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2025 HCPCS code V5110

This code represents the fee for dispensing a bilateral hearing aid, encompassing selection, fitting, and patient instruction.

Follow all applicable HCPCS coding guidelines.Check payer-specific policies for coverage and coding requirements.

Modifiers may apply depending on the circumstances. Refer to the most current NCCI edits and payer guidelines.

Medical necessity for V5110 is established by the presence of documented bilateral hearing loss requiring amplification, as determined by a qualified healthcare professional.This requires a comprehensive audiological evaluation. Documentation must support the medical necessity for bilateral hearing aids and the professional services rendered.

Audiologist or other qualified hearing healthcare professional responsible for selecting, fitting, and instructing the patient on the use and maintenance of the bilateral hearing aids.

IMPORTANT:May be used in conjunction with codes for the hearing aids themselves (e.g., V5100 for bilateral body-worn hearing aids).Refer to payer-specific guidelines for appropriate coding.

In simple words: This code covers the cost of a hearing healthcare professional's services when fitting you with two hearing aids.It includes choosing the right aids, making sure they fit well, and teaching you how to use and care for them.The cost of the hearing aids themselves is separate.

HCPCS code V5110 describes the professional fee charged for dispensing a bilateral (two-sided) hearing aid. This includes all services related to the selection of appropriate hearing aids based on the patient's audiological assessment, the fitting of the devices to ensure proper comfort and functionality, and providing necessary patient instruction and education on the use and maintenance of the hearing aids.The code does not cover the cost of the hearing aids themselves; it only covers the professional services provided by the audiologist or hearing healthcare provider.

Example 1: A patient presents with bilateral hearing loss and requires two hearing aids. The audiologist performs a comprehensive hearing evaluation, selects appropriate hearing aids based on the assessment, fits the devices, and provides detailed instructions to the patient on how to use and maintain the hearing aids. Code V5110 is reported for the professional dispensing services., A patient has already purchased bilateral hearing aids but requires assistance with fitting and instruction. The audiologist provides fitting and adjustment services, ensuring proper function and comfort. Code V5110 is reported for the professional dispensing and fitting services., A patient returns for a follow-up appointment after receiving bilateral hearing aids. Adjustments to the hearing aids are made, and further patient education is provided. Code V5110 may be used, depending on the extent of services rendered and payer guidelines.Specific documentation of services is crucial for accurate coding.

* Comprehensive hearing evaluation report.* Documentation specifying the type and model of hearing aids dispensed.* Detailed records of the fitting process, including adjustments made.* Patient education materials provided, documenting specific topics covered.* Confirmation of the patient's understanding of the hearing aid's use and maintenance.

** This code should only be reported by qualified audiologists or other licensed healthcare professionals.The acquisition cost of the hearing aids is not included in this code and should be billed separately, if applicable.Always refer to payer-specific guidelines and policies for detailed coverage information and potential limitations.

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