V5263 Hearing aid, disp, binaural
Also known as: binaural dispensing fee, dual hearing aid fitting fee
Professional dispensing fee for binaural hearing aid fitting, programming, and adjustment services.
In Plain Language
binaural hearing aid fitting cost; professional bilateral setup fee
Clinical Context
Service fee charged by audiologists for professional fitting, programming, and adjustment of binaural hearing aids.
RVU Information
CPT V5263 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 V5263?
CPT V5263 (Hearing aid, disp, binaural) is a V Codes (Vision) code. Professional dispensing fee for binaural hearing aid fitting, programming, and adjustment services.
Does Medicare cover V5263?
Medicare coverage for V5263 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Service fee charged by audiologists for professional fitting, programming, and adjustment of binaural hearing aids. A physician order is typically required.
When is CPT V5263 used?
Service fee charged by audiologists for professional fitting, programming, and adjustment of binaural hearing aids.
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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.