G8564 Pt ref otological evaluation
Also known as: OTO referral documented, Specialist referral confirmed, Referral made to ENT
Documentation that patient was referred to otolaryngology specialist for evaluation.
In Plain Language
Sent to ear, nose, throat specialist; ENT referral documented
Clinical Context
Quality measure documenting appropriate specialist referral to otolaryngology for clinical evaluation and management.
RVU Information
CPT G8564 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 G8564?
CPT G8564 (Pt ref otological evaluation) is a G Codes code. Documentation that patient was referred to otolaryngology specialist for evaluation.
Who uses CPT code G8564?
CPT G8564 is used by Otolaryngology, Primary Care, Family Medicine. Quality measure documenting appropriate specialist referral to otolaryngology for clinical evaluation and management.
When is CPT G8564 used?
Quality measure documenting appropriate specialist referral to otolaryngology for clinical evaluation and management.
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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.