2025 HCPCS code V5011
(Active) Effective Date: N/A Revision Date: N/A Audiology - Hearing Assessments and Evaluations Hearing Services Feed
Fitting, orientation, and checking of a hearing aid.
Modifiers may apply depending on the specific circumstances of the service. Consult the appropriate modifier guidelines for applicable codes.
Medical necessity is typically established by the presence of hearing loss or impairment documented through an audiological evaluation. The hearing aid fitting, orientation, and checking are considered medically necessary to ensure proper use and maximize the benefits of the device.
Audiologist or hearing aid dispenser
In simple words: This code covers the process of getting a hearing aid fitted, learning how to use it, and making sure it works correctly.This includes a check-up, instruction on use and care, and verification that the hearing aid helps the patient hear better.
This HCPCS code encompasses the comprehensive process of fitting a hearing aid, providing patient orientation on its use and care, and verifying its proper function.It includes assessing the patient's ear for obstructions, adjusting the hearing aid for a comfortable fit, instructing the patient on operation (including power, volume, and battery changes), and conducting tests to confirm optimal hearing enhancement.Post-fitting counseling on maintenance and troubleshooting is also part of this service.
Example 1: A 70-year-old patient receives a new hearing aid. The audiologist performs the fitting, educates the patient on its use and care, and verifies its proper function.This includes troubleshooting minor issues and ensuring comfortable placement in the patient's ear., A 65-year-old patient experiences difficulties with their existing hearing aid.The audiologist re-fits the device, provides additional instruction on troubleshooting common issues,and verifies the hearing aid's optimal performance after adjustments., A 50-year-old patient purchases a hearing aid online and seeks professional fitting, orientation, and testing to ensure optimal use of the device. The audiologist performs the necessary assessment and education. This includes providing thorough instructions on battery replacement and maintenance.
Patient's medical history, hearing test results (audiogram), hearing aid prescription or order, documentation of the fitting process, patient education materials, and verification of hearing aid function.Specific documentation requirements may vary by payer.
** This code is typically reported by audiologists or hearing aid dispensers.Specific payment policies and coverage criteria may vary among payers.
- Payment Status: Active
- Specialties:Audiology
- Place of Service:Office, Outpatient clinic