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2026 Hearing Aid Service Coding Changes

DISCLAIMER: The foregoing information is provided as a resource for our members. It is not intended and should not be construed as an endorsement of any of the vendors or their products or services; as such, ADA makes no warranty whatsoever, either express or implied, including the warranties of merchantability and fitness for a particular purpose regarding any of the products listed above and makes no recommendation as to the accuracy or suitability of the information for your particular situation. ADA members are encouraged to seek legal counsel to ensure compliance and are responsible for their own knowledge of both federal and state policies as it pertains to HIPAA. Neither ADA, nor any of its officers, directors, agents, employees, committee members or other representatives shall have any liability for any claim, whether founded or unfounded, of any kind whatsoever, including, but not limited to, any claim for costs and legal fees, arising from the use of these opinions.

On January 1, 2026, 12 new Current Procedure Terminology (CPT) codes are scheduled to go into effect. These codes represent hearing aid candidacy, hearing aid selection, hearing aid and assistive device fitting, follow-up, verification, and electroacoustic analysis. Current CPT codes, 92590-92595, will be deleted on January 1, 2026.

These coding changes could have a significant impact on many audiology practices. In order to provide ample time to learn, operationalize, and monetize these codes, the Academy of Doctors of Audiology has created coding resources for our members.

What providers could these code changes impact the most:

  • The in-network provider who offers and/or bills an unbundled or itemized hearing aid delivery.
  • In-network providers of health plans, payers and insurers who recognized 92590-92595 and/or who recognized hearing aid services represented by 92700 (unlisted otorhinolaryngological procedure or service) or V5299 (hearing service, miscellaneous) as non-covered. This could include, but is not limited to:
    • Commercial health plans and insurers, specifically Blue Cross Blue Shield Association and Aetna health plans.
    • State Medicaid programs.
    • State Early Periodic Screening, Diagnosis and Treatment (EPSDT) programs.
    • State Vocational Rehabilitation programs.
    • State and federal Worker’s Compensation programs.
    • VA Community Care.

What providers could these code changes impact the least:

  • The provider, whether offering a bundled, unbundled, or itemized delivery, who is out of network for every health plan, payer, and insurer except for traditional Medicare.
  • The provider who never utilized 92590-92595 and/or never provided services represented by 92700.
    • These providers only use HCPCS V-codes (such as V5010, V5011, and/or V5020) to represent and bill for hearing aid related services.
      • Please note that, if this has been your process, there are billing situations where you may have left revenues on the table.

It is uncertain if or how these code changes will impact hearing benefit/care plan or third-party administrator professional fees and billing policies and allowances

These resources reflect the temporary code “numbers” (X placeholders) and will be changed and modified as more information becomes available. The code numbers are expected to be finalized in the next six to eight weeks. CPT Changes, the annual booklet that outlines the codes and their appropriate uses, should be available in November/December. ADA resources will continue to evolve and expand as more information becomes available.

Documents

  • 2026 Hearing Aid Service CPT Code List
    This document outlines the new codes, their descriptors, the codes that currently represent these services and procedures, and recommended modifiers.
  • 2026 Hearing Aid Services Code Update
    This FAQ document outlines the codes and how they can potentially impact an audiology practice.
  • Steps to Determining Operationalization and Monetization of New Hearing Aid Service Codes
    This document is for in-network providers and its goal is to assist the practice in analyzing their allowable rates for the new code set.
  • Questions Answered
    ADA posed these questions, in early August, 2025, to the organizations who created and shepherded these codes. The organizations refused to address the questions. As a result, ADA subject matter experts addressed their own questions and provided answers and guidance.
  • Documentation Templates
    These templates represent the candidacy, selection, fitting and follow-up procedures.The purpose is to assist providers in meeting the service and documentation requirements of each code. Providers may want to modify these documents to meet specific state and/or payer requirements.
    • Coding Guidance for Hearing Aid Related Evaluation
    • Documentation of Evaluation for Hearing Aid Candidacy
    • Documentation of Hearing Aid Fitting Services
    • Documentation of Hearing Aid Post Fitting Services
    • Documentation of Hearing Aid Selection Services

Please direct all questions, comments, and concerns to Kim Cavitt. Dr. Cavitt provides guidance and support to ADA members as a value-added benefit of membership.

ADA would like to thank the Board and the Hearing Aid Service Code Task Force members for your review and input. We appreciate you and your contributions to audiology.