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Hearing Aid Services Codes

Revised: 01-29-2014

Hearing Aid Services Codes

Code

Description

Service Thresholds

L8690

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

These services always require authorization.


Repairs over $400.00 require authorization.



Authorization is always required for digitally programmable ITE aids provided after September 1, 2011.

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

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 and vibrotactile device

V5100

Pocket Talker

V5110

Pocket Talker dispensing fee

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 (for use for FM systems and vibrotactile devices

V5281

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

V5282

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

V5298

Hearing aid not otherwise classified

V5030

Monaural, body worn, air conductive

1 monaural or binaural hearing aid per 5 calendar years.

Effective September 1, 2012, on-the-body aids(V5030, V5040, V5120) are available on the volume purchase contract.

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

1 dispensing fee per 5 calendar years.

V5200

Dispensing fee, CROS

V5240

Dispensing fee, BiCROS

V5241

Dispensing fee, monaural hearing aid, any type

V5266

Battery for use in hearing device

Limit, 90 day supply.

V5267

Hearing aid supplies and accessories (e.g. chest harness, telecoils)

If recommended hearing aid requires authorization, parts and accessories also require authorization.

V5264

Ear mold/insert, not disposable, any type

V5275

Ear impressions, each

V5283

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

Codes effective January 1, 2013

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 (e.g. removal of ear wax, cleaning)

V5011

Hearing aid checks 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.

4 hearing aid checks per calendar year: To be used to bill reprogramming; 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 1 unit with LT modifier and 1 unit with RT modifier.

V5014

Repair/modification of a hearing aid

To be used only for billing battery doors, recase/remake and shell modification.


MHCP Provider Call Center (651) 431-2700 or 1-800-366-5411; TDD: 7-1-1
www.dhs.state.mn.us/provider

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