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See a sample rate comparisonHCPCS V5040 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.
Hearing aid, monaural, body worn, bone conduction
| Key Fact | Detail |
|---|---|
| Service Type | Hearing Services Hearing Aid, Monaural |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for V5040 |
National average reimbursement for HCPCS V5040 by major payers:
$779.95
$718.89
$512.50
$465.53
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HCPCS V5040
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,474.22Published rateEmory Crawford Long Hospital
Emory University
$1,133.90Published rateChristopher Raio
St Francis Hospital
$823.13Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$750.27Published rateAlicia Encinas
Miguel A Arenas Md PC
$452.10Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V5040 vs. Other Hearing Aid, Monaural Codes
The HCPCS V5040 code is part of the Hearing Services services used for Hearing Aid, Monaural. 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 V5040 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 |
|---|---|---|
| V5030-HCPCS | Moderate | Hearing aid, monaural, body worn, air conduction |
| V5040-HCPCS | Moderate | Hearing aid, monaural, body worn, bone conduction |
| V5050-HCPCS | Moderate | Hearing aid, monaural, in the ear |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V5040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V5040 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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