V5246 Hearing aid, prog, mon, ite
Also known as: programmable monaural ITE, multi-program ITE aid
Monaural programmable in-the-ear hearing aid (ITE style) with multiple adjustment settings for unilateral hearing loss.
In Plain Language
programmable hearing aid inside ear; adjustable custom ear device
Clinical Context
Used for unilateral mild to moderate hearing loss with programmable ITE devices allowing flexible adjustment across environments.
RVU Information
CPT V5246 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 V5246?
CPT V5246 (Hearing aid, prog, mon, ite) is a V Codes (Vision) code. Monaural programmable in-the-ear hearing aid (ITE style) with multiple adjustment settings for unilateral hearing loss.
Does Medicare cover V5246?
Medicare coverage for V5246 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for unilateral mild to moderate hearing loss with programmable ITE devices allowing flexible adjustment across environments. A physician order is typically required.
When is CPT V5246 used?
Used for unilateral mild to moderate hearing loss with programmable ITE devices allowing flexible adjustment across environments.
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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.