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HCPCS V5060: Monaural Behind-the-Ear Hearing Aid

HCPCS Level II code V5060 identifies a monaural, behind-the-ear hearing aid device supplied for a single ear. This code is used nationally to bill for the durable medical equipment component of hearing rehabilitation when a standalone hearing aid is provided. Accurate use of V5060 matters for device tracking, coverage determination, and claims processing across commercial and public payers.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for prescribing and supplying a monaural BTE hearing aid, common reimbursement considerations, and benchmarks used by major payers. The publication summarizes typical sites of service, coding nuances relevant to durable medical equipment claims, and common modifiers that may accompany device billing (modifier list: Data not available in the input.).

This document equips billing professionals, audiology providers, and policy analysts with the code definition, payer coverage landscape, and points of attention when processing claims for a single behind-the-ear hearing aid using HCPCS Level II code V5060. Data not available in the input.

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Billing Code Overview

HCPCS Level II code V5060 denotes a monaural behind-the-ear hearing aid device. The code represents the supply of a single hearing aid intended for placement behind one ear to amplify sound for patients with hearing impairment.

Service type: Hearing aid device supply

Typical site of service: Durable medical equipment or outpatient audiology/hearing services setting

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HCPCS V5060: Monaural Behind-the-Ear Hearing Aid

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Billing Code Overview

Service type: Hearing aid device supply

Typical site of service: Durable medical equipment or outpatient audiology/hearing services setting

Clinical & Coding Specifications

Clinical Context

A 72-year-old patient with progressive sensorineural hearing loss presents to an audiology clinic after difficulty following conversations in quiet and noisy environments. The evaluation includes otoscopy, pure-tone audiometry, speech recognition testing, and real-ear measurements. The audiologist determines the patient is an appropriate candidate for a monaural behind-the-ear hearing aid. The workflow: initial evaluation and counseling, selection and ordering of a device described by billing code V5060 (hearing aid, monaural, behind the ear), fitting appointment with programming and verification (real-ear probe microphone measures), patient education on use and maintenance, and scheduled follow-up visits for adjustments and warranty/repair coordination. Typical site of service is an outpatient audiology clinic, hearing center, or ENT office. Typical patient scenario includes unilateral fitting when hearing loss is asymmetric, financial or insurance constraints favor single-device provision, or clinical preference for monaural amplification.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier	General default when no specific modifier applies to the item billed
`22`	Increased procedural services	When unusual effort or time was required for device fitting or extensive counseling beyond usual scope
`50`	Bilateral procedure	Not typically applicable to `V5060` (monaural) but used when billing bilateral services for other hearing aid items
`52`	Reduced services	When a reduced service was provided relative to the full hearing aid fitting or supply
`53`	Discontinued procedure	If a fitting or device provision was started but discontinued due to patient intolerance
`62`	Two surgeons	Rare for hearing aid supply; used if two practitioners share responsibility for complex care decisions
`LT`	Left side	When the hearing aid is supplied for the left ear
`RT`	Right side	When the hearing aid is supplied for the right ear
`NU`	New equipment	To indicate the hearing aid is new rather than repaired or replaced
`GY`	Item/service not covered by Medicare	When payer policy excludes the hearing aid under Medicare benefits
`QK`	Medical direction of two or more assistants	If multiple assistants are involved under medical direction during fitting services
`QX`	Modifier identifying services by an assistant with a valid state license	When an assistant performs portions of the fitting under supervision and billing requires identification
`QY`	Services furnished by a physician under a residency training program	If fitting occurs in a teaching setting with billed supervision status
`UE`	Items provided to a spouse or family member of the employee	When billing relates to a veteran or employee benefit scenario that uses `UE` for employer-provided items

Taxonomy Code	Specialty	Notes
`207K00000X`	Otolaryngology (ENT)	Physicians who diagnose and refer for hearing aids; may perform diagnostic procedures and surgical care if needed
`231H00000X`	Audiology	Primary clinicians for hearing evaluation, hearing aid selection, fitting, and verification
`332B00000X`	Hearing Aid Dispenser	Licensed dispensers who perform impressions, selection, fitting, and maintenance of hearing aids
`208D00000X`	Physical Medicine & Rehabilitation	Specialists who may manage auditory rehabilitation needs for complex patients
`261Q00000X`	Primary Care	Referring clinicians who identify hearing loss and refer for audiologic evaluation

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H90.3`	Sensorineural hearing loss, bilateral	Common type of hearing loss leading to hearing aid candidacy; may still drive monaural fitting in asymmetric cases
`H90.2`	Sensorineural hearing loss, unilateral	Directly relevant when a single behind-the-ear device (`V5060`) is supplied for the affected ear
`H91.90`	Unspecified hearing loss, unspecified ear	Used when further specification is pending but a hearing aid is provided for functional impairment
`H83.3`	Tinnitus, unspecified	Frequently co-occurs with hearing loss and may be documented alongside hearing aid provision for symptomatic management
`Z46.1`	Encounter for fitting and adjustment of hearing aid	Administrative code documenting the fitting/adjustment encounter associated with device provision

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92557`	Comprehensive audiometry threshold evaluation with speech recognition	Baseline diagnostic testing performed before selection of a hearing aid
`92567`	Tympanometry and reflex threshold measurements	Middle-ear assessment often performed as part of the audiologic evaluation prior to fitting
`92626`	Evaluation of speech recognition with a cochlear implant, pre- or post-activation	Not routine for hearing aid fittings but relevant when differential diagnosis or implant candidacy is considered
`92601`	Diagnostic analysis of cochlear implant mapping	Used in specialized workflows when converting from amplification to implant path; seldom used with `V5060` but part of broader auditory care
`92590`	Hearing aid check; monaural	Device check and basic verification service typically performed at follow-up after dispensing of `V5060`
`92594`	Real-ear measurement for verification of hearing aid fitting	Objective verification performed at the fitting appointment to confirm prescribed amplification targets

Related Codes

HCPCS-V5008-HEARING-SCREENING

HCPCS V5008: Hearing Screening

HCPCS-V5010-HEARING-AID-ASSESSMENT

HCPCS V5010: Assessment for Hearing Aid

HCPCS-V5011-HEARING-AID-FITTING-ORIENTATION-CHECKING

HCPCS V5011: Fitting, Orientation, and Checking of Hearing Aid

HCPCS-V5014-HEARING-AID-REPAIR-MODIFICATION

HCPCS V5014: Repair/Modification of a Hearing Aid

HCPCS-V5020-CONFORMITY-EVALUATION

HCPCS V5020: Conformity Evaluation

HCPCS-V5030-MONAURAL-BODY-WORN-AIR-CONDUCTION-HEARING-AID

HCPCS V5030: Monaural Body-Worn Air Conduction Hearing Aid

HCPCS-V5040-BODY-WORN-BONE-CONDUCTION-HEARING-AID-MONAURAL

HCPCS V5040: Hearing Aid, Monaural, Body-Worn, Bone Conduction

HCPCS-V5050-HEARING-AID-MONAURAL-IN-THE-EAR

HCPCS Level II V5050: Hearing Aid, Monaural, In the Ear

HCPCS-V5070-GLASSES-AIR-CONDUCTION

HCPCS V5070: Glasses, Air Conduction

HCPCS-V5080-GLASSES-BONE-CONDUCTION

HCPCS V5080: Glasses, Bone Conduction

Showing 1–10 of 87

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier	General default when no specific modifier applies to the item billed
`22`	Increased procedural services	When unusual effort or time was required for device fitting or extensive counseling beyond usual scope
`50`	Bilateral procedure	Not typically applicable to `V5060` (monaural) but used when billing bilateral services for other hearing aid items
`52`	Reduced services	When a reduced service was provided relative to the full hearing aid fitting or supply
`53`	Discontinued procedure	If a fitting or device provision was started but discontinued due to patient intolerance
`62`	Two surgeons	Rare for hearing aid supply; used if two practitioners share responsibility for complex care decisions
`LT`	Left side	When the hearing aid is supplied for the left ear
`RT`	Right side	When the hearing aid is supplied for the right ear
`NU`	New equipment	To indicate the hearing aid is new rather than repaired or replaced
`GY`	Item/service not covered by Medicare	When payer policy excludes the hearing aid under Medicare benefits
`QK`	Medical direction of two or more assistants	If multiple assistants are involved under medical direction during fitting services
`QX`	Modifier identifying services by an assistant with a valid state license	When an assistant performs portions of the fitting under supervision and billing requires identification
`QY`	Services furnished by a physician under a residency training program	If fitting occurs in a teaching setting with billed supervision status
`UE`	Items provided to a spouse or family member of the employee	When billing relates to a veteran or employee benefit scenario that uses `UE` for employer-provided items

Taxonomy Code	Specialty	Notes
`207K00000X`	Otolaryngology (ENT)	Physicians who diagnose and refer for hearing aids; may perform diagnostic procedures and surgical care if needed
`231H00000X`	Audiology	Primary clinicians for hearing evaluation, hearing aid selection, fitting, and verification
`332B00000X`	Hearing Aid Dispenser	Licensed dispensers who perform impressions, selection, fitting, and maintenance of hearing aids
`208D00000X`	Physical Medicine & Rehabilitation	Specialists who may manage auditory rehabilitation needs for complex patients
`261Q00000X`	Primary Care	Referring clinicians who identify hearing loss and refer for audiologic evaluation

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H90.3`	Sensorineural hearing loss, bilateral	Common type of hearing loss leading to hearing aid candidacy; may still drive monaural fitting in asymmetric cases
`H90.2`	Sensorineural hearing loss, unilateral	Directly relevant when a single behind-the-ear device (`V5060`) is supplied for the affected ear
`H91.90`	Unspecified hearing loss, unspecified ear	Used when further specification is pending but a hearing aid is provided for functional impairment
`H83.3`	Tinnitus, unspecified	Frequently co-occurs with hearing loss and may be documented alongside hearing aid provision for symptomatic management
`Z46.1`	Encounter for fitting and adjustment of hearing aid	Administrative code documenting the fitting/adjustment encounter associated with device provision

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92557`	Comprehensive audiometry threshold evaluation with speech recognition	Baseline diagnostic testing performed before selection of a hearing aid
`92567`	Tympanometry and reflex threshold measurements	Middle-ear assessment often performed as part of the audiologic evaluation prior to fitting
`92626`	Evaluation of speech recognition with a cochlear implant, pre- or post-activation	Not routine for hearing aid fittings but relevant when differential diagnosis or implant candidacy is considered
`92601`	Diagnostic analysis of cochlear implant mapping	Used in specialized workflows when converting from amplification to implant path; seldom used with `V5060` but part of broader auditory care
`92590`	Hearing aid check; monaural	Device check and basic verification service typically performed at follow-up after dispensing of `V5060`
`92594`	Real-ear measurement for verification of hearing aid fitting	Objective verification performed at the fitting appointment to confirm prescribed amplification targets

Related Codes

HCPCS-V5008-HEARING-SCREENING

HCPCS V5008: Hearing Screening

HCPCS-V5010-HEARING-AID-ASSESSMENT

HCPCS V5010: Assessment for Hearing Aid

HCPCS-V5011-HEARING-AID-FITTING-ORIENTATION-CHECKING

HCPCS V5011: Fitting, Orientation, and Checking of Hearing Aid

HCPCS-V5014-HEARING-AID-REPAIR-MODIFICATION

HCPCS V5014: Repair/Modification of a Hearing Aid

HCPCS-V5020-CONFORMITY-EVALUATION

HCPCS V5020: Conformity Evaluation

HCPCS-V5030-MONAURAL-BODY-WORN-AIR-CONDUCTION-HEARING-AID

HCPCS V5030: Monaural Body-Worn Air Conduction Hearing Aid

HCPCS-V5040-BODY-WORN-BONE-CONDUCTION-HEARING-AID-MONAURAL

HCPCS V5040: Hearing Aid, Monaural, Body-Worn, Bone Conduction

HCPCS-V5050-HEARING-AID-MONAURAL-IN-THE-EAR

HCPCS Level II V5050: Hearing Aid, Monaural, In the Ear

HCPCS-V5070-GLASSES-AIR-CONDUCTION

HCPCS V5070: Glasses, Air Conduction

HCPCS-V5080-GLASSES-BONE-CONDUCTION

HCPCS V5080: Glasses, Bone Conduction

Showing 1–10 of 87

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS V5060: Monaural Behind-the-Ear Hearing Aid

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Billing Code Overview

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HCPCS V5060: Monaural Behind-the-Ear Hearing Aid

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References