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2025 HCPCS code V5060

Supply of a monaural behind-the-ear (BTE) hearing aid.

Appropriate modifiers (e.g., LT for left, RT for right) should be appended as necessary.Check with the payer for specific coverage and billing requirements.

Modifiers LT (left) and RT (right) may be appended to indicate the side of the hearing aid.

Medical necessity for a hearing aid is generally established through audiological evaluation demonstrating a significant hearing impairment impacting the patient's ability to communicate effectively and participate in daily life.Payers may have specific criteria for coverage.

Audiologist or other qualified hearing healthcare professional responsible for dispensing the hearing aid. This does not include the fitting or other related professional services.

IMPORTANT:V5050 (monaural, in the ear) is an alternative code for a different style of monaural hearing aid.For bilateral hearing aids, consider codes V5100, V5140, etc., depending on the style.

In simple words: This code means providing a hearing aid for one ear.It's the type that hooks over the top of your ear and sits behind it.

This HCPCS code, V5060, covers the provision of a single (monaural) behind-the-ear (BTE) hearing aid.BTE hearing aids hook over the ear and rest behind it, connected to an earmold in the ear canal via a tube. They often feature multiple directional microphones for improved speech understanding in noisy environments.This type of hearing aid is typically dispensed for patients with severe unilateral hearing loss or all forms of hearing loss in one ear. The code encompasses the supply of the hearing aid itself, not associated services like fitting or evaluation.

Example 1: A 65-year-old patient presents with significant hearing loss in their right ear due to age-related hearing loss.A BTE hearing aid is recommended and dispensed. Code V5060 is reported., A 40-year-old patient experiences sudden sensorineural hearing loss in their left ear after a viral infection. A BTE hearing aid is prescribed and provided. Code V5060 is used., A pediatric patient with a unilateral hearing impairment resulting from a congenital condition receives a custom-fit BTE hearing aid. Code V5060 is reported.

* Patient's medical history related to hearing loss.* Audiometric testing results documenting the degree and type of hearing loss.* Documentation of the hearing aid dispensed (manufacturer, model, serial number).* Verification of medical necessity (if required by payer).

** This code is for the supply of the hearing aid only.Separate codes would be used for any associated professional services such as audiological evaluation, fitting, or adjustments.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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