9 New Hearing Aid Codes in 2019 HCPCS

9 New Hearing Aid Codes in 2019 HCPCS

Nine new HCPCS Level II codes recently released by the Centers for Medicare & Medicaid Services (CMS) and effective in 2019 address spreading contralateral routing technology. Medical coders and billers will want to make note of these.

HCPCS Codes Reflect New Technology

The codes reflect the growing use of the technology, commonly called CROS/BiCROS hearing devices. According to the American Speech-Language Hearing Association (ASLHA), CROS/BiCROS codes were introduced in the 1980s for dedicated systems aiding patients with single-sided deafness or unavoidable hearing loss in one ear and partial deafness in the others. ASLHA points out the old codes didn’t adequately indicate the patient was receive both a hearing aid and a contralateral routing device. It was impossible to report the device if a patient already had a hearing aid.

The new codes use the phrase “contralateral routing device or system” to better differentiate advancements to the technology that make the devices more accessible to patients. ASLHA recommends using the monaural codes for one routing device and the binaural for two. The new codes are:

V5171 Hearing aid, contralateral routing device, monaural, in the ear (ITE)
V5172 Hearing aid, contralateral routing device, monaural, in the canal (ITC)
V5181 Hearing aid, contralateral routing device, monaural, behind the ear (BTE)
V5211 Hearing aid, contralateral routing system, binaural, ITE/ITE
V5212 Hearing aid, contralateral routing system, binaural, ITE/ITC
V5213 Hearing aid, contralateral routing system, binaural, ITE/BTE
V5214 Hearing aid, contralateral routing system, binaural, ITC/ITC
V5215 Hearing aid, contralateral routing system, binaural, ITC/BTE
V5221 Hearing aid, contralateral routing system, binaural, BTE/BTE

Four existing codes were revised from CROS to BiCROS” to “monaural or binaural contralateral routing”. They are:

V5190 Hearing aid, contralateral routing, monaural, glasses
V5200 Dispensing fee, contralateral, monaural
V5230 Hearing aid, contralateral routing system, binaural, glasses
V5240 Dispensing fee, contralateral routing system, binaural

Brad Ericson

Brad Ericson

Director of Publishing at AAPC
Brad Ericson, MPC, CPC, COSC, has been director of publishing since 2007. Before AAPC he was at Ingenix for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.
Brad Ericson

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Brad Ericson, MPC, CPC, COSC, has been director of publishing since 2007. Before AAPC he was at Ingenix for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.

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