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V5172 Hearing aid monaural itc

V Codes (Vision)

Also known as: monaural ITC, in-the-canal aid

Monaural in-the-canal hearing aid (ITC style) with device partially inserted in the ear canal for unilateral hearing loss.

In Plain Language

single hearing aid partially in ear canal; canal-inserted device

Clinical Context

Used for unilateral mild to moderate hearing loss with in-the-canal placement providing improved visibility compared to full ITE devices.

RVU Information

CPT V5172 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

V-codes cover vision services, supplies, and equipment including lenses, frames, and hearing aids. A valid prescription from an authorized provider is required. Document the specific product dispensed, measurements, and clinical indication.

Specialties

AudiologyOtolaryngology

Frequently Asked Questions

What is CPT code V5172?

CPT V5172 (Hearing aid monaural itc) is a V Codes (Vision) code. Monaural in-the-canal hearing aid (ITC style) with device partially inserted in the ear canal for unilateral hearing loss.

Does Medicare cover V5172?

Medicare coverage for V5172 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for unilateral mild to moderate hearing loss with in-the-canal placement providing improved visibility compared to full ITE devices. A physician order is typically required.

When is CPT V5172 used?

Used for unilateral mild to moderate hearing loss with in-the-canal placement providing improved visibility compared to full ITE devices.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.