V5256 Hearing aid, digit, mon, ite
Also known as: digital monaural ITE, monaural digital ITE aid
Monaural digital in-the-ear hearing aid (ITE style) for unilateral hearing loss.
In Plain Language
digital hearing aid inside ear; digital custom ear device
Clinical Context
Used for unilateral mild to moderate hearing loss with digital ITE technology providing superior sound processing and personalization.
RVU Information
CPT V5256 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 V5256?
CPT V5256 (Hearing aid, digit, mon, ite) is a V Codes (Vision) code. Monaural digital in-the-ear hearing aid (ITE style) for unilateral hearing loss.
Does Medicare cover V5256?
Medicare coverage for V5256 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for unilateral mild to moderate hearing loss with digital ITE technology providing superior sound processing and personalization. A physician order is typically required.
When is CPT V5256 used?
Used for unilateral mild to moderate hearing loss with digital ITE technology providing superior sound processing and personalization.
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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.