HCPCS Code Details - G8857

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G8857
Description

Long description:
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)

Short description:
No elig ref for 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 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
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 G8856 · Referral to a physician for an otologic evaluation performed

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

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

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


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”