V5299 HCPCS code: Hearing service, miscellaneous
V5299 is the HCPCS Level II code for hearing service, miscellaneous. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on outpatient hospital claims.
Code details
| Field | Value |
|---|---|
| Section | V codes — Vision, hearing and speech-language pathology services |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 13 |
| BETOS category | O1F — Hearing and speech services |
| Added | 1982-01-01 |
| Last action effective | 1995-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Clinical: CMS Workgroup |
| practitioner claims | 1 | Clinical: CMS Workgroup |
What changed for V5299
- 1982-01-01: V5299 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 V5299?
V5299 is the HCPCS Level II code for hearing service, miscellaneous. Short descriptor: "Hearing service".
Does Medicare cover V5299?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of V5299 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
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 V5299
- Watch V5299 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V5299
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.