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Binaural, in the ear

HCPCS code

Name of the Procedure:

Binaural, In the Ear Hearing Aids
Common Name(s): In-the-Ear (ITE) Hearing Aids
Technical/Medical Term(s): V5130 - Binaural, In the Ear

Summary

In-the-ear (ITE) hearing aids are small, custom-made devices that fit inside the ear canal. They are designed to help individuals with hearing loss hear more clearly by amplifying sound.

Purpose

ITE hearing aids address various degrees of hearing loss. They aim to improve hearing ability, enhance communication, and provide better sound localization.

Indications

They are indicated for patients who:

  • Have mild to severe hearing loss.
  • Seek discrete hearing aids.
  • Look for a solution that doesn't interfere with glasses or headgear.

Preparation

Before receiving ITE hearing aids:

  • An audiologist conducts a comprehensive hearing evaluation.
  • Imprints or molds of the ear canal are taken.
  • No special preparation such as fasting is required.

Procedure Description

  1. An audiologist takes ear impressions to custom-fit the hearing aids.
  2. The hearing aids are manufactured based on these impressions.
  3. During the fitting appointment:
    • The audiologist programs the hearing aids.
    • The patient is instructed on usage, maintenance, and care.

Duration

Each fitting and adjustment session typically lasts about 30-60 minutes. The hearing aids themselves take about 2-4 weeks to be custom-made.

Setting

The entire process is conducted in an audiology clinic or hearing center.

Personnel

  • Audiologist: Conducts hearing tests, takes ear impressions, programs, and fits the devices.

Risks and Complications

  • Common Risks: Initial discomfort, potential skin irritation in the ear canal.
  • Rare Risks: Allergic reactions to materials, feedback (whistling) issues.
  • Complications Management: Adjustments by the audiologist, use of hypoallergenic materials.

Benefits

  • Improved hearing ability in various environments.
  • Enhanced communication and quality of life.
  • Better sound localization compared to unilateral hearing aids.
  • Benefits can usually be noticed immediately after adjustment.

Recovery

  • Post-Procedure Care: Regular cleaning and maintenance of the device.
  • Recovery Time: Immediate use after fitting; periodic follow-ups for adjustments.
  • Restrictions: Avoid water exposure (showering, swimming) without proper covers.

Alternatives

  • Behind-the-Ear (BTE) Hearing Aids: Larger, visible, may offer more amplification.
  • Completely-in-Canal (CIC) Hearing Aids: More discrete but may offer less amplification.
  • Pros and Cons: Vary based on visibility, amplification power, and user dexterity.

Patient Experience

  • During the Procedure: Slight pressure when ear molds are taken; otherwise painless.
  • After the Procedure: Mild discomfort as the ears adjust; hearing improvements are often immediate.
  • Pain Management: Minimal discomfort managed by proper fitting and gradual use; over-the-counter pain relievers if needed.

Medical Policies and Guidelines for Binaural, in the ear

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Air Conduction Hearing Aids