V5245 Hearing aid, prog, mon, itc
Also known as: programmable monaural ITC, multi-program ITC aid
Monaural programmable in-the-canal hearing aid (ITC style) with multiple adjustment settings for unilateral hearing loss.
In Plain Language
programmable hearing aid in ear canal; adjustable canal-inserted device
Clinical Context
Used for unilateral mild to moderate hearing loss with programmable ITC devices allowing environment-specific adjustments.
RVU Information
CPT V5245 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 V5245?
CPT V5245 (Hearing aid, prog, mon, itc) is a V Codes (Vision) code. Monaural programmable in-the-canal hearing aid (ITC style) with multiple adjustment settings for unilateral hearing loss.
Does Medicare cover V5245?
Medicare coverage for V5245 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for unilateral mild to moderate hearing loss with programmable ITC devices allowing environment-specific adjustments. A physician order is typically required.
When is CPT V5245 used?
Used for unilateral mild to moderate hearing loss with programmable ITC devices allowing environment-specific adjustments.
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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.