V5160 Dispensing fee binaural
Also known as: contralateral monaural dispensing fee, second-ear fitting fee
Professional dispensing fee for fitting and adjustment of contralateral monaural hearing aids when fitting the second ear.
In Plain Language
second hearing aid fitting fee; opposite-ear fitting cost
Clinical Context
Service fee charged when patients add a second monaural hearing aid to complement existing unilateral amplification.
RVU Information
CPT V5160 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
V-codes cover vision services, supplies, and equipment including lenses, frames, and hearing aids. A valid prescription from an authorized provider is required. Document the specific product dispensed, measurements, and clinical indication.
Specialties
Frequently Asked Questions
What is CPT code V5160?
CPT V5160 (Dispensing fee binaural) is a V Codes (Vision) code. Professional dispensing fee for fitting and adjustment of contralateral monaural hearing aids when fitting the second ear.
Does Medicare cover V5160?
Medicare coverage for V5160 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Service fee charged when patients add a second monaural hearing aid to complement existing unilateral amplification. A physician order is typically required.
When is CPT V5160 used?
Service fee charged when patients add a second monaural hearing aid to complement existing unilateral amplification.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.