2025 HCPCS code V5160
(Active) Effective Date: N/A Revision Date: N/A Hearing Services - Hearing Aids Vision, Hearing and Speech Services Feed
Dispensing fee for a binaural hearing aid.
Medical necessity for binaural hearing aids is generally established by demonstrating bilateral hearing loss and the expected functional improvement with amplification.
The dispensing fee covers the provider's services for selecting, fitting, and instructing the patient on the use of a binaural hearing aid.
In simple words: This is the fee for all the services involved in getting your hearing aid fitted for both ears, including choosing the right one, making sure it fits well, and showing you how to use it.
This code represents the fee charged for dispensing a binaural (two-ear) hearing aid, encompassing services like selection, fitting, and patient instructions.
Example 1: A patient with bilateral hearing loss receives a binaural hearing aid fitting and instructions, billed using V5160., An elderly patient receives two hearing aids (one for each ear) along with counseling on proper usage and maintenance. V5160 covers the dispensing fee for both devices., A patient who previously used a monaural hearing aid is now fitted with a binaural aid, necessitating new fitting and instructional services, covered under V5160.
Documentation should support the medical necessity of the binaural hearing aid, including audiological evaluations and the provider's notes on fitting and instructions.
** Coverage policies for V5160 can vary among payers, so verification of benefits is important.
- Specialties:Audiology, Otolaryngology
- Place of Service:Office, Outpatient Hospital, other places where hearing aid dispensing occurs.