V5257 Hearing aid, digit, mon, bte
Also known as: digital monaural BTE, monaural digital BTE aid
Monaural digital behind-the-ear hearing aid (BTE style) for unilateral hearing loss.
In Plain Language
digital hearing aid behind ear; digital external hearing device
Clinical Context
Used for unilateral mild to severe hearing loss with digital BTE technology providing maximum power and advanced processing.
RVU Information
CPT V5257 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 V5257?
CPT V5257 (Hearing aid, digit, mon, bte) is a V Codes (Vision) code. Monaural digital behind-the-ear hearing aid (BTE style) for unilateral hearing loss.
Does Medicare cover V5257?
Medicare coverage for V5257 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for unilateral mild to severe hearing loss with digital BTE technology providing maximum power and advanced processing. A physician order is typically required.
When is CPT V5257 used?
Used for unilateral mild to severe hearing loss with digital BTE technology providing maximum power and advanced processing.
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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.