V5200 Disp fee contralateral monau
Also known as: contralateral monaural dispensing fee, second-ear fitting fee
Professional dispensing fee for fitting and adjustment of contralateral monaural hearing aid as a second unit.
In Plain Language
second hearing aid fitting fee; opposite-ear adjustment cost
Clinical Context
Service fee for professional fitting and programming of a second monaural hearing aid in the opposite ear.
RVU Information
CPT V5200 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 V5200?
CPT V5200 (Disp fee contralateral monau) is a V Codes (Vision) code. Professional dispensing fee for fitting and adjustment of contralateral monaural hearing aid as a second unit.
Does Medicare cover V5200?
Medicare coverage for V5200 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Service fee for professional fitting and programming of a second monaural hearing aid in the opposite ear. A physician order is typically required.
When is CPT V5200 used?
Service fee for professional fitting and programming of a second monaural hearing aid in the opposite ear.
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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.