List the HCPCS codes, model numbers and contracted prices of the individual components and bill the total amount.ĭo not bill more than one individual ALD/FM component with HCPCS codes V5283 – V5290 together on the same claim they will deny due to NCCI conflicts. Bill services on a separate line.Įar mold/insert, not disposable, any typeĪssistive listening device, personal FM/DM system, monaural, (1 receiver, transmitter, microphone), any typeĪssisted listening devices (ALD) do not require authorization.Ī claim attachment is required when billing ALD systems V5281 or V5282. Do not add service or labor charges when billing this code. (use for rechargeable batteries, telecoils, tubes, ear hooks, receivers and other accessories)Īttachment with description required include manufacturer’s invoice or retail cost (MSRP) of the supply or accessory. Hearing aid supplies and accessories, not otherwise specified Maximum 36 batteries allowed for each 90-day period. Include three standard batteries when dispensing hearing aid(s). One dispensing fee allowed per five calendar years for adults, 21 years and older.ĭispensing fee, contralateral routing system, binauralĭispensing fee, monaural hearing aid, any typeīattery for use in hearing device (standard batteries only) Monaural BTE, digitally programmable analog Monaural ITE, digitally programmable analogĪssistive listening device, for use with cochlear implantĪssistive listening device, not otherwise specified (use for vibrotactile devices and pocket talkersĬontralateral routing device, monaural, ITEĬontralateral routing device, monaural, in the canal (ITC)*Ĭontralateral routing device, monaural, BTEĬontralateral routing system, binaural, ITE/ITEĬontralateral routing system, binaural, ITE/ITC*Ĭontralateral routing system, binaural, ITE/BTEĬontralateral routing system, binaural, ITC/ITC*Ĭontralateral routing system, binaural, ITC/BTE*Ĭontralateral routing system, binaural, BTE/BTE Hearing aid, contralateral routing system, binaural, glasses Hearing aid, contralateral routing, monaural, glasses *In-the-canal aids (ITC) are not covered benefits.Īuditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement – use for Baha®Īuditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment – use for Baha®Īuditory osseointegrated device, abutment, any length, replacement onlyĪuditory osseointegrated device, transducer/actuator replacementĭispensing fee, unspecified hearing aid – use when dispensing FM system or vibrotactile device V5274 requires a n attachment with a description use only if a more appropriate code is not available. V5020 is billable during the 90-day hearing aid trial period.
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