New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 64 - HEARING AID SERVICES
Subchapter 3 - HEALTHCARE COMMON PROCEDURE CODING SYSTEM (HCPCS)
Section 10:64-3.2 - HCPCS Procedure codes and maximum fee allowance schedule for Level II codes and narratives

Universal Citation: NJ Admin Code 10:64-3.2
Current through Register Vol. 56, No. 18, September 16, 2024

HCPCSMaximum Fee
INDCodesModDescriptionAllowance
$
V5030Hearing Aid, Monaural, BodyB.R.
Worn, Air Conduction
V5040Hearing Aid, Monaural, BodyB.R.
Worn, Bone Conduction
V5050Hearing Aid, Monaural, In The EarB.R.
V5060Hearing Aid, Monaural,
Behind The EarB.R.
V5070Glasses, Air ConductionB.R.
V5080Glasses, Bone ConductionB.R.
V5090Dispensing Fee, Unspecified
(LT or RT)Hearing Aid175.00
NOTE: Monaural.
Specify LT = left or RT = right.
V5100Hearing Aid, Bilateral, BodyB.R.
Worn
NOTE: One unit, withY-cord or
bilateral cords.
V5110Dispensing Fee, Bilateral175.00
V5120Binaural, BodyB.R.
V5130Binaural, In The EarB.R.
V5140Binaural, Behind The EarB.R.
V5150Binaural, GlassesB.R.
V5160Dispensing Fee, Binaural280.00
V5170Hearing Aid, CROS,In The EarB.R.
V5180Hearing Aid, CROS,Behind The EarB.R.
V5190Hearing Aid, CROS,GlassesB.R.
V5200Dispensing Fee, CROS175.00
V5210Hearing Aid, BICROS,In The EarB.R.
V5220Hearing Aid, BICROS,Behind TheB.R.
Ear
V5230Hearing Aid, BICROS, GlassesB.R.
V5240Dispensing Fee, BICROS175.00
V5299Hearing service,miscellaneousB.R.

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