V5299 — Hearing service, miscellaneous
V5299 is a HCPCS Level II code for hearing service, miscellaneous. It belongs to the Vision, Hearing and Speech-Language Pathology section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusR
Restricted coverage. Special coverage instructions apply, and if covered the service is contractor-priced.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of V5299 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 1 unit MAI 3 — Date of Service Edit: Clinical · Clinical: CMS Workgroup
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Clinical: CMS Workgroup
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for V5299
- Long descriptor
- Hearing service, miscellaneous
- Short descriptor
- Hearing service
- Added
- January 1, 1982
- BETOS
- O1F
- Pricing indicator
- 13 — Physician fee schedule
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Price established by carriers — not otherwise classified, individual determination, or carrier discretion.
Codes adjacent to V5299
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If V5299 is not quite right, the correct code is very often within a few positions of it.
- V5284Assistive listening device, personal fm/dm, ear level receiver
- V5285Assistive listening device, personal fm/dm, direct audio input receiver
- V5286Assistive listening device, personal blue tooth fm/dm receiver
- V5287Assistive listening device, personal fm/dm receiver, not otherwise specified
- V5288Assistive listening device, personal fm/dm transmitter assistive listening device
- V5289Assistive listening device, personal fm/dm adapter/boot coupling device for receiver, any type
- V5290Assistive listening device, transmitter microphone, any type
- V5298Hearing aid, not otherwise classified
- V5336Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid)
- V5362Speech screening
- V5363Language screening
- V5364Dysphagia screening
Questions about V5299
What is HCPCS code V5299?
V5299 is a HCPCS Level II code for hearing service, miscellaneous. It sits in the Vision, Hearing and Speech-Language Pathology section.
Does Medicare cover V5299?
The CMS HCPCS file marks V5299 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is V5299 paid under the physician fee schedule?
V5299 carries PFS status code R. Restricted coverage. Special coverage instructions apply, and if covered the service is contractor-priced.