V5250 Hearing aid, prog, bin, cic
Also known as: programmable binaural CIC, dual programmable CIC aids
Binaural programmable completely-in-the-canal hearing aid (CIC style) with multiple adjustment settings.
In Plain Language
programmable tiny hearing aids in both ears; adjustable invisible bilateral device
Clinical Context
Used for bilateral mild to moderate hearing loss with programmable CIC devices allowing adjustment for different listening environments.
RVU Information
CPT V5250 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 V5250?
CPT V5250 (Hearing aid, prog, bin, cic) is a V Codes (Vision) code. Binaural programmable completely-in-the-canal hearing aid (CIC style) with multiple adjustment settings.
Does Medicare cover V5250?
Medicare coverage for V5250 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for bilateral mild to moderate hearing loss with programmable CIC devices allowing adjustment for different listening environments. A physician order is typically required.
When is CPT V5250 used?
Used for bilateral mild to moderate hearing loss with programmable CIC devices allowing adjustment for different listening 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.