2025 HCPCS code V5267
(Active) Effective Date: N/A Revision Date: N/A Audiology Supplies - Hearing aid supplies/accessories Hearing Aids Feed
This HCPCS code covers supplies or accessories for hearing aids or assistive listening devices that don't have a specific code.
Modifiers may apply depending on the circumstances; consult payer guidelines.
The medical necessity of the supplies or accessories billed under V5267 must be clearly documented. This documentation should demonstrate that the items are essential for the proper function or maintenance of the patient's hearing aid and that the patient's hearing impairment warrants their use.Documentation should justify why a more specific code couldn't be used.
Audiologists or other qualified healthcare professionals involved in the fitting and maintenance of hearing aids are responsible for determining the medical necessity of the supplies or accessories and for ordering and providing these items to the patient.Documentation should detail the patient's specific needs and why the supplied items are medically necessary.
In simple words: This code is for parts and extra things used with hearing aids or devices that help people hear better, but don't have their own special code.This could include batteries, small tubes, or other pieces.
HCPCS code V5267, "Hearing aid or assistive listening device/supplies/accessories, not otherwise specified," encompasses supplies and accessories used with hearing aids or assistive listening devices when no other specific HCPCS code applies.This includes items such as rechargeable batteries, telecoils, ear tubes, ear hooks, receivers, and other accessories necessary for the proper function or maintenance of the hearing device.The code is intended for situations where a more specific code is unavailable.It is crucial to provide detailed documentation to support the medical necessity of these supplies and accessories.
Example 1: A patient with a hearing aid requires new tubing.No specific code exists for the tubing type, so V5267 is used., A patient needs replacement batteries for their rechargeable hearing aids.V5267 is the appropriate code as there is no specific HCPCS code for the specific battery type., A patient requires a telecoil for their hearing aid to improve telephone usage. V5267 is billed as a more specific code is not available.
* Detailed description of the supplied item(s), including manufacturer and model number (if applicable).* Justification for medical necessity of the items.* Quantity of items supplied.* Supporting documentation showing the patient's hearing aid prescription.
** Prior authorization may be required by some payers.Check with the specific payer for their coverage policies and requirements.Always ensure compliance with state and federal regulations regarding billing for hearing aid supplies.
- Payment Status: Active
- Specialties:Audiology
- Place of Service:Office, Clinic