American Speech-Language-Hearing Association

Health Care Common Procedure Coding System (HCPCS) Level II Codes

Audiology Related Devices

While CPT codes identify procedures or services, HCPCS Level II codes identify supplies, equipment and devices, and procedures not found in the CPT system. The HCPCS codes (referred to as Hic-Picks) are administered by the Centers for Medicare and Medicaid Services (CMS) and begin with a single letter (A through V), followed by four numeric digits. They are grouped by the type of service or supply they represent and are updated annually by CMS with input from private insurance companies. HCPCS Level II codes are required for claims for supplies and devices covered by Medicare and Medicaid and by most private payers.

Hearing services fall under some L-codes and V5008-V5336. Please note that Medicare does not cover routine physical checkups for the purposes of prescribing, fitting, or changing hearing aids or examinations for hearing aids.

Contact reimbursement@asha.org for further information.

Code Description
G0402 Initial preventive physical examination, face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment (see also: Medicare Initial Preventive Examination)
L7510 Repair of prosthetic device, repair or replace minor parts
L8614 Cochlear device, includes all internal and external components
L8615 Headset/headpiece for use with cochlear implant device, replacement
L8616 Microphone for use with cochlear implant device, replacement
L8617 Transmitting coil for use with cochlear implant device, replacement
L8618 Transmitter cable for use with cochlear implant device, replacement
L8619 Cochlear implant external speech processor, replacement
L8621 Zinc air battery for use with cochlear implant device, replacement, each
L8622 Alkaline battery for use with cochlear implant device, any size, replacement, each
L8623 Lithium ion battery for use with cochlear implant device speech processor, worn on the body, other than ear level, replacement, each
L8624 Lithium ion battery for use with cochlear implant device speech processor, ear level, replacement, each
L8627 Cochlear implant, external speech processor, component, replacement
L8628 Cochlear implant, external controller component, replacement
L8629 Transmitting coil and cable, integrated for use with cochlear implant device, replacement
L8690 Auditory osseointegrated device, includes all internal and external components
L8691 Auditory osseointegrated device, external sound processor, replacement
L8692 Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment (not covered by Medicare)
L8693 Auditory osseointegrated device abutment, any length, replacement only
L8699 Prosthetic implant, not otherwise specified
L9900 Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS "L" code
S0618 Audiometry for hearing aid evaluation (Medicare and other federal payers do not recognize "S" codes; however, these codes may be useful for claims to private payers)
V5008 Hearing Screening
V5010 Assessment for hearing aid
V5011 Fitting/Orientation/Checking of hearing aid
V5014 Repair/Modification of a hearing aid
V5020 Conformity evaluation
V5030 Hearing aid, monaural, body worn, air conduction
V5040 Hearing aid, monaural, body worn, bone conduction
V5050 Hearing aid, monaural, in the ear
V5060 Hearing aid, monaural, behind the ear
V5070 Glasses, air conduction
V5080 Glasses, bone conduction
V5090 Dispensing fee, unspecified hearing aid
V5095 Semi-implantable middle ear hearing prosthesis (use for Vibrant Soundbridge)
V5100 Hearing aid, bilateral, body worn
V5110 Dispensing fee, bilateral
V5120 Binaural, body
V5130 Binaural, in the ear
V5140 Binaural, behind the ear
V5150 Binaural, glasses
V5160 Dispensing fee, binaural
V5170 Hearing aid, CROS, in the ear
V5180 Hearing aid, CROS, behind the ear
V5190 Hearing aid, CROS, glasses
V5200 Dispensing fee, CROS
V5210 Hearing aid, BICROS, in the ear
V5220 Hearing aid, BICROS, behind the ear
V5230 Hearing aid, BICROS, glasses
V5240 Dispensing fee, BICROS
V5241 Dispensing fee, monaural hearing aid, any type
V5242 Hearing aid, analog, monaural, CIC (completely in the ear canal)
V5243 Hearing aid, analog, monaural, ITC (in the canal)
V5244 Hearing aid, digitally programmable analog, monaural CIC
V5245 Hearing aid, digitally programmable analog, monaural, ITC
V5246 Hearing aid, digitally programmable analog, monaural, ITE (in the ear)
V5247 Hearing aid, digitally programmable analog, monaural, BTE
V5248 Hearing aid, analog, binaural, CIC
V5249 Hearing aid, analog, binaural, ITC
V5250 Hearing aid, digitally programmable analog, binaural, CIC
V5251 Hearing aid, digitally programmable analog, binaural, ITC
V5252 Hearing aid, digitally programmable, binaural, ITE
V5253 Hearing aid, digitally programmable, binaural, BTE
V5254 Hearing aid, digital, monaural, CIC
V5255 Hearing aid, digital, monaural, ITC
V5256 Hearing aid, digital, monaural, ITE
V5257 Hearing aid, digital, monaural, BTE
V5258 Hearing aid, digital, binaural, CIC
V5259 Hearing aid, digital, binaural, ITC
V5260 Hearing aid, digital, binaural, ITE
V5261 Hearing aid, digital, binaural, BTE
V5262 Hearing aid, disposable, any type, monaural
V5263 Hearing aid, disposable, any type, binaural
V5264 Ear mold/insert, not disposable, any type
V5265 Ear mold/insert, disposable, any type
V5266 Battery for use in hearing device
V5267 Hearing aid or assistive listening device/supplies/accessories, not otherwise specified
V5268 Assistive listening device, telephone amplifier, any type
V5269 Assistive listening device, alerting, any type
V5270 Assistive listening device, television amplifier, any type
V5271 Assistive listening device, television caption decoder
V5272 Assistive listening device, TDD
V5273 Assistive listening device, for use with cochlear implant
V5274 Assistive listening device, not otherwise specified
V5275 Ear impression, each
V5281 Personal FM/DM system, monaural, (one receiver, transmitter and microphone)
V5282 Personal FM/DM system, binaural (two receivers, transmitter and microphone)
V5283 Personal FM/DM neck, loop induction receiver
V5284 Personal FM/DM, ear level receiver
V5285 Personal FM/DM, direct audio input receiver
V5286 Personal blue tooth FM/DM receiver
V5287 Personal FM/DM receiver, not otherwise specified
V5288 Personal FM/DM transmitter assistive listening device
V5289 Personal FM/DM adapter/boot coupling device for receiver, any type
V5290 Transmitter microphone, any type
V5298 Hearing aid, not otherwise classified
V5299 Hearing service, miscellaneous
V5336 Repair/Modification of augmentative communicative system or device (excl. adaptive hearing aid)

Selected HCPCS Level II Modifiers

  • LT - Left side (used to identify procedures performed on the left side of the body)
  • RT - Right side (used to identify procedures performed on the right side of the body)
  • NU - New equipment
  • RA - Replacement of a DME, orthotic or prosthetic item
  • RB - Replacement of a part of a DME, orthotic or prosthetic item furnished as part of a repair
  • -22 - Greater than normal cost
  • -52 - Less than normal cost

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