HCPCS Code Details - G8560

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G8560

Long description:
Patient has a history of active drainage from the ear within the previous 90 days

Short description:
Pt hx act drain prev 90 days

HCPCS Modifier1
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, 2010
Date added Added Jan 01, 2010
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS G8559 · Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation

  • HCPCS G0035 · Patient has any emergency department encounter during the performance period with place of service indicator 23

  • HCPCS M1230 · Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given

  • HCPCS M1234 · Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia

  • HCPCS G8561 · Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure

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”