The Two Sides of Your Audiology Bill
Every charge is broken into two main categories: the **service** (the expert's time) and the **product** (the hardware).
CPT Codes (The Service/Brain Work)
CPT (Current Procedural Terminology) codes cover the professional services: **diagnostic testing, evaluation, fitting, and programming** appointments. These are billed to your medical benefit.
HCPCS Codes (The Product/Hardware)
HCPCS (Healthcare Common Procedure Coding System) codes, often called **V-Codes**, cover the **hearing aid device itself, batteries, and ear molds**. These are typically billed to a separate "Durable Medical Equipment" or "Hearing Aid" benefit.
Mastering the Codes: Diagnostic & Service Codes
Click on any of the top 5 most common codes to see exactly what service you're paying for!
Deconstructing the Hearing Aid Cost (The Package Price)
A single hearing aid price often **bundles** the hardware (V-Code) with crucial professional services (CPT/V-Codes) into a service tier.
Tier 1: Basic
Core hearing technology with essential features.
- V5050/V5060 (Monaural Device)
- V5011 (Fitting/Orientation)
- 6 Months of Follow-up Care
Tier 2: Advanced
Advanced noise reduction and wireless capabilities.
- V5130/V5140 (Binaural Device)
- V5020 (Conformity Evaluation/Real Ear)
- 1 Year of Follow-up Care
Tier 3: Premium
Highest-end processing and directional microphones.
- V5261 (Digital, Specific Model)
- V5090/V5110 (Dispensing Fee)
- 3 Years of Loss/Damage Warranty
🔥 Dude-Tip: Decoding the Dispensing Fee
The **Dispensing Fee (V5090/V5110)** is often the single line item that represents the cost of all the professional time associated with your purchase—fitting, programming, and follow-up adjustments—**unbundled** from the hardware itself. Always confirm what *services* are included in that fee's "package."
The Code Revolution: New Hearing Aid CPTs (2026)
Get a sneak peek at the new, hyper-specific **time-based** CPT codes that will make billing for professional fitting services much clearer.
92634: Fitting Services
New code for **Hearing aid fitting services**, unilateral or bilateral, including device analysis, programming, counseling, and training. This code is billed for the **first 60 minutes** of the session.
92636: Follow-up Services
New code for **Hearing aid post-fitting follow-up services**. This is a dedicated code for your maintenance check-ups and fine-tuning appointments, billed for the **first 30 minutes**.