Figure 1
Accessory billing codes and what Medicaid paid
A claim payment is what Medicaid paid on a line. It is not a retail price.
| V5267 | Hearing aid or assistive listening device/supplies/accessories, not otherwise specified | S: non-covered by Medicare statute | January 1, 2002 | 18257 | 73.66 |
|---|---|---|---|---|---|
| V5281 | Assistive listening device, personal fm/dm system, monaural, (1 receiver, transmitter, microphone), any type | S: non-covered by Medicare statute | January 1, 2013 | No unmasked cell, 2018-2024 | |
| V5286 | Assistive listening device, personal blue tooth fm/dm receiver | S: non-covered by Medicare statute | January 1, 2013 | No unmasked cell, 2018-2024 | |
| V5290 | Assistive listening device, transmitter microphone, any type | S: non-covered by Medicare statute | January 1, 2013 | No unmasked cell, 2018-2024 |
How to read these numbers (4)
- Descriptors are written as in the CMS October 2026 HCPCS file. Coverage code S is the file's flag for items non-covered by Medicare statute; Medicare Advantage plans and Medicaid programs set their own rules.
- Medicaid figures are national, from HHS Medicaid Provider Spending; cells under 12 lines or 12 patients are masked at the source, so a masked code may still have been billed. A claim line can hold more than one item: no figure here is the price of one accessory.
- V5267 lines in 2023-2024 came from 48 billing providers; the largest received 58.4% of the dollars paid, so the national paid per line leans on one biller.
- The table does not assign products to codes: which code a seller uses for a dome, filter, charger or microphone is the seller's choice.
What makers list as hearing aid accessories
Each hearing aid maker publishes its own accessory range, built for its own families of aids. Three catalogs read for this page show the pattern:
- Phonak's accessory page groups a TV Connector that streams TV and music to the aids, the PartnerMic, a handheld RemoteControl, and batteries and chargers, next to products for cleaning and care.
- Oticon's instructions for its Opn miniRITE aids name three wireless accessories: ConnectClip, which lets the aids work as a hands-free headset once paired with a mobile phone; TV Adapter 3.0, a wireless transmitter of sound from a TV or other audio device; and Remote Control 3.0, for changing program, adjusting volume or muting.
- Widex's guide for its MOMENT behind-the-ear aid lists RC-DEX (remote control), TV-DEX (TV and audio), PHONE-DEX 2 (landline), FM+DEX (audio and FM signals), T-DEX (phones through a telecoil), COM-DEX (Bluetooth link to phones), the COM-DEX Remote Mic and TV PLAY. The guide marks one of them as sold in some countries only.
Read each list as what one maker sells for one family of aids, not as parts that fit any hearing aid. The sections below cover the parts with their own replacement steps, domes and filters, then remote microphones and the way sellers bill accessories. Bluetooth streaming built into the aids themselves is covered on our Bluetooth hearing aids page.
Hearing aid domes: types, sizes and replacement in one maker's guide
In Oticon's guide for the Opn miniRITE, the dome is one of the earpieces that sits on the end of the speaker. The guide describes that system, and only that one:
- Types. Domes and the Grip Tip are made of soft rubber, and the guide counts 4 dome types: the open dome, the power dome, and bass domes with a single or a double vent. The Grip Tip comes in small and large, with or without a vent.
- Sizes. The table prints sizes from 5 mm to 12 mm. One size is marked for a single speaker only, another is not made as an open dome, and the guide asks wearers to check their own dome type and size in that table.
- Replacement. Oticon writes that the earpiece should not be cleaned: a dome filled with wax is replaced with a new one, and a Grip Tip at least once a month.
- Swapping. The guide's steps are to hold the speaker, pull off the old earpiece, then push the speaker into the middle of the new one until it is firmly attached.
- Filter. Under the earpiece, the speaker carries a white wax filter, the ProWax miniFit, a separate part with its own replacement step.
Nothing in the guide says another brand's dome fits an Oticon speaker, or the reverse. The seller of your aids, or the maker's own guide for your model, is the place to check which domes match. Our Oticon hearing aids page covers that maker's prices and charges.
Remote microphones for hearing aids
A remote microphone picks up a voice away from the wearer and streams it to the hearing aids. The current pages of three makers show how differently they describe theirs:
- Phonak PartnerMic attaches to a partner's lapel for one-on-one conversation and streams to Phonak's Infinio, Lumity, Paradise or Marvel hearing aids, the families that page names.
- ReSound Multi-Mic+ streams the audio it picks up directly to compatible ReSound hearing aids.
- Signia StreamLine Mic can be paired with up to eight Bluetooth devices, of which only one can be used actively at a time.
Each one is listed for its own maker's aids. In billing, the CMS code list keeps a separate descriptor for this kind of device, V5290, "assistive listening device, transmitter microphone, any type", inside the assistive listening device range shown in the table above. Systems for theaters, classrooms and other large rooms are a different topic, covered on our assistive listening devices page.
ReSound TV-Streamer+ and Multi-Mic+: which aids they work with
ReSound lists the same five hearing aid families for its TV-Streamer+ and its Multi-Mic+: Sensia, ENZO IA, Vivia, Nexia and Savi. If your aids carry another name, ask ReSound or your fitter before you buy. The table repeats the compatibility notes of ReSound's TV streamer page and Multi-Mic+ page, read on November 7, 2026.
| Hearing aid family | TV-Streamer+ | Multi-Mic+ |
|---|---|---|
| ReSound Sensia | Listed | Listed |
| ReSound ENZO IA | Listed | Listed |
| ReSound Vivia | Listed | Listed |
| ReSound Nexia | Listed | Listed |
| ReSound Savi | Listed | Listed |
Both work with Bluetooth Auracast. Several people with compatible hearing aids and smartphones can connect to one TV-Streamer+ at the same time. The Multi-Mic+ can start an Auracast stream, shared privately or publicly.
The older TV Streamer 2 streams from a TV, a computer or a music system, with a 22-foot range in clear line of sight. ReSound's page names no hearing aid family for it, so check your model first.
Where to buy them: ReSound's page sends you to a hearing care professional and shows no price.
Beltone's TV-Streamer+, Multi-Mic+ and RC-3 remote
Beltone sells accessories under the same names. Its accessories page, read on November 7, 2026, names these aids:
| Accessory | Aids Beltone names |
|---|---|
| TV-Streamer+ | Beltone Serene |
| Multi-Mic+ | Beltone Envision, Commence, Serene and Boost Max S |
The page doesn't say whether other Beltone families work with the TV-Streamer+, so ask your fitter if your aids carry another name.
GUDID lists Gn Hearing A/S as the labeler of the RC-3 remote control, model 21237800, described as "RC-3,REMOTE CONTROL,BT", device ID 05708296184279, under product code OSM and in commercial distribution. Its over-the-counter field reads false, and the record names no aid family.
Signia chargers for Pure Charge&Go IX aids
Signia's charging page, read on November 7, 2026, lists its chargers by the family of aids each one takes. Four name the Pure Charge&Go IX family:
- Pure Portable Charger: a pocket-sized case with a built-in power bank that holds up to three full charges for a pair of aids before it needs charging itself. It also lists CROS Pure Charge&Go IX and the Pure Charge&Go AX family.
- Desktop Charger Pure: a small desktop charger on a USB cable, with lights for each aid's charging status. It also takes the Pure Charge&Go AX family.
- Multi Charger: a desktop charger that also takes the CROS models, the Pure Charge&Go AX family and the Motion Charge&Go IX family.
- Dry&Clean Charger Pure: it charges and dries the aids and runs a UVC cleaning cycle that, Signia writes, starts on its own and takes 15 minutes.
Match the charger to the exact name of your aids. The same page lists a near twin, the Portable Charger Pure 2.0, for a different family, Pure C&G MaX. This page gives no charger prices. Signia's remote microphone, the StreamLine Mic, is in the section above, and battery life across brands is on our rechargeable hearing aids page.
Philips and Rexton chargers and TV accessories
Two more brands describe their chargers and TV accessories on their own pages. FDA's device database lists Philips hearing aids under the labeler Sbo Hearing A/S, and Demant names Philips among its hearing aid brands in its annual report. Rexton aids are listed under WS Audiology USA, Inc. The table repeats what each maker writes about the accessories below, read on November 7, 2026. It is not a catalogue and shows no prices.
| Accessory | Maker's page | What the maker writes | Aids the maker names |
|---|---|---|---|
| HearLink Charger Plus | Philips | Portable charger whose internal battery fully recharges the hearing aids 3 times | HearLink miniRITE T R and miniBTE T R |
| TV Adapter | Philips | Connects to the TV so you hear its sound directly in your hearing aids | No model named in the passage we read |
| Slim RIC Travel Charger 2.0 | Rexton | Portable charger for on-the-go charging, up to 4 full charges | Slim RIC aids, as the charger's name says |
| TV Sound, Smart Mic, Smart Transmitter 2.4 | Rexton | Stream audio to Rexton hearing aids | Rexton hearing aids, no model listed |
Rexton in FDA's records. One Rexton charger record in GUDID, CHARGER 013-M-RX NTS (device ID 04038953852748), is labeled by WS Audiology USA, Inc. under product code OSM. It is not flagged as over the counter and is marked Not in Commercial Distribution. A record identifies a part; it does not say which aids it fits or whether a store has it, so ask the maker or your fitter for the charger that matches your aids. Rexton and Philips accessory prices wait for a reading by hand.
Brand parts: Widex receiver replacement, Starkey hearing aid parts and Miracle-Ear accessories
Parts are sold by brand. Below is what we could read for three brands, with no compatibility chart: a part fits the aids its maker names.
Widex hearing aid receiver replacement
The receiver is the small speaker of a receiver-in-canal aid, and Widex names the one each model takes. Its data sheet for the MOMENT sRIC R D, part of the MOMENT family, names the V.2 RIC M-RECEIVER MRR4D (document 9 502 5731 001 #02, dated 2022-05). The sheet says not to modify the aid without the maker's authorization, and that spare parts and instructions for correct repair can be acquired from Widex, so a replacement goes through a Widex provider.
One hospital prices the job. University of California Davis Medical Center posts its charges under the federal hospital price transparency rule (45 CFR 180), in a file dated April 1, 2026. Its line HC WIDEX HEARING AID RECEIVER REPLACEMENTS, billed under the repair code V5014, carries a gross charge of $140.00 and a discounted cash price of $56.00. Its line HC WIDEX DOME REPLACEMENT, under V5265, is $20.00 gross and $8.00 cash. Receivers are thus replaced as parts; the file does not say how often they fail.
These are the hospital's charges for its own lines, not a store price, a quote or what you will pay with insurance. The hospital links its price file from its price transparency page. Any line comes off this page on written request from the hospital.
Starkey hearing aid parts in FDA records
Starkey's site does not allow automated reading, so this page shows no Starkey parts chart. FDA's device identification database lists two Starkey charging records under the brand name STARKEY, labeled by Starkey Laboratories, Inc. and marked In Commercial Distribution: the TruLink RIC 312 ZPower Charger Kit EU and a record whose model is ACCESSORY CHARGER. A record shows the part is registered, not which aids it fits or what it costs.
Miracle-Ear accessories in FDA records
Miracle-Ear's site does not allow automated reading either. In FDA's device database, seven Miracle-Ear accessory records are all labeled by WS Audiology USA, Inc., and none is flagged as over the counter. Two are marked In Commercial Distribution: the CHARGER 13-N ME NTS (device ID 04056839160091) and the MECHARGE iRIC Charger v2 (device ID 05714880213195). Five are marked Not in Commercial Distribution, among them the ECHARGER 013-K ME NTS, the IRHYTHM CHARGER and the CHARGER 13-M ME NTS. Which charger fits which aid is not in these records.
How accessories are billed: V5267 and the V5281 to V5290 codes
A seller who bills an accessory to a payer uses a HCPCS code, from the list CMS publishes. The October 2026 file gives the catch-all code V5267 the descriptor "hearing aid or assistive listening device/supplies/accessories, not otherwise specified", in the list since January 1, 2002. The V5281 to V5290 range covers personal assistive listening devices: V5281 is a monaural FM/DM system with one receiver, transmitter and microphone, V5286 a "personal blue tooth fm/dm receiver", and V5290 a transmitter microphone. Those three were added on January 1, 2013.
All four codes carry coverage code S, which the file defines as non-covered by Medicare statute. Medicare Advantage plans and state Medicaid programs set their own rules.
Medicaid's national claims show how little of this range is billed. Under V5267, Medicaid paid $73.66 per claim line across 18,257 lines in 2023 and 2024. Those lines came from 48 billing providers, and the largest of them received 58.4% of the dollars paid, so the national figure leans heavily on one biller. For V5281 through V5290, no unmasked cell exists from 2018 to 2024: the source hides any cell under 12 lines or 12 patients, so these codes may have been billed in small numbers without a figure to show it. A claim line can hold more than one item, and the code used for a product is the seller's choice, so neither figure is the price of one accessory.
Who pays for hearing aid accessories
The non-covered flag on these codes means a claim to Original Medicare alone won't pay for them; our page on Medicare and hearing aids covers what Medicare and Medicare Advantage plans pay. Medicaid programs write their own lists, set out state by state on our Medicaid page.
Veterans with VA hearing aids order batteries and accessories with VA Form VA2346a, either on the paper form or through VA's online tool. Our VA hearing aids page explains who gets them. Batteries have their own billing code and their own figures, on our hearing aid batteries page.
Frequently asked questions
What is the new device to replace hearing aids?
None of the sources read for this page names a device that replaces hearing aids. The accessories they list work alongside an aid: remote microphones, TV streamers, remote controls, chargers, domes and filters. The billing list keeps the same split, with assistive listening devices such as the V5290 transmitter microphone coded apart from hearing aids. Our types of hearing aids page covers the kinds of aids themselves.
Sources
Accessory names and instructions are paraphrased from each maker's own page or user guide, read in November 2026, and apply only to the models named. HCPCS descriptors come from the CMS October 2026 file; Medicaid figures come from the national HHS Medicaid Provider Spending files, where small cells are masked at the source. No product is ranked or recommended.
- https://www.cms.gov/files/zip/october-2026-alpha-numeric-hcpcs-file.zip
- https://opendata.hhs.gov/datasets/medicaid-provider-spending/
- https://www.phonak.com/en-us/hearing-devices/accessories
- https://assets-we.cas.dgs.com/-/media/oticon/main/pdf/master/opn/ifu/171383uk_ifu_opn1-2-3_minirite.pdf
- https://www.widex.com/-/media/widex/global/files/ebooklets/ifu-moment-bte-13-d_9-514-0576-001-01.pdf
- https://www.phonak.com/en-us/hearing-devices/accessories/partnermic
- https://www.resound.com/en-us/hearing-aids/accessories/multi-mic
- https://www.signia.net/en-us/chargers-and-accessories/streamline-mic/
- https://www.va.gov/forms/2346a/
- https://www.signia.net/en-us/chargers-and-accessories/charging-solutions/
- https://www.resound.com/en-us/hearing-aids/accessories/tv-hearing-aid
Cost and coverage research, not medical advice. Accessories are made for specific hearing aids: check with the seller or the maker of yours, and ask a hearing care professional about fit.