G8559 Pt ref doc otological evaluation
Also known as: Otolaryngology referral, ENT referral, Specialist referral
Documentation that patient was referred to otolaryngology (Ear, Nose, and Throat) specialist for evaluation.
In Plain Language
Sent to ear, nose, throat doctor; Specialist appointment arranged
Clinical Context
Quality measure documenting appropriate referral to otolaryngology for conditions requiring specialist evaluation such as hearing loss, chronic ear drainage, or upper airway pathology.
RVU Information
CPT G8559 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G8559?
CPT G8559 (Pt ref doc otological evaluation) is a G Codes code. Documentation that patient was referred to otolaryngology (Ear, Nose, and Throat) specialist for evaluation.
Who uses CPT code G8559?
CPT G8559 is used by Otolaryngology, Primary Care, Family Medicine. Quality measure documenting appropriate referral to otolaryngology for conditions requiring specialist evaluation such as hearing loss, chronic ear drainage, or upper airway pathology.
When is CPT G8559 used?
Quality measure documenting appropriate referral to otolaryngology for conditions requiring specialist evaluation such as hearing loss, chronic ear drainage, or upper airway pathology.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.