G0523 HCPCS Level II code: Management of a new patient with dementia, moderate to high complexity, for use in cmmi model
G0523 is the HCPCS code for “Management of a new patient with dementia, moderate to high complexity, for use in cmmi model” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0523Management of a new patient with dementia, moderate to high complexity, for use in cmmi model
Short description: Mgt nw pt dem mod-high cmplx
HCPCS · United States
Medicare details
The indicators CMS publishes with G0523 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
- Type of service
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Jul 1, 2024
Where G0523 sits
- 1G codesProcedures and professional services
- 2Active code G0523Management of a new patient with dementia, moderate to high complexity, for use in cmmi model
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G0523 mean?
G0523 is the HCPCS code for “Management of a new patient with dementia, moderate to high complexity, for use in cmmi model” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0523?
CMS lists G0523’s Medicare coverage as “Carrier judgment” and its pricing as “Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G0523
All G codesG0517Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)G0518Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)G0519Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi modelG0520Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi modelG0521Management of new patient-caregiver dyad with dementia, high complexity, for use in cmmi modelG0522Management of a new patient with dementia, low complexity, for use in cmmi modelG0524Management of established patient-caregiver dyad with dementia, low complexity, for use in cmmi modelG0525Management of established patient-caregiver dyad with dementia, moderate complexity, for use in cmmi modelG0526Management of established patient-caregiver dyad with dementia, high complexity, for use in cmmi modelG0527Management of established patient with dementia, low complexity, for use in cmmi modelG0528Management of established patient with dementia, moderate to high complexity, for use in cmmi modelG0529In-home respite care, 4-hour unit, for use in cmmi model