Summary & Overview
HCPCS V5269: Assistive Listening Device, Alerting Any Type
HCPCS Level II code V5269 designates an assistive listening device used for alerting purposes, intended to help individuals with hearing impairment detect important environmental sounds or signals. Nationally, the code is relevant to durable medical equipment (DME) suppliers, audiology providers, and payers managing coverage for assistive technologies that support patient safety and independent living.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage policies across these organizations affect access to alerting devices, claim submission requirements, and reimbursement pathways for DME and audiology services. Common modifiers and billing practices can influence claim adjudication and payment, though specific modifier use varies by payer.
Readers will find an overview of the clinical context for alerting assistive devices, typical sites of service where these devices are provided, and the role of HCPCS Level II code V5269 in billing workflows. The publication summarizes payer coverage considerations, common billing practices, and where to find further policy details. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code V5269 represents an assistive listening device, alerting, any type. The service involves provision or fitting of devices designed to alert individuals with hearing impairments to environmental sounds or signals through amplified audio, vibration, visual cues, or combinations of these methods.
Service type: Assistive listening/alerting device provision and related patient support.
Typical site of service: Durable medical equipment supply settings, audiology or hearing services clinics, long-term care facilities, and outpatient specialty clinics where assistive hearing technologies are dispensed or fitted.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A patient with significant hearing impairment and difficulty perceiving environmental alerts presents to an audiology clinic or durable medical equipment (DME) supplier after evaluation by an otolaryngologist or audiologist. The clinician documents functional communication deficits and determines the patient would benefit from an assistive listening or alerting device to amplify or provide visual/vibratory alerts for alarms, doorbells, telephone, or smoke detectors. The typical workflow includes: an audiologic assessment and history; device selection and fitting by an audiologist or DME specialist; verification of device function and patient instruction; documentation of medical necessity and device features; and dispensing of the assistive listening/alerting device. Follow-up visits may include device adjustments, counseling, and verification of continued need. Typical sites of service are outpatient audiology clinics, otolaryngology offices, specialty DME suppliers, and occasionally home visits for setup and training.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No specific modifier (placeholder) | Use when no other modifier applies and payer requires a two-character modifier field filled with default value. |
22 |