G0523 – Management of a new patient with dementia, moderate to high complexity, for use in cmmi model
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG0523
- Long description
- Management of a new patient with dementia, moderate to high complexity, for use in cmmi model
- Short description
- Mgt nw pt dem mod-high cmplx
- Pricing indicator
13Priced by the Medicare contractor (carrier)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- July 1, 2024
- Last change
- July 1, 2024 – No change
Frequently asked questions
What is HCPCS code G0523?
G0523 is a HCPCS Level II code for management of a new patient with dementia, moderate to high complexity, for use in cmmi model.
Does Medicare cover G0523?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G0515 – Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes
- G0516 – Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)
- G0517 – Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)
- G0518 – Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)
- G0519 – Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi model
- G0520 – Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model
- G0521 – Management of new patient-caregiver dyad with dementia, high complexity, for use in cmmi model
- G0522 – Management of a new patient with dementia, low complexity, for use in cmmi model
- G0524 – Management of established patient-caregiver dyad with dementia, low complexity, for use in cmmi model
- G0525 – Management of established patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model
- G0526 – Management of established patient-caregiver dyad with dementia, high complexity, for use in cmmi model
- G0527 – Management of established patient with dementia, low complexity, for use in cmmi model
- G0528 – Management of established patient with dementia, moderate to high complexity, for use in cmmi model
- G0529 – In-home respite care, 4-hour unit, for use in cmmi model
- G0530 – Adult day center, 8-hour unit, for use in cmmi model
- G0531 – Facility-based respite, 24-hour unit, for use in cmmi model
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.