G8568

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

HCPCSActiveBETOS M5D

G8568 is a HCPCS Level II 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. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Carrier judgment

Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Physician fee schedule statusI

Not valid for Medicare purposes. Medicare uses another code.

Global period: XXX

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

The CMS record for G8568

Long descriptor: Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
Short descriptor: Pt no ref otolo no spec
Added: January 1, 2010
BETOS: M5D
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to G8568

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8568 is not quite right, the correct code is very often within a few positions of it.

G8560Patient has a history of active drainage from the ear within the previous 90 days
G8561Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure
G8562Patient does not have a history of active drainage from the ear within the previous 90 days
G8563Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
G8564Patient 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
G8566Patient is not eligible for the "referral for otologic evaluation for sudden or rapidly progressive hearing loss" measure
G8567Patient does not have verification and documentation of sudden or rapidly progressive hearing loss
G8569Prolonged postoperative intubation (> 24 hrs) required
G8570Prolonged postoperative intubation (> 24 hrs) not required
G8571Development of deep sternal wound infection/mediastinitis within 30 days postoperativelyterminated
G8572No deep sternal wound infection/mediastinitisterminated
G8573Stroke following isolated cabg surgeryterminated
G8574No stroke following isolated cabg surgeryterminated
G8575Developed postoperative renal failure or required dialysis
G8576No postoperative renal failure/dialysis not required

Questions about G8568

What is HCPCS code G8568?

G8568 is a HCPCS Level II 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. It sits in the Procedures and Professional Services (Temporary) section.

Does Medicare cover G8568?

The CMS HCPCS file marks G8568 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

How is G8568 paid under the physician fee schedule?

G8568 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.