G8563 – Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG8563
- 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
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
M5DSpecialist - other- Added
- January 1, 2010
- Last change
- January 1, 2013 – No change
Frequently asked questions
What is HCPCS code G8563?
G8563 is a HCPCS Level II code for patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given.
Does Medicare cover G8563?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G8548 – I intend to report the heart failure (hf) measures group
- G8549 – All quality actions for the applicable measures in the hepatitis c measures group have been performed for this patient
- G8551 – All quality actions for the applicable measures in the heart failure (hf) measures group have been performed for this patient
- G8552 – All quality actions for the applicable measures in the ischemic vascular disease (ivd) measures group have been performed for this patient
- G8559 – Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
- G8560 – Patient has a history of active drainage from the ear within the previous 90 days
- G8561 – Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure
- G8562 – Patient does not have a history of active drainage from the ear within the previous 90 days
- G8564 – Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)
- G8565 – Verification and documentation of sudden or rapidly progressive hearing loss
- G8566 – Patient is not eligible for the "referral for otologic evaluation for sudden or rapidly progressive hearing loss" measure
- G8567 – Patient does not have verification and documentation of sudden or rapidly progressive hearing loss
- G8568 – Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
- G8569 – Prolonged postoperative intubation (> 24 hrs) required
- G8570 – Prolonged postoperative intubation (> 24 hrs) not required
- G8571 – Development of deep sternal wound infection/mediastinitis within 30 days postoperatively
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.