G8568 HCPCS Level II code: Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
G8568 is the HCPCS code for “Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G8568Patient was 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 otolo no spec
HCPCS · United States
Medicare details
The indicators CMS publishes with G8568 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 G8568 sits
- 1G codesProcedures and professional services
- 2Active code G8568Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
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 G8568 mean?
G8568 is the HCPCS code for “Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G8568?
CMS lists G8568’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 G8568
All G codesG8562Patient 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 lossG8566Patient is not eligible for the "referral for otologic evaluation for sudden or rapidly progressive hearing loss" measureG8567Patient does not have verification and documentation of sudden or rapidly progressive hearing lossG8569Prolonged postoperative intubation (> 24 hrs) requiredG8570Prolonged postoperative intubation (> 24 hrs) not requiredG8571Development of deep sternal wound infection/mediastinitis within 30 days postoperativelyG8572No deep sternal wound infection/mediastinitisG8573Stroke following isolated cabg surgeryG8574No stroke following isolated cabg surgery