V5095 HCPCS Level II code: Semi-implantable middle ear hearing prosthesis
V5095 is the HCPCS code for “Semi-implantable middle ear hearing prosthesis” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
V5095Semi-implantable middle ear hearing prosthesis
Short description: Implant mid ear hearing pros
HCPCS · United States
Medicare details
The indicators CMS publishes with V5095 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Non-covered by Medicare statute
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Hearing items and services
- BETOS category
- Hearing and speech services
- Coverage statute
- 1862A7
- Added
- Jan 1, 2003
Where V5095 sits
- 1V codesVision, hearing and speech-language services
- 2Active code V5095Semi-implantable middle ear hearing prosthesis
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code V5095 mean?
V5095 is the HCPCS code for “Semi-implantable middle ear hearing prosthesis” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover V5095?
CMS lists V5095’s Medicare coverage as “Non-covered by Medicare statute” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside V5095
All V codesV5040Hearing aid, monaural, body worn, bone conductionV5050Hearing aid, monaural, in the earV5060Hearing aid, monaural, behind the earV5070Glasses, air conductionV5080Glasses, bone conductionV5090Dispensing fee, unspecified hearing aidV5100Hearing aid, bilateral, body wornV5110Dispensing fee, bilateralV5120Binaural, bodyV5130Binaural, in the earV5140Binaural, behind the earV5150Binaural, glasses