G8559 HCPCS Level II code: Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
G8559 is the HCPCS code for “Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G8559Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
Short description: Pt ref doc oto eval
HCPCS · United States
Medicare details
The indicators CMS publishes with G8559 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Specialist - other
- Added
- Jan 1, 2010
Where G8559 sits
- 1G codesProcedures and professional services
- 2Active code G8559Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G8559 mean?
G8559 is the HCPCS code for “Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G8559?
CMS lists G8559’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G8559
All G codesG8545I intend to report the hepatitis c measures groupG8547I intend to report the ischemic vascular disease (ivd) measures groupG8548I intend to report the heart failure (hf) measures groupG8549All quality actions for the applicable measures in the hepatitis c measures group have been performed for this patientG8551All quality actions for the applicable measures in the heart failure (hf) measures group have been performed for this patientG8552All quality actions for the applicable measures in the ischemic vascular disease (ivd) measures group have been performed for this patientG8560Patient has a history of active drainage from the ear within the previous 90 daysG8561Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measureG8562Patient does not have a history of active drainage from the ear within the previous 90 daysG8563Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not givenG8564Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)G8565Verification and documentation of sudden or rapidly progressive hearing loss