve replacement surgery, with diagnosis code of V43.3. This does not include tissue or repaired valves, and you have to be on Coumadin at least 3 months in order to qualify. In addition, a test has to be performed weekly, and results have to be called into our toll free number, so the managing physician can get a weekly report on results.
Regarding cost, Medicare (CMS) will only cover 80% of the charges, but if you have a supplemental insurance, you will be covered at 100%. Please call with any questions, and thanks!
Lance Visnich
QAS
800-563-5680 ex 2865