New and Revised CPT and HCPCS Codes For 2019

Audiology

No major changes to Current Procedural Terminology (CPT ® American Medical Association) codes related to hearing and vestibular services will take effect in 2019. However, audiologists should be prepared for new and revised Health Care Common Procedure Coding System (HCPCS) device codes to describe contralateral routing devices and systems.

New and Revised HCPCS Device Codes

Effective January 1, 2019, CMS will implement significant revisions to the family of HCPCS codes used to report contralateral routing hearing devices (commonly known as CROS/BiCROS hearing devices). The changes are intended to more accurately describe current digital hearing aid technology that allows contralateral routing devices to be configured for a wide range of clinical applications. Contact payers directly to determine their guidelines and process for implementation of the new and revised codes. Audiologists may use a template letter [DOC] to educate payers regarding the changes.

Audiologists may contact ASHA's health care policy team at reimbursement@asha.org for questions or if they feel payers are not appropriately implementing the new and revised codes.

New HCPCS Codes

V5171  Hearing aid, contralateral routing device, monaural, in the ear (ite)

V5172  Hearing aid, contralateral routing device, monaural, in the canal (itc)

V5181  Hearing aid, contralateral routing device, monaural, behind the ear (bte)

V5211  Hearing aid, contralateral routing system, binaural, ite/ite

V5212  Hearing aid, contralateral routing system, binaural, ite/itc

V5213  Hearing aid, contralateral routing system, binaural, ite/bte

V5214  Hearing aid, contralateral routing system, binaural, itc/itc

V5215  Hearing aid, contralateral routing system, binaural, itc/bte

V5221  Hearing aid, contralateral routing system, binaural, bte/bte

ASHA Notes:
  • The new codes labeled contralateral routing device should be used to report current contralateral routing technology.
  • Use the monaural codes to report one contralateral routing device (i.e., when the patient already has a hearing aid).
  • Use the binaural codes to report one hearing aid and one contralateral routing device (i.e., a contralateral routing system).

Revised HCPCS Codes

V5190  Hearing aid, contralateral routing, monaural, glasses

V5200  Dispensing fee, contralateral, monaural

V5230  Hearing aid, contralateral routing system, binaural, glasses

V5240  Dispensing fee, contralateral routing system, binaural

ASHA Notes:
  • Use V5200 for dispensing one monaural contralateral device.
  • Use V5240 for dispensing two devices (e.g., a binaural contralateral routing system or a legacy CROS or BiCROS system)

Deleted HCPCS Codes

V5170  Hearing aid, CROS, in the ear

V5180  Hearing aid, CROS, behind the ear

V5210  Hearing aid, BiCROS, in the ear

V5220  Hearing aid, BiCROS, behind the ear 

ASHA Notes:
  • These deleted codes are replaced by the nine new codes describing monaural and binaural contralateral routing devices and systems.

New CPT Codes

No new audiology codes have been added for 2019.

Revised CPT Codes

No audiology codes have been revised for 2019.

Deleted CPT Codes

No audiology codes have been deleted for 2019.

See also:

ASHA Corporate Partners