{"id":177603,"date":"2026-08-14T08:00:04","date_gmt":"2026-08-14T08:00:04","guid":{"rendered":"https:\/\/pabau.com\/?p=177603"},"modified":"2026-08-14T12:19:27","modified_gmt":"2026-08-14T12:19:27","slug":"hcpcs-code-v5140","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-v5140\/","title":{"rendered":"HCPCS code V5140: binaural, behind the ear hearing aid guide"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS code V5140: binaural, behind the ear hearing aid billing guide\",\"description\":\"V5140 covers binaural behind-the-ear hearing aids. Medicare Part B excludes it, so bill Medicaid or commercial plans with prior auth.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-v5140\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-14\",\"dateModified\":\"2026-08-14\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>HCPCS code V5140 is the Level II code for a binaural, behind the ear hearing aid, dispensed as two devices.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The code sits in the V5008-V5364 range for hearing and speech-language pathology services, maintained by CMS.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Traditional Medicare Part B excludes hearing aids, so V5140 is not reimbursable for most beneficiaries.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Medicaid coverage varies by state, and commercial payers often cover V5140 with prior authorization and a current audiogram.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau tracks payer verification, authorization, and documentation before the claim goes out.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\"><strong>HCPCS code V5140<\/strong> is the Level II code for a binaural, behind the ear hearing aid. Two behind-the-ear devices are dispensed together, one fitting each ear. CMS maintains the code, and traditional Medicare Part B attaches no payment to it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That last point decides most V5140 claims. Whether you get paid depends far more on the payer than on the code. This guide covers the descriptor, coverage across Medicare, Medicaid, and commercial plans, and the documentation each claim needs. It also walks the billing sequence that keeps denials down.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">HCPCS code V5140: definition and code details<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>HCPCS code V5140<\/strong> has the official descriptor <em>Binaural, behind the ear<\/em>. It belongs to HCPCS Level II, the alphanumeric code set maintained by the <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/healthcare-common-procedure-system\" target=\"_blank\" rel=\"nofollow noopener\">Centers for Medicare and Medicaid Services (CMS)<\/a>. Level II covers products and services CPT codes do not reach, including durable medical equipment, orthotics, prosthetics, and hearing devices.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">HCPCS code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">V5140<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Binaural, behind the ear<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code level<\/td>\n<td style=\"padding:12px 16px;color:#374151\">HCPCS Level II (permanent code)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code section<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hearing and speech-language pathology services (V5008-V5364)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hearing services<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">2026 validity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Valid for 2026 (confirm annually with CMS HCPCS files)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Maintaining body<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS (Centers for Medicare and Medicaid Services)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The V5 range runs from V5008 to V5364, covering hearing and speech-language pathology services. Vision codes sit in a separate V2020-V2799 range. V5140 is the binaural BTE entry, meaning the devices fit behind both ears rather than inside the canal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because the same range carries speech-language pathology codes, <a href=\"https:\/\/pabau.com\/industry\/speech-therapy-software\/\">speech therapy practices<\/a> run into the same payer variation audiologists do. Both specialties bill V codes to plans that set their own hearing and speech benefit limits.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What does binaural behind the ear mean?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Binaural, behind the ear means two hearing aids, one sitting behind each ear. Binaural describes the fitting and behind the ear describes the device style. V5140 requires both to be true.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Binaural<\/strong> means the hearing aid system fits both ears. The patient receives two devices, one for each ear. A monaural fitting aids only one ear.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Behind the ear (BTE)<\/strong> refers to the physical device style. The main body sits behind the auricle, with a thin tube or receiver wire carrying sound into the ear canal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">BTE is one of several form factors. Others include in-the-ear (ITE), in-the-canal (ITC), receiver-in-canal (RIC), and completely-in-canal (CIC). Each style has its own HCPCS code.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Binaural BTE (V5140):<\/strong> two behind-the-ear devices, bilateral fitting<\/li><li><strong>Monaural BTE (V5060):<\/strong> single behind-the-ear device, one ear only<\/li><li><strong>Binaural ITE (V5130):<\/strong> two in-the-ear devices, bilateral fitting<\/li><li><strong>Monaural ITE (V5050):<\/strong> single in-the-ear device, one ear only<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Billing V5140 when only one device is dispensed triggers an automatic denial. Confirm the binaural fitting in the dispensing record before the claim goes out.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How V5140 compares with adjacent V5 codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Selecting the wrong code is the leading cause of hearing aid claim denials. The V5 descriptors sit close together and are easy to confuse. Use the table below to confirm the code before you submit through your <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The closest match to V5140 is <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-v5060\/\">V5060<\/a>, which covers the same behind-the-ear style fitted to one ear only. Everything else in the table changes either the ear count or the device style.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Ear fitting<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Device style<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">V5050<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Monaural, in the ear<\/td>\n<td style=\"padding:12px 16px;color:#374151\">One ear<\/td>\n<td style=\"padding:12px 16px;color:#374151\">In-the-ear<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">V5060<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Monaural, behind the ear<\/td>\n<td style=\"padding:12px 16px;color:#374151\">One ear<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Behind-the-ear<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">V5110<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dispensing fee, bilateral<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Both ears<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dispensing fee<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">V5120<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Binaural, body worn<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Both ears<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Body-worn<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">V5130<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Binaural, in the ear<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Both ears<\/td>\n<td style=\"padding:12px 16px;color:#374151\">In-the-ear<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><strong>V5140<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Binaural, behind the ear<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Both ears<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Behind-the-ear<\/strong><\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">V5150<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Binaural, glasses<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Both ears<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Eyeglass-mounted<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">V5160<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dispensing fee, binaural<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Both ears<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dispensing fee<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Dispensing fee codes are billed separately from device codes. <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-v5160\/\">V5160<\/a> is the binaural dispensing fee, and <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-v5200\/\">V5200<\/a> is the contralateral monaural equivalent. Some payers require the fee code alongside the device code and others bundle it, so verify the policy first.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Medicare coverage for V5140<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Traditional Medicare Part B does not cover hearing aids for most beneficiaries. Hearing aids, including binaural BTE devices billed as V5140, are excluded under Section 1862(a)(7) of the Social Security Act. Submitting V5140 to Part B for reimbursement produces a denial.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A few exceptions are worth knowing:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Medicare Advantage (Part C):<\/strong> Many Advantage plans offer supplemental hearing benefits that Part B does not. Coverage varies by plan and by geography, so verify with the specific plan before dispensing.<\/li><li><strong>Federal Employees Health Benefits (FEHB):<\/strong> Federal employees and retirees may have hearing aid benefits, depending on the plan they selected. Check the benefit booklet for V5 code coverage.<\/li><li><strong>Medicare Part A:<\/strong> A hearing device supplied during inpatient care may fall inside the DRG payment. This is rare for dispensing practices.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Record the payer coverage verification outcome in the patient record before the fitting appointment, not after. That order prevents fitting binaural BTE aids and then discovering the exclusion at claim submission. <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-software\/\">HIPAA-compliant documentation<\/a> keeps the record defensible, and <a href=\"https:\/\/pabau.com\/features\/automated-workflows-software\/\">automated workflows<\/a> can flag Medicare patients for verification during intake.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-v5140\/appointment-scheduling-in-pabau.webp\" alt=\"Pabau new appointment panel beside a client record dashboard\"\/><figcaption class=\"wp-element-caption\"><em>Pabau opens the client&#8217;s history, medications, and alerts beside the booking panel, so coverage checks happen before the fitting is confirmed.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Medicaid and commercial payer coverage<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicaid coverage for V5140 varies by state. State programs set their own hearing aid policies, and several do cover hearing aids for adults. Benefit limits, device price caps, and replacement frequency rules differ between them.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>State hearing aid benefits:<\/strong> Check your state Medicaid fee schedule for the V5140 rate and any quantity or price limit. Minnesota and California have both published V5 code coverage guidance.<\/li><li><strong>Prior authorization:<\/strong> Most state programs that cover hearing aids require authorization with audiometric documentation. Obtain it before the fitting appointment, not after the device is dispensed.<\/li><li><strong>Commercial insurers:<\/strong> Many employer-sponsored plans cover hearing aids with prior authorization. They typically want a recent audiogram, usually within six months, plus a prescription and a medical necessity note.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Requirements differ by plan, so verify V5140 coverage for each commercial payer rather than reusing assumptions from an earlier claim. <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">Standardized medical forms<\/a> that capture the verification outcome keep that check auditable.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What V5140 pays in 2026<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Traditional Medicare Part B does not cover V5140, so there is no Medicare Physician Fee Schedule rate for the code. Reimbursement benchmarks come from state Medicaid fee schedules and commercial payer contracts, and both vary widely.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Payer type<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Coverage status<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Rate source<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare Part B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Not covered (no fee schedule rate)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS Medicare Coverage Database<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare Advantage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Varies by plan (may cover)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Individual plan benefit schedule<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicaid<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Varies by state (some cover)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">State Medicaid fee schedule<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Commercial insurance<\/td>\n<td style=\"padding:12px 16px;color:#374151\">May cover with prior authorization<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Individual plan contract<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">For official 2026 rate data, use the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS fee schedule lookup<\/a> and your state Medicaid portal. Commercial benchmarks come from payer contracts and audiology association fee surveys. Treat third-party rate estimates as reference ranges, never as billing certainty.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Audit your payer mix annually. If a large share of your audiology panel carries Medicare Advantage rather than traditional Medicare, the V5140 coverage picture changes. Note which Advantage plans in your area cover hearing aids and at what benefit limits, then build that into intake verification.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">How to bill V5140, step by step<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">V5140 claims follow a defined sequence, and skipping a step raises denial risk. Use this workflow for every binaural BTE dispensing encounter.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Verify payer coverage before the appointment.<\/strong> Confirm whether the plan covers V5140. For Medicare beneficiaries, document the non-coverage status and tell the patient they carry the cost. For Medicaid and commercial plans, call the payer or check the portal.<\/li><li><strong>Obtain a current audiogram.<\/strong> Payers that cover hearing aids usually require an audiological evaluation within a set window, often six months. The assessment itself bills under <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-v5010\/\">V5010<\/a>, and the results must be on file before dispensing.<\/li><li><strong>Secure prior authorization where required.<\/strong> Medicaid programs and most commercial insurers require it for hearing aids. Submit the request with the audiogram and the treating provider&#8217;s order, then record the authorization number.<\/li><li><strong>Confirm the binaural BTE configuration at dispensing.<\/strong> Verify that two behind-the-ear devices were fitted and document it clearly in the record. Fitting one ear or switching device style changes the code.<\/li><li><strong>Submit the claim with supporting documentation.<\/strong> Bill V5140 with the audiogram date, authorization number, prescription reference, and device details on the claim or on file. Use the <a href=\"https:\/\/www.aapc.com\/codes\/hcpcs-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC HCPCS reference<\/a> to check the descriptor before submission.<\/li><li><strong>Add the dispensing fee code if the payer wants it.<\/strong> Some plans accept or require a separate binaural dispensing fee code, V5160. Verify the policy before you add it to the claim.<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Patient management software that holds payer verification status, authorization numbers, and audiogram dates at the patient level removes the manual checklist. Nothing then depends on someone remembering to open a spreadsheet before the fitting.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Documentation you need before you submit<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Incomplete documentation is the second most common reason V5140 claims are denied, behind payer coverage. Every claim needs these records on file before submission. <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">Digital intake forms<\/a> capture them at the point of care instead of after the fact.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-v5140\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s multi-step forms collect the audiogram findings, the signed order, and the patient&#8217;s signature into one record before dispensing.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Current audiogram:<\/strong> Results from a comprehensive audiological evaluation confirming bilateral hearing loss. Payers set their own acceptable window, and six months is common.<\/li><li><strong>Prescription or order:<\/strong> A signed order from the treating audiologist or referring physician. Some payers require a physician prescription specifically.<\/li><li><strong>Medical necessity statement:<\/strong> Documentation that binaural amplification is clinically indicated, based on the audiometric findings and functional assessment.<\/li><li><strong>Device specifications:<\/strong> Confirmation that the dispensed devices are behind-the-ear style and that both ears were fitted. The dispensing record or the device order form will do.<\/li><li><strong>Prior authorization number:<\/strong> Required for Medicaid and commercial claims that need pre-authorization. The number must appear on the claim or sit on file.<\/li><li><strong>Payer coverage verification record:<\/strong> The date coverage was checked, the method used, and the outcome. This matters most for Medicare Advantage patients, whose hearing benefits vary by plan.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">Structured patient records<\/a> that link each document to the encounter date let billing staff pull the full set quickly. That speed matters when a payer queries a claim or opens an audit.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-v5140\/comprehensive-patient-records.webp\" alt=\"Comprehensive patient records in Pabau with an activity timeline\"\/><figcaption class=\"wp-element-caption\"><em>Each client record carries the outstanding balance and every scheduled follow-up, so a queried V5140 claim can be reconstructed from one screen.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Common denials and how to fix them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hearing aid denials follow predictable patterns. Knowing them makes appeal preparation faster and stops you resubmitting a claim with the same defect.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Denial reason<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Root cause<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Resolution<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Non-covered service<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Billed to traditional Medicare Part B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Issue an ABN before dispensing, then bill the patient or the Advantage plan<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Monaural\/binaural mismatch<\/td>\n<td style=\"padding:12px 16px;color:#374151\">V5140 billed when only one device was dispensed<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Correct to V5060 and resubmit<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Missing audiogram<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No audiometric documentation on file, or outdated results<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Obtain and attach a current audiogram, then resubmit<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">No prior authorization<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Device dispensed without the required authorization<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Request retro-authorization if allowed, and document a pre-auth step<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Benefit limit exceeded<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Replacement inside the plan&#8217;s exclusion period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Document medical necessity for early replacement and appeal<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">For a documentation denial, gather the full record set and submit it with a cover letter naming what is now attached. For a benefit limit denial, include a clinical note explaining why early replacement is medically necessary.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Pabau keeps hearing aid claims clean<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The denials above are workflow failures more often than coding failures. The coder picks the wrong code because the dispensing record was incomplete. The claim reaches Medicare because the intake verification step never happened. The authorization is missing because approvals lived on a spreadsheet nobody opened.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/blog\/best-medical-practice-management-software\/\">Practice management software<\/a> like Pabau addresses those failure points in the workflow itself. Custom forms capture the audiogram date, the signed order, and the device configuration into the client record.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The appointment record then holds the payer verification outcome and the authorization number. Billing staff read both from the same screen they use to build the claim. Pabau runs in audiology, <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy practices<\/a>, and other allied-health settings that bill payer-specific code sets.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-v5140\/automate-claims-through-healthcode.webp\" alt=\"Pabau checkout with an insurer invoice attached to the appointment\"\/><figcaption class=\"wp-element-caption\"><em>Pabau builds the insurer invoice from the checked-out appointment, so the payer, the device, and the fee stay on one record.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Once the clinical and administrative sides share one record, hand-off errors drop. <a href=\"https:\/\/pabau.com\/blog\/ehr-integration\/\">EHR integration<\/a> moves the audiogram date, device configuration, and prescription reference into the billing workflow without re-entry. Claims management then submits and tracks the claim from the record data you already hold.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Simplify your hearing aid billing workflows                <\/h3>\n\n                <p class=\"description\">\n                    Pabau keeps payer verification, authorization numbers, and dispensing documentation on the client record. Your hearing aid claims leave the practice complete the first time.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The code itself is the easy part. V5140 has one descriptor and one clinical trigger, so the decision at dispensing is rarely ambiguous. What decides payment is the payer you chose and the paperwork you gathered before the device left the room.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So the work moves earlier. Verify coverage before the fitting rather than after. Treat the audiogram, the order, and the authorization as prerequisites for the fitting. The trade-off is a slower intake in exchange for a much smaller denial pile.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau gives audiology teams one place to track coverage, authorization, and documentation before a V-code claim leaves the practice. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how it handles hearing aid billing end to end.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need a wider view of procedure code billing?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/bupa-ccsd-codes\/\">Bupa CCSD codes<\/a> covers how procedure coding systems work across payer types and what documentation each one requires.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Building the assessment record that supports a claim?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/comprehensive-assessment\/\">Comprehensive assessment<\/a> walks through the sections a full clinical assessment needs and how to structure them.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Handing patients paperwork at the end of an episode?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/patient-discharge-form\/\">Patient discharge form<\/a> gives you a free template plus the fields payers and auditors expect to see.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing another device code that hinges on prior authorization?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-a4290\/\">A4290<\/a> walks the same verify, authorize, and document sequence for a sacral nerve stimulation test lead.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want fewer manual steps between clinical and billing work?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/clinic-automations-for-revenue-growth\/\">Clinic automations for revenue growth<\/a> explains where automation removes the handoffs that produce documentation errors.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786612554696\"><h3 class=\"schema-faq-question\">What does HCPCS code V5140 mean?<\/h3> <p class=\"schema-faq-answer\">HCPCS code V5140 is the Level II code for a binaural, behind the ear hearing aid. Two behind-the-ear devices are dispensed, one fitting each ear. The code sits in the V5008-V5364 hearing services section and is maintained by CMS.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786612554697\"><h3 class=\"schema-faq-question\">Is V5140 covered by Medicare?<\/h3> <p class=\"schema-faq-answer\">No. Traditional Medicare Part B does not cover hearing aids, including V5140, for most beneficiaries. Some Medicare Advantage plans offer supplemental hearing benefits that cover V5140. Coverage varies by plan, so verify Advantage benefits before dispensing.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786612554698\"><h3 class=\"schema-faq-question\">What is the difference between V5140 and V5130?<\/h3> <p class=\"schema-faq-answer\">V5130 describes a binaural, in-the-ear hearing aid, while V5140 describes a binaural, behind-the-ear hearing aid. Device style is the distinction. V5130 fits inside both ear canals and V5140 sits behind both ears. Select the code that matches the device dispensed.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786612554699\"><h3 class=\"schema-faq-question\">Does Medicaid cover HCPCS V5140?<\/h3> <p class=\"schema-faq-answer\">Medicaid coverage for V5140 depends on the state. Some Medicaid programs cover hearing aids for adults, subject to benefit limits and prior authorization. Others do not cover them at all. Check your state&#8217;s fee schedule and coverage policy before you dispense.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786612554700\"><h3 class=\"schema-faq-question\">What documentation is required to bill V5140?<\/h3> <p class=\"schema-faq-answer\">You need a current audiogram, a signed prescription or order, and a medical necessity statement. Add device specifications confirming the binaural BTE configuration, plus a prior authorization number where the payer requires one. Requirements vary by payer, so verify before submitting.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786612554701\"><h3 class=\"schema-faq-question\">What is the difference between binaural and monaural hearing aid HCPCS codes?<\/h3> <p class=\"schema-faq-answer\">Binaural codes such as V5140 apply when two devices are dispensed, one for each ear. Monaural codes such as V5060 apply when only one device is dispensed. Billing V5140 for a monaural fitting is a coding error, and it results in denial.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>HCPCS code V5140 is the Level II code for a binaural, behind the ear hearing aid. Two behind-the-ear devices are dispensed together, one fitting each ear. CMS maintains the code, and traditional Medicare Part B attaches no payment to it. That last point decides most V5140 claims. Whether you get paid depends far more on [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":177602,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"77","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548,1869],"tags":[1364,1582,1619],"class_list":["post-177603","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs","category-united-states","tag-billing","tag-hcpcs","tag-hcpcs-billing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS code V5140: binaural, behind the ear hearing aid guide<\/title>\n<meta name=\"description\" content=\"V5140 covers binaural BTE hearing aids. Medicare Part B excludes them; bill Medicaid\/commercial plans with prior auth.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-v5140\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HCPCS code V5140: binaural, behind the ear hearing aid guide\" \/>\n<meta property=\"og:description\" content=\"V5140 covers binaural BTE hearing aids. Medicare Part B excludes them; bill Medicaid\/commercial plans with prior auth.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-v5140\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-14T08:00:04+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-14T12:19:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-v5140.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Despina Petrushevska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Despina Petrushevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/\"},\"author\":{\"name\":\"Despina Petrushevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/80e6d36732fad68140a849f3c351449b\"},\"headline\":\"HCPCS code V5140: binaural, behind the ear hearing aid guide\",\"datePublished\":\"2026-08-14T08:00:04+00:00\",\"dateModified\":\"2026-08-14T12:19:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/\"},\"wordCount\":2409,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-v5140.webp\",\"keywords\":[\"billing\",\"Hcpcs\",\"Hcpcs Billing\"],\"articleSection\":[\"Billing Codes\",\"HCPCS\",\"United States\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/\",\"name\":\"HCPCS code V5140: binaural, behind the ear hearing aid guide\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-v5140.webp\",\"datePublished\":\"2026-08-14T08:00:04+00:00\",\"dateModified\":\"2026-08-14T12:19:27+00:00\",\"description\":\"V5140 covers binaural BTE hearing aids. 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Outside of work, she enjoys photography, weekend getaways, and finding inspiration in everyday experiences.\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/blog\\\/author\\\/despina-petrushevska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554696\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554696\",\"name\":\"What does HCPCS code V5140 mean?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"HCPCS code V5140 is the Level II code for a binaural, behind the ear hearing aid. Two behind-the-ear devices are dispensed, one fitting each ear. The code sits in the V5008-V5364 hearing services section and is maintained by CMS.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554697\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554697\",\"name\":\"Is V5140 covered by Medicare?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. Traditional Medicare Part B does not cover hearing aids, including V5140, for most beneficiaries. Some Medicare Advantage plans offer supplemental hearing benefits that cover V5140. Coverage varies by plan, so verify Advantage benefits before dispensing.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554698\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554698\",\"name\":\"What is the difference between V5140 and V5130?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"V5130 describes a binaural, in-the-ear hearing aid, while V5140 describes a binaural, behind-the-ear hearing aid. Device style is the distinction. V5130 fits inside both ear canals and V5140 sits behind both ears. Select the code that matches the device dispensed.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554699\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554699\",\"name\":\"Does Medicaid cover HCPCS V5140?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicaid coverage for V5140 depends on the state. Some Medicaid programs cover hearing aids for adults, subject to benefit limits and prior authorization. Others do not cover them at all. Check your state's fee schedule and coverage policy before you dispense.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554700\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-v5140\\\/#faq-question-1786612554700\",\"name\":\"What documentation is required to bill V5140?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"You need a current audiogram, a signed prescription or order, and a medical necessity statement. Add device specifications confirming the binaural BTE configuration, plus a prior authorization number where the payer requires one. 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The code sits in the V5008-V5364 hearing services section and is maintained by CMS.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-v5140\/#faq-question-1786612554697","position":2,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-v5140\/#faq-question-1786612554697","name":"Is V5140 covered by Medicare?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. Traditional Medicare Part B does not cover hearing aids, including V5140, for most beneficiaries. Some Medicare Advantage plans offer supplemental hearing benefits that cover V5140. 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Select the code that matches the device dispensed.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-v5140\/#faq-question-1786612554699","position":4,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-v5140\/#faq-question-1786612554699","name":"Does Medicaid cover HCPCS V5140?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicaid coverage for V5140 depends on the state. Some Medicaid programs cover hearing aids for adults, subject to benefit limits and prior authorization. Others do not cover them at all. Check your state's fee schedule and coverage policy before you dispense.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-v5140\/#faq-question-1786612554700","position":5,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-v5140\/#faq-question-1786612554700","name":"What documentation is required to bill V5140?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"You need a current audiogram, a signed prescription or order, and a medical necessity statement. Add device specifications confirming the binaural BTE configuration, plus a prior authorization number where the payer requires one. 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