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V5289 — Assistive listening device, personal fm/dm adapter/boot coupling device for receiver, any type

HCPCS Level II V-code · short descriptor: “Ald fm/dm adapt/boot couplin”

Code system
HCPCS Level II
Family
V — Vision & hearing services
Medicare coverage status
Non-covered by Medicare (statutory exclusion)
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Common denial codes to watch

CO-50 medical necessity

Related V-codes

V5200V5211V5212V5213V5214V5215V5221V5230V5240V5241V5242V5243

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