Question 1

What is HCPCS code V5214?

Accepted Answer

HCPCS code V5214 is "Hearing aid binaural itc/itc". Hearing aid, contralateral routing system, binaural, itc/itc

Question 2

What category is V5214 in?

Accepted Answer

V5214 belongs to HCPCS Category V (Vision and Hearing Services).

Question 3

When should I use HCPCS code V5214?

Accepted Answer

Use V5214 when billing for hearing aid binaural itc/itc. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is V5214 covered by Medicare?

Accepted Answer

Coverage for V5214 (Hearing aid binaural itc/itc) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for V5214?

Accepted Answer

Documentation for V5214 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).