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Hearing Aid Services Codes

Revised: 10-05-2018

Hearing Aid Services Codes

Code

Description

Notes

L8690

Auditory osseointegrated device, includes all internal and external components -- use for Baha® system

Authorization is always required for:

  • • Auditory osseointegrated devices
  • • Non-contract hearing aids, plus related parts and accessories and dispensing fees
  • • Replacement aids within a five-year period
  • • ALD/FM systems and components
  • • Repairs over $400
  • - - - - - - - - - - -- - - - - - - - - - - - - - -
    V5020 is billable during the 90-day hearing aid trial period.
    - - - - - - - - - - - - - - - - - - - - - - - - - - -

    - - - - - - - - - - -- - - - - - - - - - - - - - -.
    V5090 requires a description.

    - - - - - - - - - - -- - - - - - - - - - - - - - -












    V5274 requires a description; use only if a more appropriate code is not available

    L8691

    Auditory osseointegrated device, external sound processor, replacement – use for Baha®

    L8692

    Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment – use for Baha®

    L8693

    Auditory osseointegrated device, abutement, any length, replacement only

    V5020

    Conformity Evaluation

    V5050

    Monaural, ITE

    V5060

    Monaural, BTE

    V5070

    Hearing aid in glasses, air conductive

    V5080

    Hearing aid in glasses, bone conductive

    V5090

    Dispensing fee, unspecified hearing aid - use when dispensing FM system or vibrotactile device

    V5100

    Hearing aid, bilateral, body worn

    V5110

    Dispensing fee, bilateral

    V5130

    Binaural, ITE

    V5140

    Binaural, BTE

    V5150

    Hearing aid in glasses, binaural

    V5190

    CROS, in glasses

    V5230

    BiCROS, in glasses

    V5246

    Monaural ITE, digitally programmable analog

    V5252

    Binaural ITE, digitally programmable

    V5273

    Assistive listening device, for use with cochlear implant

    V5274

    Assistive listening device, not otherwise specified (use for vibrotactile devices and pocket talkers

    V5298

    Hearing aid not otherwise classified

    V5030

    Monaural, body worn, air conductive

    All CROS/BiCROS systems in the MHCP Hearing Aid Contract include a compatible hearing aid.

    V5040

    Monaural, body worn, bone conductive

    V5120

    Binaural, on-the-body

    V5170

    CROS, ITE

    V5180

    CROS, BTE

    V5210

    BiCROS, ITE

    V5220

    BiCROS, BTE

    V5247

    Monaural BTE, digitally programmable analog

    V5253

    Binaural BTE, digitally programmable

    V5256

    Monaural ITE, digital

    V5257

    Monaural BTE, digital

    V5260

    Binaural ITE, digital

    V5261

    Binaural BTE, digital

    V5160

    Dispensing fee, binaural

    One dispensing fee allowed per five calendar years for adults, 21 and older.

    V5200

    Dispensing fee, CROS

    V5240

    Dispensing fee, BiCROS

    V5241

    Dispensing fee, monaural hearing aid, any type

    V5266

    Battery for use in hearing device (standard batteries only)

    Include three standard batteries when dispensing hearing aid (s). Maximum 36 batteries allowed for each 90-day period.

    V5267

    Hearing aid supplies and accessories, not otherwise specified

    (use for rechargeable batteries, telecoils and other accessories)

    Attachment with description required; include an invoice or retail cost.

    V5264

    Ear mold/insert, not disposable, any type

    V5275

    Ear impressions, each

    V5281

    Assistive listening device, personal FM/DM system, monaural, (1 receiver, transmitter, microphone), any type

    Assistive listening devices require authorization. Include individual component’s HCPCS, model numbers and prices on the medical documentation attachment.

    Use codes V5281 or V5282 when requesting authorization and billing complete FM systems.

    Do not bill more than one individual ALD/FM component with HCPCS codes V5283 – V5290 together on the same claim; they will deny due to NCCI conflicts. These codes are only appropriate for dispensing the item in isolation (for example, as a replacement).

    V5282

    Assistive listening device, personal FM/DM system, binaural, (2 receivers, transmitter, microphone), any type

    V5283

    Assistive listening device, personal FM/DM neck, loop induction receiver

    V5284

    Assistive listening device, personal FM/DM, ear level receiver

    V5285

    Assistive listening device, personal FM/DM, direct audio input receiver

    V5286

    Assistive listening device, personal blue tooth FM/DM receiver

    V5287

    Assistive listening device, personal FM/DM receiver, not otherwise specified

    V5288

    Assistive listening device, personal FM/DM transmitter assistive listening device

    V5289

    Assistive listening device, personal FM/DM adapter/boot coupling device for receiver, any type

    V5290

    Assistive listening device, transmitter microphone, any type

    V5299

    Miscellaneous hearing aid servicing

    Attachment with description required to identify the service.

    Use for removal of ear wax and cleaning.

    V5011

    Hearing aid checks or reprogramming performed by a hearing aid dispenser. Cannot be billed with 92592 and 92593. Refer to the Audiology Service Thresholds when service is performed by an audiologist.

    Four hearing aid checks per calendar year. May not be billed during trial period.

    Claims with DOS prior to 90 days from dispensing date will deny.
    Monaural
    hearing aid check: bill 1 unit with LT or RT modifier.
    Binaural
    hearing aid check: on same claim, bill one unit with LT modifier and one unit with RT modifier.

    V5014

    Repair/modification of a hearing aid

    Attachment with description required. Use for both in-house repairs (replacing battery door, shell modification or other minor repairs) and for repairs sent to manufacturer for re-case or remake; must include manufacturer’s invoice.

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    © 2018 Minnesota Department of Human Services Updated: 10/5/18 10:33 AM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 10/5/18 10:33 AM