HCPCS Code G8563

Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
Code effective Jan 01, 2013

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G8563 is a valid 2026 HCPCS code meaning Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given or (Pt no ref oto reas no spec) for short. HCPCS G8563 has been effective since 01/01/2013 and applies to Medical care.

HCPCS Code Details - G8563

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G8563
Description

Long description:
Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given

Short description:
Pt no ref oto reas no spec

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code M5D - Specialist - other
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2013
Date added Added Jan 01, 2010

See also

  • HCPCS G8562 · Patient does not have a history of active drainage from the ear within the previous 90 days

  • HCPCS G0039 · Patient not referred, reason not otherwise specified

  • HCPCS G8564 · Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.