HCPCS | Maximum Fee | |||
---|---|---|---|---|
IND | Code | Mod | Description | Allowance |
$ | ||||
V5050 52 | Returned Hearing Aid | 30.00 | ||
V5014 | Hearing Aid Repair, Laboratory Invoice | B.R. | ||
Cost | ||||
N | V5014 52 | Hearing Aid Repair, Dispenser's Service | B.R. | |
Fee | ||||
V5265 | Earmold, Laboratory Invoice Cost | B.R. | ||
V5265 52 | Earmold, Dispenser's Service Fee | 10.00 | ||
V5266 | Battery for Hearing Aids (Per Battery) | B.R. | ||
Y4410 | Replacement Hook, Door, or Volume | B.R. | ||
Control | ||||
Y4510 | Cord, Replacement part for Hearing Aid | B.R. | ||
Y4520 | Receiver, Replacement part for Hearing | B.R. | ||
Aid | ||||
Y4530 | Tubing, Associated with Hearing Aid | B.R. | ||
Repair | ||||
Y4540 | Garment Bag, Associated with Hearing | B.R. | ||
Aid | ||||
Y4550 | Bone Conductor, Used with Hearing Aid | B.R. | ||
Y4560 | Headband, Used with Hearing Aid | B.R. | ||
Y4620 | Use of Electric Test Box to Test | B.R. | ||
Electroacoustic Performance of Hearing | ||||
Aid | ||||
Y4630 | Hearing Aid, Monaural, in the Canal | B.R. | ||
Y4640 | Hearing Aid, Binaural, in the Canal | B.R. |
N.J. Admin. Code § 10:64-3.3
See: 38 N.J.R. 1385(a), 38 N.J.R. 3304(a).
Rewrote the section.