V5255 Hearing aid, digit, mon, itc
Also known as: digital monaural ITC, monaural digital ITC aid
Monaural digital in-the-canal hearing aid (ITC style) for unilateral hearing loss.
In Plain Language
digital hearing aid in ear canal; digital partially-inserted device
Clinical Context
Used for unilateral mild to moderate hearing loss with digital ITC technology providing advanced noise reduction and adaptation.
RVU Information
CPT V5255 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 V5255?
CPT V5255 (Hearing aid, digit, mon, itc) is a V Codes (Vision) code. Monaural digital in-the-canal hearing aid (ITC style) for unilateral hearing loss.
Does Medicare cover V5255?
Medicare coverage for V5255 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for unilateral mild to moderate hearing loss with digital ITC technology providing advanced noise reduction and adaptation. A physician order is typically required.
When is CPT V5255 used?
Used for unilateral mild to moderate hearing loss with digital ITC technology providing advanced noise reduction and adaptation.
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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.