G0527 HCPCS Level II code: Management of established patient with dementia, low complexity, for use in cmmi model
G0527 is the HCPCS code for “Management of established patient with dementia, low complexity, for use in cmmi model” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0527Management of established patient with dementia, low complexity, for use in cmmi model
Short description: Mgt est pt dmentia low cmplx
HCPCS · United States
Medicare details
The indicators CMS publishes with G0527 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 G0527 sits
- 1G codesProcedures and professional services
- 2Active code G0527Management of established patient with dementia, low 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 G0527 mean?
G0527 is the HCPCS code for “Management of established patient with dementia, low complexity, for use in cmmi model” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0527?
CMS lists G0527’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 G0527
All G codesG0521Management 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 modelG0523Management of a new patient with dementia, moderate to high 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 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 modelG0530Adult day center, 8-hour unit, for use in cmmi modelG0531Facility-based respite, 24-hour unit, for use in cmmi modelG0532Take-home supply of nasal nalmefene hydrochloride; one carton of two, 2.7 mg per 0.1 ml nasal sprays (provision of the services by a medicare-enrolled opioid treatment program)…G0533Medication assisted treatment, buprenorphine (injectable) administered on a weekly basis; weekly bundle including dispensing and/or administration, substance use counseling…