Effective July 15, 2023, the Office of Workers’ Compensation (OWCP) Division of Federal Employees’ Compensation (DFEC) Program is implementing a new utilization review (UR) for hearing aid services and supplies.
Please refer to the FECA Circular NO. 23-08 for more information. FECA Circulars | U.S. Department of Labor (dol.gov)
New limits have been defined for DFEC hearing aid supplies and services.
| EOB Number | EOB Description | Applicable Procedure Codes |
|---|---|---|
| 81021 | BATTERY FOR HEARING DEVICE LIMITED TO 30 UNITS PER 180 DAYS | V5266 |
| 80151 | HEARING AID SERVICES ARE LIMITED TO 1 PER 730 DAYS | V5264, V5265, V5275 |
| 80152 | HEARING AID SERVICES ARE LIMITED TO 1 PER 1825 DAYS | V5010, V5020, V5030, V5040, V5050, V5060, V5070, V5080, V5090, V5100, V5110, V5120, V5130, V5140, V5150, V5160, V5170, V5171, V5172, V5180, V5181, V5190, V5200, V5210, V5211, V5212, V5213, V5214, V5215, V5220, V5221, V5230, V5240, V5241, V5242, V5243, V5244, V5245, V5246, V5247, V5248, V5249, V5250, V5251, V5252, V5253, V5254, V5255, V5256, V5257, V5258, V5259, V5260, V5261, V5262, V5263, V5267, V5268, V5269, V5270, V5271, V5272, V5273, V5281, V5282, V5283, V5284, V5285, V5286, V5287, V5288, V5289, V5290, V5298 |
| 81019 | HEARING AID REPAIR/SUPPLY LIMITED TO 3 UNITS PER 1825 DAYS | V5014 |
| 81061 | HEARING AID FITTING/CHECKING LIMITED TO 4 PER 1825 DAYS | V5011 |
For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.
Division of Federal Employees' Compensation (DFEC):
1-844-493-1966
Posted Date