V5264 HCPCS Level II code: Ear mold/insert, not disposable, any type
V5264 is the HCPCS code for “Ear mold/insert, not disposable, any type” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
V5264Ear mold/insert, not disposable, any type
Short description: Ear mold/insert
HCPCS · United States
Medicare details
The indicators CMS publishes with V5264 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, 2002
Where V5264 sits
- 1V codesVision, hearing and speech-language services
- 2Active code V5264Ear mold/insert, not disposable, any type
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 V5264 mean?
V5264 is the HCPCS code for “Ear mold/insert, not disposable, any type” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover V5264?
CMS lists V5264’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 V5264
All V codesV5258Hearing aid, digital, binaural, cicV5259Hearing aid, digital, binaural, itcV5260Hearing aid, digital, binaural, iteV5261Hearing aid, digital, binaural, bteV5262Hearing aid, disposable, any type, monauralV5263Hearing aid, disposable, any type, binauralV5265Ear mold/insert, disposable, any typeV5266Battery for use in hearing deviceV5267Hearing aid or assistive listening device/supplies/accessories, not otherwise specifiedV5268Assistive listening device, telephone amplifier, any typeV5269Assistive listening device, alerting, any typeV5270Assistive listening device, television amplifier, any type