HCPCS Level II Codes Audiologists and speech-language pathologists routinely use Current Procedural Terminology (CPT)* codes. This column describes codes that supplement the CPT system. The Centers for Medicare and Medicaid Services (CMS) requires the use of Healthcare Common Procedural Coding System (HCPCS) for billing Medicare and Medicaid. The Health Insurance Portability and Accountability Act ... Bottom Line
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Bottom Line  |   June 01, 2004
HCPCS Level II Codes
Author Notes
  • Steven White, is the director of federal regulatory advocacy. Contact him by e-mail at swhite@asha.org.
    Steven White, is the director of federal regulatory advocacy. Contact him by e-mail at swhite@asha.org.×
Article Information
Speech, Voice & Prosodic Disorders / Hearing Disorders / Hearing Aids, Cochlear Implants & Assistive Technology / Augmentative & Alternative Communication / Swallowing, Dysphagia & Feeding Disorders / Special Populations / Early Identification & Intervention / Practice Management / Regulatory, Legislative & Advocacy / Speech, Voice & Prosody / Bottom Line
Bottom Line   |   June 01, 2004
HCPCS Level II Codes
The ASHA Leader, June 2004, Vol. 9, 3-17. doi:10.1044/leader.BML.09112004.3
The ASHA Leader, June 2004, Vol. 9, 3-17. doi:10.1044/leader.BML.09112004.3
Audiologists and speech-language pathologists routinely use Current Procedural Terminology (CPT)* codes. This column describes codes that supplement the CPT system. The Centers for Medicare and Medicaid Services (CMS) requires the use of Healthcare Common Procedural Coding System (HCPCS) for billing Medicare and Medicaid. The Health Insurance Portability and Accountability Act (HIPAA) regulations require HCPCS for government and private plan health care transactions. These codes have two levels. The Level I codes are CPT codes developed and maintained by the American Medical Association. The questions and answers below describe the Level II codes.
Q. What is covered by HCPCS Level II codes?
Prosthetic devices, durable medical equipment, and procedures not found in HCPCS Level I. The Level II codes are an alphanumeric system.
Q. What speech-language pathology procedures are found in HCPCS Level II?
The HCPCS Level II procedures are:
  • V5362-Speech screening

  • V5363-Language screening

  • V5364-Dysphagia screening

Q. What other types of codes are related to speech-language pathology?
There are codes for AAC devices (specifically for speech-generating devices [SGDs]) and voice prostheses. For example, K0615, K0616, and K0617 are used to report AAC devices. K0615 is for “Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes of recording time.” K0616 is for a similar SGD that has a pre-recorded message “greater than 20 minutes but less than or equal to 40 minutes of recording time.” K0617 is coded when a similar device has a pre-recorded message of greater than 40 minutes recording time. There are other AAC-related HCPCS codes as well.
Q. Are all the HCPCS Level II codes related to AAC devices?
No. Remember the screening codes described above and look at those listed below.
  • L8500-Artificial larynx, any type

  • L8501-Tracheostomy speaking valve

  • L8505-Artificial larynx replacement battery/accessory, any type

  • L8507-Tracheo-esophageal voice prosthesis, patient inserted, any type, each

  • L8509-Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type

  • L8510-Voice amplifier

Q. Are there audiology HCPCS Level II codes?
Yes-too many to list here. The audiology codes are especially used by state Medicaid programs. The Level II codes related to audiology procedures are: hearing screening (V5008), assessment for hearing aid (V5010), Fitting and orientation/checking of hearing aid (V5011), repair/modification of a hearing aid, and conformity evaluation (V5020). There are also a great number related to the type of hearing aid such as hearing aid, digitally programmable analog, monoaural, CIC (V5244). There are too many to list here.
Q. Where can I find more information on the HCPCS Level II codes?
Go to the CMS Web site at Healthcare Common Procedure Coding System General Overview. ASHA members can go to the Reimbursement Section of the ASHA Web site to find the specific codes for audiology and for speech-language pathology services and devices.
* CPT © 2004 American Medical Association. All Rights Reserved.
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June 2004
Volume 9, Issue 11