Summary & Overview
HCPCS Level II V5287: Assistive Listening Device, Personal FM/DM Receiver
HCPCS Level II code V5287 denotes an assistive listening device: a personal FM/DM receiver not otherwise specified. These devices are used to enhance speech intelligibility for individuals with hearing loss by wirelessly receiving transmitted audio signals. Nationally, reimbursement and coverage for assistive listening devices influence access to communication supports in clinical, educational, and community settings.
Key payers in the coverage landscape include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find an overview of payer coverage considerations, common billing modifiers, and the clinical context for use of personal FM/DM receivers. The publication outlines what typical sites of service look like, the role of these devices in hearing rehabilitation, and coding specifics for accurate claim submission. Where available, benchmark information and policy notes address how payers commonly handle medical necessity and equipment provision for assistive listening devices.
This summary serves clinicians, billing specialists, and policy analysts seeking concise guidance on what V5287 represents, which payers are most relevant, and which practical topics—coverage, billing, and clinical fit—are covered in the full article. Data not available in the input will be identified in detailed sections.
Billing Code Overview
HCPCS Level II code V5287 describes an assistive listening device, personal FM/DM receiver, not otherwise specified. The code represents a device-level supply intended to support individuals with hearing impairments by receiving and amplifying sound transmitted via FM (frequency modulation) or DM (digital modulation) systems.
Service Type: Durable medical equipment / assistive listening device
Typical Site of Service: Outpatient clinics, audiology offices, schools, community-based settings, and patient homes, where personal FM/DM receivers are fitted, distributed, or used to improve auditory access in communication and educational environments.
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Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with documented hearing impairment who reports difficulty understanding speech in noisy environments, at presentations, or during one-on-one conversations despite use of hearing aids. The audiologist or otolaryngologist evaluates the patient in an outpatient audiology clinic. The clinical workflow includes audiometric testing (pure-tone and speech audiometry), assessment of benefit from hearing aids, and counseling about assistive listening devices. When a personal FM/DM receiver (V5287) is selected to improve signal-to-noise ratio for specific listening situations (classroom, workplace, worship, or meetings), the device is programmed to the patient’s hearing aids or used with ear-level receivers. The audiologist documents medical necessity, device fitting and verification (functional gain or real-ear measures as applicable), patient instruction, and a trial period if appropriate. Typical sites of service are outpatient audiology clinics, otolaryngology clinics, speech and hearing centers, and educational or workplace settings when fitting on-site.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when work required to fit or modify the assistive listening receiver is substantially greater than usual and documentation supports increased complexity. |