Vision and hearing services
V5172 — Hearing aid, contralateral routing device, monaural, in the canal (itc)
HCPCS code V5172 is used on U.S. medical bills for vision and hearing services: Hearing aid, contralateral routing device, monaural, in the canal (itc).
- Typical setting: Outpatient
- National avg charge (illustrative): Vision and hearing allowed amounts vary by plan.
- Most-disputed reason: Frame-allowance and unit-definition errors
What it means
What V5172 actually means
Hearing aid, contralateral routing device, monaural, in the canal (itc).
The official CMS HCPCS Level II descriptor for this code is shown above. If the description on your bill does not match the service you actually received, that is a reason to ask for the itemized bill and dispute the line.
Common errors with this code
What goes wrong on real bills.
Use these as review prompts, not conclusions. The right next step is to compare the bill, itemized charges, and EOB before paying.
- Quantity or units of service that exceed what the medical record supports.
- Duplicate billing on the same date of service.
- Missing or incorrect modifier (e.g., JW for drug waste, RT/LT for sides).
- Frame-allowance and unit-definition errors without supporting documentation.
If you see V5172 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on V5172 often also see these adjacent codes on the same bill.
HCPCS
V2100 — Sphere, single vision, plano to plus or minus 4.00, per lens
Lens spher single plano 4.00
HCPCS
V2101 — Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens
Single visn sphere 4.12-7.00
HCPCS
V2102 — Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens
Singl visn sphere 7.12-20.00
HCPCS
V2103 — Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens
Spherocylindr 4.00d/12-2.00d
Related BillBusted guides
Plain-English reads if you see V5172 on a bill.
V5172 FAQ
Plain-English answers.
What is V5172 used for on a medical bill?
HCPCS code V5172 is used on medical bills for vision and hearing services: Hearing aid, contralateral routing device, monaural, in the canal (itc). Billing mistakes can happen, and codes in this category most often get flagged for frame-allowance and unit-definition errors. If you see V5172 on your bill, request the itemized statement and compare the units, date of service, and description to your Explanation of Benefits before paying.
How much should V5172 cost?
How much V5172 should cost depends on your payer and region. Billing mistakes can happen, and pricing for this HCPCS code is set by Medicare fee schedules for Medicare claims and by negotiated allowed amounts for commercial plans. Check the Medicare fee-schedule lookup tool, your insurer's member portal, or run a free BillBusted scan to compare your charge against typical allowed amounts.
Can I dispute a V5172 charge on my medical bill?
Yes, you can dispute a V5172 charge on your medical bill if the units, modifier, date of service, or coverage doesn't match the medical record or your insurance benefits. Request the itemized bill, compare to your EOB, and use BillBusted's Resolution Pack to draft the dispute letter if needed.
Don't pay V5172 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.