HCPCS Code G8561

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

Procedures/Professional Services (Temporary Codes)

G8561 is a valid 2024 HCPCS code for Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure or just “Pt inelig for ref oto eval” for short, used in Medical care.

HCPCS Code Details - G8561

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G8561
Description

Long description:
Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure

Short description:
Pt inelig for ref oto eval

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 G8560 · Patient has a history of active drainage from the ear within the previous 90 days

  • HCPCS G8566 · Patient is not eligible for the "referral for otologic evaluation for sudden or rapidly progressive hearing loss" measure

  • 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)

  • HCPCS G9719 · Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair

  • HCPCS G9795 · Patient is not currently on a daily aspirin or other antiplatelet

  • HCPCS G9797 · Patient is not on a statin therapy

  • HCPCS M1208 · Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety

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

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”