HCPCS Code G8856

Referral to a physician for an otologic evaluation performed
Code effective Jan 01, 2012

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G8856 is a valid 2026 HCPCS code meaning Referral to a physician for an otologic evaluation performed or (Ref for oto eval) for short. HCPCS G8856 has been effective since 01/01/2012 and applies to Medical care.

HCPCS Code Details - G8856

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G8856
Description

Long description:
Referral to a physician for an otologic evaluation performed

Short description:
Ref for oto eval

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 M5B - Specialist - psychiatry
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2012
Date added Added Jan 01, 2012

See also

  • HCPCS G8855 · Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given

  • HCPCS G8858 · Referral to a physician for an otologic evaluation not performed, reason not given

  • HCPCS G8857 · Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)

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

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