V5212 Hearing aid binaural ite/itc
Also known as: mixed binaural aids, ITE/ITC binaural aid
Binaural hearing aid system with in-the-ear (ITE) device in one ear and in-the-canal (ITC) device in the other.
In Plain Language
hearing aids with different fits in each ear; mixed-style bilateral device
Clinical Context
Used for bilateral hearing loss when patients have different ear canal anatomies or preferences requiring asymmetric fitting.
RVU Information
CPT V5212 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 V5212?
CPT V5212 (Hearing aid binaural ite/itc) is a V Codes (Vision) code. Binaural hearing aid system with in-the-ear (ITE) device in one ear and in-the-canal (ITC) device in the other.
Does Medicare cover V5212?
Medicare coverage for V5212 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for bilateral hearing loss when patients have different ear canal anatomies or preferences requiring asymmetric fitting. A physician order is typically required.
When is CPT V5212 used?
Used for bilateral hearing loss when patients have different ear canal anatomies or preferences requiring asymmetric fitting.
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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.