N.J. Admin. Code § 10:64-3.2
Current through Register Vol. 56, No. 21, November 4, 2024
| HCPCS | Maximum Fee | |||
|---|---|---|---|---|
| IND | Codes | Mod | Description | Allowance |
| $ | ||||
| V5030 | Hearing Aid, Monaural, Body | B.R. | ||
| Worn, Air Conduction | ||||
| V5040 | Hearing Aid, Monaural, Body | B.R. | ||
| Worn, Bone Conduction | ||||
| V5050 | Hearing Aid, Monaural, In The Ear | B.R. | ||
| V5060 | Hearing Aid, Monaural, | |||
| Behind The Ear | B.R. | |||
| V5070 | Glasses, Air Conduction | B.R. | ||
| V5080 | Glasses, Bone Conduction | B.R. | ||
| V5090 | Dispensing Fee, Unspecified | |||
| (LT or RT) | Hearing Aid | 175.00 | ||
| NOTE: Monaural. | ||||
| Specify LT = left or RT = right. | ||||
| V5100 | Hearing Aid, Bilateral, Body | B.R. | ||
| Worn | ||||
| NOTE: One unit, withY-cord or | ||||
| bilateral cords. | ||||
| V5110 | Dispensing Fee, Bilateral | 175.00 | ||
| V5120 | Binaural, Body | B.R. | ||
| V5130 | Binaural, In The Ear | B.R. | ||
| V5140 | Binaural, Behind The Ear | B.R. | ||
| V5150 | Binaural, Glasses | B.R. | ||
| V5160 | Dispensing Fee, Binaural | 280.00 | ||
| V5170 | Hearing Aid, CROS,In The Ear | B.R. | ||
| V5180 | Hearing Aid, CROS,Behind The Ear | B.R. | ||
| V5190 | Hearing Aid, CROS,Glasses | B.R. | ||
| V5200 | Dispensing Fee, CROS | 175.00 | ||
| V5210 | Hearing Aid, BICROS,In The Ear | B.R. | ||
| V5220 | Hearing Aid, BICROS,Behind The | B.R. | ||
| Ear | ||||
| V5230 | Hearing Aid, BICROS, Glasses | B.R. | ||
| V5240 | Dispensing Fee, BICROS | 175.00 | ||
| V5299 | Hearing service,miscellaneous | B.R. |
N.J. Admin. Code § 10:64-3.2