G8559 HCPCS Level II Code: Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
Medicare Coverage & Payment
- CMS short descriptor: Pt ref doc oto eval
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: M5D — Specialist - other
- Last CMS action effective: January 1, 2010
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Contextual Map
Every relationship of G8559 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G8509 — Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given[Sibling]— CMS HCPCS Level II code set
- G8510 — Screening for depression is documented as negative, a follow-up plan is not required[Sibling]— CMS HCPCS Level II code set
- G8511 — Screening for depression documented as positive, follow-up plan not documented, reason not given[Sibling]— CMS HCPCS Level II code set
- G8530 — Autogenous av fistula received[Sibling]— CMS HCPCS Level II code set
- G8531 — Clinician documented that patient was not an eligible candidate for autogenous av fistula[Sibling]— CMS HCPCS Level II code set
- G8532 — Clinician documented that patient received vascular access other than autogenous av fistula, reason not given[Sibling]— CMS HCPCS Level II code set
- G8535 — Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status[Sibling]— CMS HCPCS Level II code set
- G8536 — No documentation of an elder maltreatment screen, reason not given[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2010 — Added to the code set [Change history]— CMS release files (code change ledger)
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2010Added to the code setPatient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G8559 in its code family, with their registry titles.
- G8547 — I intend to report the ischemic vascular disease (ivd) measures group
- 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
- 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
- G8563 — Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
- G8564 — Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)