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See a sample rate comparisonHCPCS V5011 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Fitting/orientation/checking of hearing aid
| Key Fact | Detail |
|---|---|
| Service Type | Hearing Services Hearing Assessments and Evaluations |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for V5011 |
National average reimbursement for HCPCS V5011 by major payers:
$91.06
$106.54
$77.71
$121.51
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HCPCS V5011
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$218.44Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$157.22Published rateIrwin County Hospital
$133.10Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$110.48Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$82.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V5011 vs. Other Hearing Assessments and Evaluations Codes
The HCPCS V5011 code is part of the Hearing Services services used for Hearing Assessments and Evaluations. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS V5011 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| V5010-HCPCS | Low | Assessment for hearing aid |
| V5011-HCPCS | Low | Fitting/orientation/checking of hearing aid |
| V5014-HCPCS | Low | Repair/modification of a hearing aid |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V5011. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V5011 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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