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    v1.0.30
    OpenPayerBilling CodesHearing ServicesHCPCS hcpcs-v5060-monaural-behind-the-ear-hearing-aid
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    HCPCS Level II V5060: Hearing Aid, Monaural, Behind-the-Ear

    HCPCS Level II code V5060 denotes a monaural behind-the-ear (BTE) hearing aid device dispensed to a single ear; the code represents the durable medical equipment item itself and is associated with auditory rehabilitation services typically provided in audiology clinics, otolaryngology offices, or hearing aid dispensaries where device fitting, adjustment, and patient education occur.

    For related coverage guidance, see recent payer policy updates: Office-based Laryngeal Procedures, Injectable Dermal Fillers and Bulking Agents (for New Mexico Only), Injectable Dermal Fillers and Bulking Agents (for Kentucky Only).

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    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.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    92557Comprehensive audiometry threshold evaluation with speech recognitionBaseline diagnostic testing performed before selection of a hearing aid
    92567Tympanometry and reflex threshold measurementsMiddle-ear assessment often performed as part of the audiologic evaluation prior to fitting
    92626Evaluation of speech recognition with a cochlear implant, pre- or post-activationNot routine for hearing aid fittings but relevant when differential diagnosis or implant candidacy is considered
    92601Diagnostic analysis of cochlear implant mappingUsed in specialized workflows when converting from amplification to implant path; seldom used with V5060 but part of broader auditory care
    92590Hearing aid check; monauralDevice check and basic verification service typically performed at follow-up after dispensing of V5060
    92594Real-ear measurement for verification of hearing aid fittingObjective verification performed at the fitting appointment to confirm prescribed amplification targets

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207K00000X
    231H00000X
    332B00000X
    208D00000X
    261Q00000X
    207ZC0500X
    163WF0300X
    261QE0002X

    Related ICD-10-CM Codes

    20 rows

    ICD-10-CM CodeDescription
    F40.00Agoraphobia, unspecified
    F41.9Anxiety disorder, unspecified
    G91.8Other hydrocephalus
    H90.11Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side
    H90.12Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side
    H90.3Sensorineural hearing loss, bilateral
    H90.41Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side
    H90.42Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side
    H90.5Unspecified sensorineural hearing loss
    H90.6Mixed conductive and sensorineural hearing loss, bilateral

    Showing 1–10 of 20

    Related Payer Policy Updates

    Specialty: Otorhinolaryngology (ENT)1 / 2

    10 rows

    PolicyPayerEffective Date
    Office-based Laryngeal ProceduresPremera Bluecross2026-10-06
    Injectable Dermal Fillers and Bulking Agents (for New Mexico Only)UnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking Agents (for Kentucky Only)UnitedHealthcare2026-10-01
    Hearing Aids and Devices Including Wearable, Bone-Anchored, and Semi-Implantable (for Indiana Only)UnitedHealthcare2026-10-01
    Otoacoustic Emissions Testing (for Oxford Only)UnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking AgentsUnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking AgentsUnitedHealthcare2026-10-01
    Sinus Surgeries and Interventions (for North Carolina Only)UnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking Agents (for Nebraska Only)UnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking Agents (for Kansas Only)UnitedHealthcare2026-10-01

    Related Codes

    HCPCS-V5008-HEARING-SCREENING

    HCPCS Level II 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 Level II 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: Hearing Aid, Monaural, Body-Worn, Air Conduction

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

    HCPCS V5040: Monaural Body-Worn Bone Conduction Hearing Aid

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

    HCPCS Level II V5050: Hearing aid, monaural, in the ear

    HCPCS-V5070-GLASSES-AIR-CONDUCTION

    HCPCS Level II V5070: Glasses, Air Conduction

    HCPCS-V5080-GLASSES-BONE-CONDUCTION

    HCPCS Level II V5080: Glasses, Bone Conduction

    Showing 1–10 of 87

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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