G0527 HCPCS Level II Code: Management of established patient with dementia, low complexity, for use in cmmi model

Contextual Map

Every relationship of G0527 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (40)

• G0506 — Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)[Sibling]— CMS HCPCS Level II code set
• G0507 — Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team[Sibling]— CMS HCPCS Level II code set
• G0508 — Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth[Sibling]— CMS HCPCS Level II code set
• G0509 — Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth[Sibling]— CMS HCPCS Level II code set
• G0511 — Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month[Sibling]— CMS HCPCS Level II code set
• G0512 — Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month[Sibling]— CMS HCPCS Level II code set
• G0513 — Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)[Sibling]— CMS HCPCS Level II code set
• G0514 — Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service)[Sibling]— CMS HCPCS Level II code set
• and 32 more

Change history

• July 1, 2024 — Added to the code set [Change history]— CMS release files (code change ledger)

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, descriptors, coverage and pricing attributes Official source data

CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page

Change history and date-of-service validity Official source data

CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page

Comparisons, relationships and the contextual map MedCoder structured relationship

Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears

Summary and FAQ answers MedCoder explanation

Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G0527 in its code family, with their registry titles.

• G0522 — Management of a new patient with dementia, low complexity, for use in cmmi model
• G0523 — Management of a new patient with dementia, moderate to high 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
• 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
• G0532 — Take-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);( list separately in…