Summary & Overview
HCPCS Level II V5267: Hearing Aid or Assistive Listening Device Accessory
HCPCS Level II code V5267 represents miscellaneous hearing aid or assistive listening device supplies and accessories that lack a more specific HCPCS designation. Nationally, such catch‑all codes matter because they are used to bill for a range of hearing-related items that support hearing amplification and assistive listening, affecting coverage, patient access, and claims adjudication for audiology and durable medical equipment suppliers. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise overview of clinical context and common sites of service for devices billed with V5267, plus what typical analyses address when evaluating utilization of miscellaneous hearing-supply codes: payer coverage patterns, reimbursement benchmarks, billing and coding considerations, and implications for supplier documentation. The publication highlights common payer policies and how catch‑all HCPCS codes like V5267 are treated in benefit plans and Medicare, and it summarizes the typical operational issues that arise, such as coding specificity and documentation requirements. Data not available in the input is noted where applicable. The content is intended for national audiences including billing managers, audiology providers, and policy analysts seeking a compact reference on this HCPCS Level II code.
Billing Code Overview
HCPCS Level II code V5267 denotes hearing aid or assistive listening device/supplies/accessories, not otherwise specified. This code captures miscellaneous hearing-related devices and accessories that do not have a more specific HCPCS Level II designation.
Service Type: Durable medical equipment / assistive hearing device supply
Typical Site of Service: Outpatient clinics, audiology centers, hearing aid dispensaries, and retail medical equipment suppliers
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with progressive sensorineural hearing loss who presents to an audiology clinic or otolaryngology practice for evaluation of amplification options. The patient undergoes comprehensive audiometric testing including pure-tone air and bone conduction thresholds, speech audiometry, and real-ear or coupler verification when appropriate. Based on findings and patient-reported communication needs, the audiologist or hearing instrument specialist recommends a hearing aid or an assistive listening device (ALD) and documents medical necessity, device selection, and recommended accessories or supplies. The device/supplies coded with V5267 are items not otherwise specified in other HCPCS descriptors — for example, specialized assistive listening accessories, non-standard earmolds, or unique assistive devices supplied with the hearing system. Typical workflow steps include examination and testing, device selection and counseling, device ordering and fitting, verification and adjustment sessions, and supply or accessory provision. The usual sites of service are outpatient audiology clinics, otolaryngology offices, hearing aid dispensary locations, and occasionally skilled nursing facilities or patient homes for mobility or home-based ALD provision. Common patient modifiers reflect laterality, coverage exceptions, and facility/provider circumstances.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side |