Summary & Overview
HCPCS V5080: Glasses, Bone Conduction
HCPCS Level II code V5080 identifies glasses, bone conduction, an assistive device combining eyewear with bone-conduction technology to deliver sound or vibration through the skull. Nationally, this code captures claims for a niche class of combined vision/hearing assistive devices that intersect durable medical equipment, audiology, and vision care. Proper coding matters for reimbursement clarity and benefit administration across medical and ancillary plans.
Key payers included in this overview are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise briefing on clinical context, typical sites of service, and the role of V5080 in billing workflows. The publication summarizes available benchmarks where present, highlights policy or coverage considerations that commonly affect adjudication of assistive eyewear with bone conduction features, and notes gaps where data was not provided.
This summary serves clinicians, billing staff, and policy analysts seeking a national-level reference for V5080, including what the code represents, who pays for it, and what information to expect when reviewing coverage and claims related to bone-conduction glasses.
Billing Code Overview
HCPCS Level II code V5080 denotes glasses, bone conduction. This code describes bone conduction eyewear designed to transmit sound or vibration through the cranial bones as part of hearing-related assistive or therapeutic devices integrated into glasses frames.
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Service type: Assistive/augmentative device fitted to eyewear frames
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Typical site of service: Durable medical equipment suppliers, audiology clinics, vision care or hearing centers
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with conductive hearing loss or single-sided deafness who is evaluated by an otolaryngologist or audiologist for non-surgical or surgical bone conduction amplification. The clinical workflow begins with a referral for hearing assessment, pure-tone and speech audiometry, and skull vibratory testing to determine candidacy for a bone conduction hearing device. If a non-surgical bone conduction headset or spectacles-mounted bone conduction system is selected, the device is ordered under HCPCS code V5080 (Glasses, bone conduction) by the prescribing clinician. The patient returns for device fitting, verification with real-ear or skull-conduction measures, counseling on use and care, and documentation of medical necessity. Follow-up visits include adjustments, audiologic verification, and monitoring for skin integrity if any periauricular contact points exist. Typical sites of service are outpatient ENT clinics, audiology clinics, and durable medical equipment suppliers with in-office fittings.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Standard reporting when no special circumstances apply |
22 |