Vision, Hearing, and Speech Codes: V-Code Reference

V-codes in HCPCS Level II cover vision, hearing, and speech devices and services. They include codes for eyeglasses frames and lenses, contact lenses, low vision aids, hearing aids, and speech-generating devices. Browse V-codes by filtering to V in the code browser. While Medicare's standard coverage for routine vision and hearing is limited, V-codes are used for covered items — such as post-cataract eyeglass allowances, certain hearing aids for Veterans, and speech-generating devices for beneficiaries with neurological conditions.

Eyeglass codes in the V section are organized by frame type and lens type. After cataract surgery, Medicare covers one pair of eyeglasses or contact lenses — a limited benefit that uses V-codes for billing. The frames must meet specific criteria for the Medicare allowance to apply. Billing V-codes for routine vision exams or glasses outside the post-cataract benefit will be denied as non-covered.

Speech-generating devices (SGDs) are a significant V-code area for billing teams serving patients with ALS, cerebral palsy, autism, or other conditions affecting verbal communication. SGDs may be rented or purchased under Medicare, with the applicable modifier (RR for rental, NU for new purchase) affecting the rate. Coverage requires a physician prescription and a speech-language pathology evaluation.

V-codes interact with DMEPOS billing rules for the hearing and speech device categories. Hearing aids, while generally excluded from Medicare coverage, may be covered in specific programs or under Medicare Advantage plans that supplement the standard benefit. Always verify coverage under the patient's specific plan before billing. Review quarterly changes for V-code updates affecting your product line.