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BETA v.3.0

2025 HCPCS code V5140

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

Refer to HCPCS coding guidelines and payer-specific guidelines for coverage and reimbursement.Proper documentation is crucial for claim processing.

Modifiers may be applicable depending on the circumstances of the service provided. Consult payer-specific guidelines and local coverage determinations.

Medical necessity for V5140 is established through an audiological assessment demonstrating significant bilateral hearing loss that impacts the patient's communication and quality of life.The chosen hearing aid should be appropriate for the patient's hearing loss type and degree.

Audiologist or qualified hearing healthcare professional responsible for fitting and dispensing the hearing aid.

IMPORTANT:Related codes include other binaural hearing aids (V5120, V5130, V5150) and monaural options (V5171, V5172, etc.).Specific dispensing fees may also apply (V5160).

In simple words: This code covers the cost of a pair of hearing aids that fit behind the ears.These aids are designed to help people with hearing loss in both ears hear better, especially in noisy places.

This HCPCS code, V5140, represents the supply of a binaural, behind-the-ear (BTE) hearing aid.BTE hearing aids hook over the top of the ear and rest behind the ear. A tube connects the hearing aid to an earmold that fits in the patient's ear canal. These aids often incorporate multiple directional microphone systems to enhance speech understanding in noisy environments.Binaural fitting is typically indicated for patients with significant hearing loss in both ears resulting from conditions such as stenosis, otitis media, wax impaction, bony growths in the ear canal, tympanic membrane perforation, or otosclerosis.

Example 1: A 65-year-old patient presents with bilateral sensorineural hearing loss.An audiological evaluation confirms significant hearing loss in both ears, making binaural amplification necessary.The audiologist fits the patient with V5140 BTE hearing aids., A 72-year-old patient with a history of otosclerosis experiences progressive hearing loss.Following an audiological assessment, they are fitted with V5140 hearing aids to address their bilateral hearing impairment., A 48-year-old patient with noise-induced hearing loss in both ears requires amplification for improved communication in various environments.The audiologist selects V5140 BTE hearing aids with advanced directional microphones to help with speech-in-noise understanding.

Audiological evaluation report including pure-tone audiometry, speech audiometry, and assessment of hearing loss type and severity.Documentation of hearing aid fitting, including model, manufacturer, and serial number.Patient's medical history related to hearing loss.Verification of medical necessity.

** The specific type and features of the BTE hearing aids may influence the final cost.Always verify coverage with the patient's insurance provider before supplying the hearing aids.

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

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