Summary & Overview
HCPCS Level II V5272: Assistive Listening Device, TDD
HCPCS Level II code V5272 identifies an assistive listening device specifically for telecommunications for the deaf (TDD). As an assistive communication device categorized under durable medical equipment, this code is used when billing for TDD devices that enable text-based or amplified telecommunication for patients who are deaf or hard of hearing. Nationally, coverage and billing for assistive listening devices affect access to communication aids across outpatient clinics, audiology centers, and home settings.
Key payers commonly involved in coverage decisions for this device include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will gain a concise understanding of what V5272 represents, typical sites of service, and the payer landscape addressed in this publication. The report provides benchmarks where available, summarizes relevant billing considerations, and outlines the clinical context for use of TDD devices. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code V5272 describes an assistive listening device, TDD (telecommunications device for the deaf). This code represents a device intended to facilitate communication for individuals who are deaf or hard of hearing by providing text-based or amplified audio support for telephone and other communication systems.
Service Type: Durable medical equipment / assistive communication device
Typical Site of Service: Outpatient clinic, audiology or hearing services center, home use
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with significant hearing loss who requires an assistive listening device for telephone communication, specifically a TDD (teletypewriter/telephone device for the deaf). The patient presents to an audiology clinic or durable medical equipment vendor after evaluation by an otolaryngologist or audiologist. Clinical workflow: the clinician documents the hearing impairment and functional communication need, performs a hearing assessment or reviews prior audiograms, determines that a TDD is medically necessary to enable telephonic communication, obtains informed consent and verifies insurance coverage. The device is obtained and programmed or configured as needed, patient and caregiver receive device training and written instructions, and documentation of device delivery, serial number, and patient education is entered into the medical record. Follow-up appointments are scheduled as required for troubleshooting, repairs, or replacement.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Default/No modifier | Use when no modifier applies |
| 22 | Increased procedural services | Use when additional time or complexity was required to fit or program the TDD beyond typical service
| 23 | Unusual anesthesia | Not typically applicable to TDD services; rarely used if unusual anesthesia is required for concurrent procedures