V5240 Disp fee contralateral binau
Also known as: contralateral binaural dispensing fee, second-ear binaural fitting fee
Professional dispensing fee for fitting and adjustment of contralateral binaural hearing aid as a second bilateral unit.
In Plain Language
binaural fitting cost for second ear; bilateral adjustment fee
Clinical Context
Service fee for professional fitting and programming of a binaural unit to complement existing hearing aid in the opposite ear.
RVU Information
CPT V5240 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 V5240?
CPT V5240 (Disp fee contralateral binau) is a V Codes (Vision) code. Professional dispensing fee for fitting and adjustment of contralateral binaural hearing aid as a second bilateral unit.
Does Medicare cover V5240?
Medicare coverage for V5240 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Service fee for professional fitting and programming of a binaural unit to complement existing hearing aid in the opposite ear. A physician order is typically required.
When is CPT V5240 used?
Service fee for professional fitting and programming of a binaural unit to complement existing 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.