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Wednesday, March 8, 2017

Procedure Code Table - Continuation

CPT or HCPCS Procedure Code : T1024
Short Description: Team evaluation & management
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : T1025
Short Description: Ped compr care pkg, per diem 
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : V5010
Short Description: Hearing aid evaluation test 
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5011
Short Description: Fitting/orientation/checking of hear aid 
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5014
Short Description: Hearing aid repair/modifying
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5060
Short Description: Behind ear hearing aid
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5090
Short Description: Dispensing fee
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5095
Short Description:Implant mid ear hearing pros
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : V5140
Short Description:Behind ear binaur hearing ai
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5244
Short Description:Hearing aid, prog, mon, cic
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5245
Short Description:Hearing aid, prog, mon, itc
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5246
Short Description:Hearing aid, prog, mon, itc
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5247
Short Description:Hearing aid, prog, mon, bte
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5250
Short Description:Hearing aid, prog, bin, cic
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5251
Short Description:Hearing aid, prog, bin, itc
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5252
Short Description:Hearing aid, prog, bin, ite
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5253
Short Description:Hearing aid, prog, bin, bte
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5254
Short Description:Hearing id, digit, mon, cic
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5255
Short Description:Hearing aid, digit, mon, itc
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5256
Short Description:Hearing aid, digit, mon, ite
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5257
Short Description:Hearing aid, digit, mon, bte
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5258
Short Description:Hearing aid, digit, bin, cic
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5259
Short Description:Hearing aid, digit, bin, itc
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5260
Short Description:Hearing aid, digit, bin, ite
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5261
Short Description:Hearing aid, digit, bin, bte
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5262
Short Description:Hearing aid, disp, monaural
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : V5263
Short Description:Hearing aid, disp, binaural
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : V5264
Short Description:Ear mold/insert
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : V5265
Short Description:Ear mold/insert, disposable
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : V5266
Short Description:Battery for hearing device
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5267
Short Description:Hearing aid supply/accessory
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5275
Short Description:Ear impression
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5299
Short Description:Hearing service
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : V5336
Short Description:Repair/mod augmentative com sys/or devic
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : V5362
Short Description:Speech screening
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : V5363
Short Description:Language screening
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : V5364
Short Description:Dysphagia screening
Covered Benefit :No
Prior Authorization Needed: -

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