Question 1

What is HCPCS code V5336?

Accepted Answer

HCPCS code V5336 is "Repair communication device". Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid)

Question 2

What category is V5336 in?

Accepted Answer

V5336 belongs to HCPCS Category V (Vision and Hearing Services).

Question 3

When should I use HCPCS code V5336?

Accepted Answer

Use V5336 when billing for repair communication device. 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 V5336 covered by Medicare?

Accepted Answer

Coverage for V5336 (Repair communication device) 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 V5336?

Accepted Answer

Documentation for V5336 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).