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

Hearing and Other Audiology Related Devices and Services

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 or other services for the purposes of prescribing, fitting, or changing hearing aids or examinations for hearing aids.

Contact reimbursement@asha.org for further information.

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 DME purchase
• 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
• RR - Rental
• UE - Used DME purchase
• -22 - Greater than normal cost
• -52 - Less than normal cost