V5261 Hearing aid, digit, bin, bte
Also known as: digital binaural BTE, dual digital BTE aids
Binaural digital behind-the-ear hearing aid (BTE style) with devices in both ears.
In Plain Language
digital hearing aids behind both ears; digital bilateral external devices
Clinical Context
Used for bilateral mild to severe hearing loss with digital BTE technology providing maximum power and advanced signal processing.
RVU Information
CPT V5261 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 V5261?
CPT V5261 (Hearing aid, digit, bin, bte) is a V Codes (Vision) code. Binaural digital behind-the-ear hearing aid (BTE style) with devices in both ears.
Does Medicare cover V5261?
Medicare coverage for V5261 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for bilateral mild to severe hearing loss with digital BTE technology providing maximum power and advanced signal processing. A physician order is typically required.
When is CPT V5261 used?
Used for bilateral mild to severe hearing loss with digital BTE technology providing maximum power and advanced signal 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.