V5242 HCPCS Level II code: Hearing aid, analog, monaural, cic (completely in the ear canal)

V5242 is the HCPCS code for “Hearing aid, analog, monaural, cic (completely in the ear canal)” in CMS’s HCPCS Level II October 2026 release.

CMS lists V5242’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.

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.