V5242 Hearing aid, monaural, cic
Also known as: monaural CIC, completely-in-the-canal aid
Monaural completely-in-the-canal hearing aid (CIC style) for unilateral hearing loss with device fully inserted in ear canal.
In Plain Language
tiny hearing aid completely inside ear; nearly invisible hearing device
Clinical Context
Used for unilateral mild to moderate hearing loss with completely-in-the-canal placement providing maximum cosmetic concealment.
RVU Information
CPT V5242 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 V5242?
CPT V5242 (Hearing aid, monaural, cic) is a V Codes (Vision) code. Monaural completely-in-the-canal hearing aid (CIC style) for unilateral hearing loss with device fully inserted in ear canal.
Does Medicare cover V5242?
Medicare coverage for V5242 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for unilateral mild to moderate hearing loss with completely-in-the-canal placement providing maximum cosmetic concealment. A physician order is typically required.
When is CPT V5242 used?
Used for unilateral mild to moderate hearing loss with completely-in-the-canal placement providing maximum cosmetic concealment.
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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.