V5251 Hearing aid, prog, bin, itc
Also known as: programmable binaural ITC, dual programmable ITC aids
Binaural programmable in-the-canal hearing aid (ITC style) with multiple adjustment settings.
In Plain Language
programmable hearing aids in both ear canals; adjustable bilateral canal devices
Clinical Context
Used for bilateral mild to moderate hearing loss with programmable ITC devices allowing environment-specific adjustments.
RVU Information
CPT V5251 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 V5251?
CPT V5251 (Hearing aid, prog, bin, itc) is a V Codes (Vision) code. Binaural programmable in-the-canal hearing aid (ITC style) with multiple adjustment settings.
Does Medicare cover V5251?
Medicare coverage for V5251 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for bilateral mild to moderate hearing loss with programmable ITC devices allowing environment-specific adjustments. A physician order is typically required.
When is CPT V5251 used?
Used for bilateral 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.