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See a sample rate comparisonHCPCS V5090 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.
Dispensing fee, unspecified hearing aid
| Key Fact | Detail |
|---|---|
| Service Type | Hearing Services Miscellaneous Hearing Services and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for V5090 |
National average reimbursement for HCPCS V5090 by major payers:
$197.88
$344.94
$232.38
$323.18
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HCPCS V5090
5 of 25 sample ratesHigher to lower in this preview
Carson Medical Group Professional Corporation
Carson Medical Group
$732.31Published rateEmory University Hospital
Emory University
$509.08Published rateHospital Authority Of Candler County, Candler County Hospital
$456.82Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$358.23Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$268.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V5090 vs. Other Miscellaneous Hearing Services and Supplies Codes
The HCPCS V5090 code is part of the Hearing Services services used for Miscellaneous Hearing Services and Supplies. 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 V5090 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 |
|---|---|---|
| V5080-HCPCS | Moderate | Glasses, bone conduction |
| V5090-HCPCS | Low | Dispensing fee, unspecified hearing aid |
| V5095-HCPCS | Moderate | Semi-implantable middle ear hearing prosthesis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V5090. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V5090 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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