V5265 Ear mold/insert, disp
Also known as: ear mold dispensing fee, earmold fitting fee
Professional dispensing fee for custom ear mold or insert fitting and adjustment.
In Plain Language
ear mold fitting cost; custom insert fee
Clinical Context
Service fee charged for professional fitting and adjustment of custom ear molds to ensure proper hearing aid coupling.
RVU Information
CPT V5265 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 V5265?
CPT V5265 (Ear mold/insert, disp) is a V Codes (Vision) code. Professional dispensing fee for custom ear mold or insert fitting and adjustment.
Does Medicare cover V5265?
Medicare coverage for V5265 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Service fee charged for professional fitting and adjustment of custom ear molds to ensure proper hearing aid coupling. A physician order is typically required.
When is CPT V5265 used?
Service fee charged for professional fitting and adjustment of custom ear molds to ensure proper hearing aid coupling.
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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.