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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Hearing Services Hearing Assessments and Evaluations |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for V5014 |
National average reimbursement for HCPCS V5014 by major payers:

$109.93

$128.70

$91.28

$131.65
Choose a payer to see a sample of rates for HCPCS V5014.
Piedmont Newton Hospital Inc
Emory University
Union County Hospital Authority
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalHCPCS V5014 vs. Other Hearing Assessments and Evaluations Codes
The HCPCS V5014 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 V5014 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 |
|---|---|---|
| V5011-HCPCS | Low | Fitting/orientation/checking of hearing aid |
| V5014-HCPCS | Low | Repair/modification of a hearing aid |
| V5020-HCPCS | Low | Conformity evaluation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V5014. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V5014 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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