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.
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 |
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) |
V5190 | Hearing aid, contralateral routing, monaural, glasses |
V5200 | Dispensing fee, contralateral, monaural |
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 |
V5230 | Hearing aid, contralateral routing system, binaural, glasses |
V5240 | Dispensing fee, contralateral routing system, binaural |
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) |