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HCPCS V5299 · Level II · V code

V5299: Hearing service, miscellaneous, HCPCS Level II V code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for V5299

Medicare payment
no PFS amount
PFS status R
Coverage code
D
special coverage instructions apply
Practitioner MUE
1
MAI 3
OPPS status
SI B
Non-allowed item or service for OPPS
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

CMS describes HCPCS V5299, added in 1982, as "Hearing service, miscellaneous". The physician fee schedule lists V5299 with status R (restricted coverage: contractor-priced when covered), so the PFS carries no national amount for it. Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Clinical: CMS Workgroup); hospital outpatient 1 (MAI 3, Clinical: CMS Workgroup). V5299 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD. OPPS status indicator B: Non-allowed item or service for OPPS. HCPCS record: BETOS O1F (hearing and speech services); pricing indicator 13; type of service K (hearing items and services). Nearby codes: V2790, V2785, V2784, V2783.

V5299 descriptor and code status

The October 2026 HCPCS Level II file describes V5299 as “Hearing service, miscellaneous”. It sits in the V section (vision, hearing and speech-language pathology services), listed with the other V codes. Although searches often call it the "V5299 CPT code", V5299 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of V5299
FieldValue
Short descriptorHearing service
Added to HCPCS1982-01-01
Last actionN (no maintenance), effective 1995-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator13: physician fee schedule, priced by the contractor
BETOS categoryO1F: hearing and speech services
Type of serviceK: hearing items and services

Medicare payment for V5299

The physician fee schedule lists V5299 with status R (restricted coverage: contractor-priced when covered), so the PFS carries no national amount for it. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status R: restricted coverage: contractor-priced when covered. Global period XXX (global surgery concept does not apply); PC/TC indicator 0 (physician service; the professional/technical split does not apply).

PFS relative values and national payment for V5299
ComponentNon-facilityFacility
Work RVU0.000.00
Practice expense RVU0.000.00
Malpractice RVU0.000.00
Total RVUs0.000.00
National payment (CF $33.4009)n/an/a
Qualifying APM participant (CF $33.5675)n/an/a
  • Multiple procedures (modifier 51): no multiple-procedure reduction
  • Bilateral (modifier 50): 150% bilateral adjustment does not apply
  • Assistant at surgery: assistant at surgery paid only with documentation; co-surgeons: co-surgeons not permitted; team surgery: team surgeons not permitted
  • Physician supervision of diagnostic procedures: supervision concept does not apply

Hospital outpatient (OPPS Addendum B)

Status indicator B (Non-allowed item or service for OPPS), with no separate OPPS payment rate.

Medically Unlikely Edits for V5299

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Clinical: CMS Workgroup); hospital outpatient 1 (MAI 3, Clinical: CMS Workgroup). The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for V5299 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services13 Date of Service Edit: ClinicalClinical: CMS Workgroup
Facility outpatient hospital13 Date of Service Edit: ClinicalClinical: CMS Workgroup

The MUE lookup for V5299 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists V5299 in v323r0.

V5299 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check V5299 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for V5299

No current LCD or billing and coding article lists V5299. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.

Denials to expect on V5299

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of V5299 exceed the practitioner MUE of 1 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for V5299 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for V5299 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS V5299

What does HCPCS code V5299 describe?

"Hearing service, miscellaneous" (short descriptor "Hearing service"), in the V section (vision, hearing and speech-language pathology services). Added 1982-01-01; last action N (no maintenance) effective 1995-01-01.

Is V5299 a CPT code?

No. V5299 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set. Searches for "V5299 CPT code" mean this Level II code.

What does Medicare pay for V5299?

The physician fee schedule lists V5299 with status R (restricted coverage: contractor-priced when covered), so the PFS carries no national amount for it.

How many units of V5299 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Clinical: CMS Workgroup); hospital outpatient 1 (MAI 3, Clinical: CMS Workgroup). For the practitioner MUE (MAI 3), units above 1 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover V5299?

V5299 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.