2025 HCPCS code V5230
(Active) Effective Date: N/A Revision Date: N/A Hearing Services - Hearing Aids Hearing Aids Feed
Supply of a binaural contralateral routing of sound (BiCROS) hearing aid integrated into spectacles.
Modifiers may be applicable depending on the specific circumstances. Consult the appropriate modifier guidelines.
Medical necessity is established by demonstrating a hearing loss that impairs communication and daily living activities.An audiological evaluation and hearing test results showing the need for amplification are required.
Audiologist or hearing aid specialist.Fitting, verification, and patient education are also included in the clinical responsibility.
In simple words: This code is for a special type of hearing aid that's built into eyeglasses. It helps people who have some hearing loss in one ear and a little in the other hear better. The sound from the bad ear is sent to the better ear to make it louder.
This HCPCS code, V5230, covers the supply of a spectacles hearing aid with binaural contralateral routing of sound (BiCROS). This type of hearing aid is designed for individuals experiencing hearing loss in one ear and some degree of hearing loss in the other.The device consists of an ear mold, microphone, amplifier, and on/off switch integrated into the glasses frame. The microphone on the poorer-hearing side picks up sound, which is then amplified and routed to the better-hearing ear. This aids in sound amplification and improved hearing for patients with asymmetrical hearing loss.
Example 1: A 65-year-old patient presents with significant hearing loss in the left ear and mild hearing loss in the right. A BiCROS hearing aid integrated into their glasses (V5230) is determined to be the most appropriate solution., A 72-year-old patient with unilateral hearing loss in their left ear and mild loss in their right ear is fitted with a BiCROS hearing aid within their glasses, as the device improves their overall auditory comprehension and offers better directional hearing., An 80-year-old patient reports difficulty hearing conversations in noisy environments, stemming from mild hearing loss in their right ear and more pronounced loss in their left. A BiCROS hearing aid integrated into glasses enhances their ability to perceive sounds from both sides, improving their overall communication ability.
Detailed patient history outlining hearing loss, audiogram results, and justification for choosing a BiCROS hearing aid over other options.Documentation should also include device specifications, fitting details, and patient education provided.
** Coverage and reimbursement for this code may vary depending on the payer. Always verify coverage before supplying the device.
- Payment Status: Active
- Specialties:Audiology, Otolaryngology
- Place of Service:Office, Outpatient Hospital, Hearing Aid Dispensing Clinic