V5260 Hearing aid, digit, bin, ite
Also known as: digital binaural ITE, dual digital ITE aids
Binaural digital in-the-ear hearing aid (ITE style) with devices in both ears.
In Plain Language
digital hearing aids inside both ears; digital bilateral custom devices
Clinical Context
Used for bilateral mild to moderate hearing loss with digital ITE technology providing superior sound processing and personalization.
RVU Information
CPT V5260 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 V5260?
CPT V5260 (Hearing aid, digit, bin, ite) is a V Codes (Vision) code. Binaural digital in-the-ear hearing aid (ITE style) with devices in both ears.
Does Medicare cover V5260?
Medicare coverage for V5260 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for bilateral mild to moderate hearing loss with digital ITE technology providing superior sound processing and personalization. A physician order is typically required.
When is CPT V5260 used?
Used for bilateral 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.