HCPCS CODES HCPCS CODING REFERENCE CHART HCPCS CODE DESCRIPTIONS
COMMENTS
L7510 Repair of prosthetic device, repair or replace minor parts
L7520 Repair prosthetic device, labor component, per 15 minutes
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 and controller,
integrated system, 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, other than ear level, replacement, each This code covers replacement parts for
bone anchored hearing aid that are not otherwise classified by another HCPCS code; bill Part B This code covers the labor for repair of cochlear implant or bone anchored hearing aid; bill Part B This code represents the acquisition/device cost of an initial cochlear implant, speech processor and accessory kit; billed by implanting facility This is to be used when providing a
replacement headset/headpiece or any component of those items to a cochlear implant recipient; this is not to be used to bill an initial device fitting; bill Part B This is to be used when providing a
replacement microphone or any component of those items to a cochlear implant recipient; this is not to be used to bill an initial device fitting; bill Part B This is to be used when providing a
replacement transmitting coil or any component of those items to a cochlear implant recipient; this is not to be used to bill an initial device fitting; bill Part B This is to be used when providing a
replacement transmitter cable to a cochlear implant recipient; this is not to be used to bill an initial device fitting; bill Part B This code covers the acquisition/device
cost of a replacement or upgraded i n t e g r a t e d speech processor/controller for use with a cochlear implant; bill Part B This code is used to bill for replacement
batteries for a cochlear implant; this is billed per battery so it must be multiplied; bill Part B This code is used to bill for replacement
batteries for a cochlear implant; this is billed per battery so it must be multiplied; bill Part B This code is used to bill for replacement
batteries for a cochlear implant; this is billed per battery so it must be 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 mean of external attachment Auditory osseointegrated device abutment, any length, replacement only L8693 L9900 Orthotic and prosthetic supply, accessory and/or service component of another HCPCS “L” code S0618 Audiometry for hearing aid evaluation to determine level and degree of hearing loss S1001 Deluxe item, patient aware (list in addition to code for basic item) V5008 Hearing screening V5010 Assessment for hearing aid multiplied; bill Part B This code is used to bill for replacement
batteries for a cochlear implant; this is billed per battery so it must be multiplied; bill Part B This code covers the acquisition/device
cost of a replacement or upgraded s p e e c h p r o c e s s o r for use with a cochlear implant; bill Part B This code covers the acquisition/device
cost of a replacement or upgraded c o n t r o l l e r for use with a cochlear implant; bill Part B This is to be used when providing a
replacement an integrated transmitting coil and cable to a cochlear implant recipient; this is not to be used to bill an initial device fitting; bill Part B This code is used to bill a bone anchored
hearing aid system; billed by implanting facility This code is used to bill a replacement,
bone anchored hearing aid, external sound processor; bill Part B This code is for a bone anchored hearing aid that is not implanted but rather worn with a soft band; bill Part B This is a code for a replacement abutment; this should be billed by implanting facility As this is an “unlisted service”, this code can be used to represent items or services related to a cochlear implant or a bone anchored hearing aid that are not otherwise classified; this could include, but is not limited to, bone anchored hearing aid batteries, bone anchored hearing aid fitting and programming and cochlear implant and bone anchored hearing aid troubleshooting; bill Part B This code can be used for hearing testing solely related to ordering and fitting a hearing aid; please consult payer agreements prior to use as not all agreements allow for the use of this code; cannot be billed to Medicare or Medicaid This code can be used to represent an upgraded hearing aid; please consult payer agreements prior to use as not all agreements allow for the use of this code This code represents a pass/fail hearing screening; same as CPT code 92551 This code represents a hearing aid
V5014 Repair/modification of a hearing aid
V5020 Conformity Evaluation V5030 Hearing aid, monaural body worn, air conduction
examination and selection/consultation;
same as CPT codes 92590‐ 92591 This code represents a hearing aid fitting; can also be used for a follow‐up hearing aid check if on a separate date of service This code covers either monaural or
binaural in‐house or manufacturers repairs, re‐programming, and shell modifications or remakes
This code includes real‐ear, functional
gain, and outcome measures; verification
Monaural, air conduction body aid
V5040 Hearing aid, monaural body worn, bone conduction
Monaural, bone conduction body aid
V5050 Hearing aid, monaural, in‐the‐ear
V5060 Hearing aid, monaural, behind‐the‐ear
Monaural, full shell or low profile hearing
aid
Monaural, behind‐the‐ear hearing aid
V5070 Glasses, air conduction V5080 Glasses, bone conduction V5090 Dispensing fee, unspecified hearing aid
V5095 Semi‐implantable middle‐ear hearing prosthesis
V5100 Hearing aid, bilateral, body worn
V5110 Dispensing fee, bilateral 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
V5011 Fitting/orientation/checking of hearing aid
Monaural, air conduction hearing aid
contained in a pair of glasses
Monaural, bone conduction hearing aid
contained in a pair of glasses
This code represents the provider’s dispensing fee of an unspecified hearing aid (i.e. deep insertion/subscription device, combo masker/aid) when the insurer requests an unbundled cost package
This code represents the acquisition/device cost of an implantable hearing aid Binaural, air or bone conduction body aid
This code represents the provider’s dispensing fee of a binaural glasses or body aid fitting, a binaural disposable, analog, digitally programmable or digital hearing aid fitting when the insurer requests an unbundled cost package; same as code V5160 Binaural, full shell or low profile hearing
aid
Binaural, behind‐the‐ear hearing aid
Binaural, air or bone conduction hearing
aid contained in a pair of glasses
This code represents a provider’s dispensing fee of a binaural glasses or body aid fitting, a binaural disposable, analog, digitally programmable or digital hearing aid fitting when the insurer requests an unbundled cost package; same as code V5110 In‐the‐ear CROS system (includes both the receiver and the transmitter)
Behind‐the‐ear CROS system (includes both the receiver and the transmitter)
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 V5200 Dispensing fee, BICROS V5241 Dispensing fee, monaural, any type
V5242 Hearing aid, analog, monaural, CIC
V5243 Hearing aid, analog, monaural, ITC
V5244 Hearing aid, digitally programmable analog, monaural, CIC
V5245 Hearing aid, digitally programmable, analog, monaural, ITC
V5246 Hearing aid, digitally programmable, analog, monaural, ITE
V5247 Hearing aid, analog, digitally programmable, 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, analog, binaural, ITE
V5253 Hearing aid, analog, digitally programmable, binaural, BTE
V5254 Hearing aid, digital, monaural, CIC
V5255 Hearing aid, digital, monaural, ITC
V5256 Hearing aid, digital, monaural, ITE
Monaural, digital, canal, half‐shell, or mini
canal aid Monaural, digital, ITE or Low Profile aid
V5257 Hearing aid, digital, monaural, BTE
Monaural, digital, BTE aid
CROS system that is contained in pair of
eyeglasses This code represents a provider’s dispensing fee any CROS fitting when the insurer requests an unbundled cost package
In‐the‐ear BICROS system (includes both the transmitter and the hearing aid/receiver) Behind‐the‐ear BICROS system (includes both the transmitter and the hearing aid/receiver) BICROS system that is contained in pair of
eyeglasses This code represents a provider’s dispensing fee any BICROS fitting when the insurer requests an unbundled cost package
This code represents a provider’s dispensing fee of any monaural hearing aid fitting, including a body aid, glasses, disposable, analog, digitally programmable or digital hearing aid when the insurer requests an unbundled cost package Monaural, analog, CIC aid
Monaural, analog, canal, half‐shell, or
mini canal aid Monaural, digitally programmable,
analog, CIC aid Monaural, digitally programmable,
analog, canal, half‐shell, or mini canal aid
Monaural, digitally programmable,
analog, ITE or Low Profile aid
Monaural, digitally programmable,
analog, BTE aid Binaural, analog, CIC aids
Binaural, analog, canal, half‐shell, or mini
canal aids Binaural, digitally programmable, analog,
CIC aids
Binaural, digitally programmable, analog,
canal, half‐ shell, or mini canal aids
Binaural, digitally programmable, analog,
ITE or Low Profile aids Binaural, digitally programmable, analog,
BTE aids
Monaural, digital, CIC aid
V5258 Hearing aid, digital, binaural, CIC
Binaural, digital, CIC aids
V5259 Hearing aid, digital, binaural, ITC
V5260 Hearing aid, digital, binaural, ITE
Binaural, digital, canal, half‐shell, or mini
canal aids Binaural, digital, ITE or Low Profile aids
V5261 Hearing aid, digital, binaural, BTE
Binaural, digital, BTE aids
V5262 Hearing aid, disposable, any type, monaural
V5263 Hearing aid, disposable, any type, binaural
V5264 Earmold/insert, not disposable, any type
V5265 Earmold/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
Monaural, disposable hearing aid; please
make sure to specify number of aids being purchased Binaural, disposable hearing aids; please
make sure to specify number of aids being purchased Custom earmold/earpiece; this can be used for swim plugs, noise plugs, ear protection, etc.; please make sure to specify number of molds being purchased
Disposable earmold/earpiece such as a
Comply mold, dome, or insert; please make sure to specify number of molds being purchased Batteries for use in body aids, glasses,
hearing aids, cochlear implants, implantable devices, etc.; this is billed per battery so please specify the number of batteries Remote controls, dri‐aid kits, accessory
kits, forced air blowers, cleaning tools, etc.; please specify the number of accessories being billed; this code is also used to represent any FM/DM accessory or supply that is not otherwise listed or captured by another new or existing code; this code is used to represent any FM/DM accessory or supply that is not otherwise listed or captured by another new or existing code. Telephone amplifier, whether it is in‐line,
portable, an entire phone or a handset; please make sure to specify the number of amplifiers being billed
Alerting devices such as flashing lights,
alarms, clocks, etc. Headphones, infrared systems, etc.
specifically for listening to the television
Television closed captioning device
V5272 Assistive listening device, TDD TDD for telephone use V5273 Assistive listening device, for use with a cochlear implant
V5274 Assistive listening device, not otherwise specified
FM system, telephone device, beam
former, etc. specifically for use with a cochlear implant FM systems, personal amplifiers, etc.
V5275 Ear impression, each Taking of an earmold impression; please
specify one or two units for one or two ears
V5281 V5282 V5283 V5284 V5285 V5286 V5287 V5288 V5289 V5290 V5298 V5299 This code is appropriate when fitting an entire monaural system, regardless of Assistive listening device, personal FM/DM system, monaural, (1 the type of receiver or transmitter used. receiver, transmitter, microphone), any type This does not include the boot, as it is coded separately. This code is appropriate when fitting an entire binaural system, regardless of the Assistive listening device, personal FM/DM system, binaural, (2 type of receiver or transmitter used. This receivers, transmitter, microphone), any type does not include the boots, as they are coded separately. This code is appropriate when dispensing Assistive listening device, personal FM/DM neck, loop induction a neck loop receiver in isolation receiver (replacement, extra receiver, etc.) that is coupled with the t‐coil of a hearing aid. This code is appropriate when dispensing an ear level receiver in isolation (replacement, extra receiver, etc.). This Assistive listening device, personal FM/DM, ear level receiver code is for an ear‐level device for those with normal hearing. The code is per receiver. This code is appropriate when dispensing a direct audio input receiver (the receiver Assistive listening device, personal FM/DM, direct audio input is the cord which connects to the boot) in receiver isolation (replacement, extra receiver, etc.). This does not include the boot, as each is coded separately. The code is appropriate when dispensing Assistive listening device, personal blue tooth FM/DM receiver a streamer in isolation (replacement, extra receiver, etc.). This is for any existing or yet to be Assistive listening device, personal FM/DM receiver, not released receiver that is not represented otherwise specified by another code above. This code is appropriate when dispensing Assistive listening device, personal FM/DM transmitter assistive any type of FM/DM transmitter in listening device isolation (replacement, extra receiver, etc.). The code is appropriate for the audio Assistive listening device, personal FM/DM adapter/boot boot dispensed in any situation. This coupling device for receiver, any type code is per boot. A initial, binaural FM fitting would constitute two boots. This code is appropriate when dispensing any type of FM/DM microphone Assistive listening device, transmitter microphone, any type transmitter in isolation (replacement, extra receiver, etc.). Hearing aid, not otherwise specified
Any hearing aid that does not fall into any
of the other categories; this could include, but is not limited to, a deep insertion/subscription hearing aid and a combination hearing aid/tinnitus masker Hearing service, miscellaneous Any other item or service, such as an
extended warranty, l o s s a n d d a m a g e deductible, or tinnitus masker that is not otherwise listed CurrentProceduralTerminology(CPT)iscopyright2014AmericanMedicalAssociation. AllRightsReserved. Nofee
schedules,basicunits,relativevalues,orrelatedlistingsareincludedinCPT. TheAMAassumesnoliabilityforthe
datacontainedherein. ApplicableFARS/DFARSrestrictionsapplytogovernmentuse.
Theabovesummaryanddescriptionof“uses”waspreparedbyKimCavitt,Au.D.,AudiologicalResources,exclusively
fortheAcademyofDoctorsofAudiology.
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UpdatedMarch2014