V5259 Hearing aid, digit, bin, itc
Also known as: digital binaural ITC, dual digital ITC aids
Binaural digital in-the-canal hearing aid (ITC style) with devices in both ears.
In Plain Language
digital hearing aids in both ear canals; digital bilateral canal devices
Clinical Context
Used for bilateral mild to moderate hearing loss with digital ITC technology providing advanced noise reduction and binaural coordination.
RVU Information
CPT V5259 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 V5259?
CPT V5259 (Hearing aid, digit, bin, itc) is a V Codes (Vision) code. Binaural digital in-the-canal hearing aid (ITC style) with devices in both ears.
Does Medicare cover V5259?
Medicare coverage for V5259 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for bilateral mild to moderate hearing loss with digital ITC technology providing advanced noise reduction and binaural coordination. A physician order is typically required.
When is CPT V5259 used?
Used for bilateral mild to moderate hearing loss with digital ITC technology providing advanced noise reduction and binaural coordination.
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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.