Hearing Aid Services Codes
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 the following: Repairs over $400
V5020 is billable during the 90-day hearing aid trial period.
V5090 requires a description.
V5274 requires an attachment with a description; use only if a more appropriate code is not available.
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L8691 | Auditory osseointegrated device, external sound processor, excludes transducer/actuator, 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, abutment, any length, replacement only | |
L8694 | Auditory osseointegrated device, transducer/actuator replacement | |
V5020 | Conformity Evaluation | |
V5030 | Monaural, body worn, air conduction | |
V5040 | Monaural, body worn, bone conduction | |
V5050 | Monaural, in the ear (ITE) | |
V5060 | Monaural, behind the ear (BTE) | |
V5070 | Hearing aid in glasses, air conduction | |
V5080 | Hearing aid in glasses, bone conduction | |
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 | Hearing aid, contralateral routing, monaural, glasses | |
V5230 | Hearing aid, contralateral routing system, binaural, 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 | |
V5120 | Binaural, on-the-body | |
V5171 | Contralateral routing device, monaural, ITE | |
V5172 | Contralateral routing device, monaural, in the canal (ITC)* | |
V5181 | Contralateral routing device, monaural, BTE | |
V5211 | Contralateral routing system, binaural, ITE/ITE | |
V5212 | Contralateral routing system, binaural, ITE/ITC* | |
V5213 | Contralateral routing system, binaural, ITE/BTE | |
V5214 | Contralateral routing system, binaural, ITC/ITC* | |
V5215 | Contralateral routing system, binaural, ITC/BTE* | |
V5221 | Contralateral routing system, binaural, BTE/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 years and older. |
V5200 | Dispensing fee, contralateral, monaural | |
V5240 | Dispensing fee, contralateral routing system, binaural | |
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, tubes, ear hooks, receivers and other accessories) | Attachment with description required; include manufacturer’s invoice or retail cost (MSRP) of the supply or accessory. Do not add service or labor charges when billing this code. Bill services on a separate line. |
V5264 | Ear mold/insert, not disposable, any type | |
V5275 | Ear impression, each | |
V5281 | Assistive listening device, personal FM/DM system, monaural, (1 receiver, transmitter, microphone), any type | Assisted listening devices (ALD) do not require authorization. A claim attachment is required when billing ALD systems V5281 or V5282. List the HCPCS codes, model numbers and contracted prices of the individual components and bill the total amount. 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 (labor only). Use for: ear wax removal and cleaning not associated with a hearing aid check; Hearing aid maintenance: ear hook, receiver and tube changes, etc. Use for other services that do not have a more specific HCPCS code. |
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 allowed per calendar year. May not be billed during the 90-day trial period. Claims with DOS 90 days after the 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. Use for labor only, do not include cost of hardware | Attachment with description required. Use for in-house repairs (replacing battery door, shell modification or other minor repairs) Do not use for repairs sent to manufacturer including remakes, recasing or replating. |
Additional Resources
Electronic claim attachments webpage
Authorization section under Provider Basics in the Minnesota Health Care Programs (MHCP) Provider Manual
MN–ITS 837P
MHCP Provider Resource Center
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