G0528 Management of established patient with dementia, moderate to high complexity, for use in cmmi model
Short descriptor: Mgt est pt dem mod-hi cmplx
Look up G0528 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
G0528 is the HCPCS Level II code for Management of established patient with dementia, moderate to high complexity, for use in cmmi model (2026). It belongs to Section G — Procedures / Professional Services (Temporary). Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Priced by carriers (physician fee schedule).
Classification & CMS Attributes
- Medicare Coverage
- Carrier judgment (code C)
- Part B Pricing
- Priced by carriers (physician fee schedule) (indicator 13)
- Type of Service
- Other medical items or services
- Effective Date
- 2024-07-01
- 2026 Maintenance
- No change this year
References
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Reference G0528 with the canonical source and edition:
G0528 — Management of established patient with dementia, moderate to high complexity, for use in cmmi model. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/G0528
Canonical URL: https://icd10codingpro.com/hcpcs-codes/G0528