Summary & Overview
HCPCS V5282: Assistive Listening Device, Personal FM/DM System, Binaural
HCPCS Level II code V5282 denotes a binaural personal FM/DM assistive listening system (two receivers, transmitter, microphone). These devices are used to improve spoken-word access for individuals with hearing loss in classrooms, clinics, community settings, and homes. Nationally, coverage and payment for assistive listening systems influence access to communication supports for patients with auditory processing or sensorineural hearing impairment.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise synthesis of what V5282 represents, typical settings where the device is provided, and which major payers commonly appear in coverage discussions. The publication outlines benchmark reimbursement considerations, common billing practices, and clinical context that informs appropriate use of a binaural FM/DM system.
The content summarizes how V5282 fits into durable medical equipment and audiology service lines, highlights prevalent billing themes, and identifies areas where policy language or coding guidance commonly affects payment and access. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code V5282 describes an assistive listening device, personal FM/DM system, binaural (two receivers, transmitter, microphone), any type. This device is intended to improve auditory access for individuals with hearing impairment by transmitting sound directly to binaural receivers to enhance speech clarity in noisy or distant-listening environments.
Service Type: Durable medical equipment / assistive listening device
Typical Site of Service: Outpatient clinics, audiology practices, schools, community settings, and patient homes
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with moderate-to-severe bilateral sensorineural hearing loss and difficulty understanding speech in noisy environments. The audiologist fits a personal FM/DM assistive listening system defined by V5282 (binaural, two receivers, transmitter, microphone) to improve speech intelligibility in school, workplace, or community settings. The clinical workflow: initial audiologic evaluation with pure-tone and speech testing; counseling about assistive devices; device selection and order authorization; device programming and ear-level or over-the-ear receiver pairing; verification of signal transmission and comfortable volume levels; patient education on operation, battery care, and maintenance; follow-up visit for fine-tuning and troubleshooting; documentation of medical necessity and functional benefit to support reimbursement. Typical site of service is an outpatient audiology clinic, hearing center, or rehabilitation facility; device delivery may occur at school-based health services for pediatric patients or at community hearing clinics for adults.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when delivery or setup requires substantially greater work than usual (extensive counseling, individualized programming). |