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)

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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