V5242 HCPCS code: Hearing aid, analog, monaural, cic (completely in the ear canal)
V5242 is the HCPCS Level II code for hearing aid, analog, monaural, cic (completely in the ear canal). Its Medicare coverage code is S (Non-covered by Medicare statute): Medicare is barred by law from covering it.
Code details
| Field | Value |
|---|---|
| Section | V codes — Vision, hearing and speech-language pathology services |
| Coverage code | S — Non-covered by Medicare statute |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | O1F — Hearing and speech services |
| Added | 2002-01-01 |
| Last action effective | 2002-01-01 |
What changed for V5242
- 2002-01-01: V5242 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code V5242?
V5242 is the HCPCS Level II code for hearing aid, analog, monaural, cic (completely in the ear canal). Short descriptor: "Hearing aid, monaural, cic".
Does Medicare cover V5242?
Coverage code S — Non-covered by Medicare statute. Medicare is barred by law from covering it.
Related V52 codes
- V5200 — Dispensing fee, contralateral, monaural
- V5210 — Hearing aid, bicros, in the ear
- V5211 — Hearing aid, contralateral routing system, binaural, ite/ite
- V5212 — Hearing aid, contralateral routing system, binaural, ite/itc
- V5213 — Hearing aid, contralateral routing system, binaural, ite/bte
- V5214 — Hearing aid, contralateral routing system, binaural, itc/itc
- V5215 — Hearing aid, contralateral routing system, binaural, itc/bte
- V5220 — Hearing aid, bicros, behind the ear
- V5221 — Hearing aid, contralateral routing system, binaural, bte/bte
- V5230 — Hearing aid, contralateral routing system, binaural, glasses
- V5240 — Dispensing fee, contralateral routing system, binaural
- V5241 — Dispensing fee, monaural hearing aid, any type
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Next steps
- Run a reimbursement report for a device billed under V5242
- Watch V5242 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V5242
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.