G8857 No elig ref for otological evaluation
Also known as: not eligible for ENT referral, ENT referral not indicated
Performance measure indicating patient was not eligible for referral to otolaryngologic evaluation based on clinical criteria.
In Plain Language
patient did not need a referral to ear, nose, and throat doctor; ENT referral was not necessary
Clinical Context
Documents when otolaryngologic referral criteria are not met, such as normal hearing screening or absence of ENT-specific pathology.
RVU Information
CPT G8857 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 G8857?
CPT G8857 (No elig ref for otological evaluation) is a G Codes code. Performance measure indicating patient was not eligible for referral to otolaryngologic evaluation based on clinical criteria.
Who uses CPT code G8857?
CPT G8857 is used by Primary Care, Quality Reporting. Documents when otolaryngologic referral criteria are not met, such as normal hearing screening or absence of ENT-specific pathology.
When is CPT G8857 used?
Documents when otolaryngologic referral criteria are not met, such as normal hearing screening or absence of ENT-specific pathology.
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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.