G0522 — Management of a new patient with dementia, low complexity, for use in cmmi model
G0522 is a HCPCS Level II code for management of a new patient with dementia, low complexity, for use in cmmi model. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for G0522
- Long descriptor
- Management of a new patient with dementia, low complexity, for use in cmmi model
- Short descriptor
- Mgt nw pt dementia low cmplx
- Added
- July 1, 2024
- BETOS
- Z2
- Pricing indicator
- 13 — Physician fee schedule
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Price established by carriers — not otherwise classified, individual determination, or carrier discretion.
Codes adjacent to G0522
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G0522 is not quite right, the correct code is very often within a few positions of it.
- G0514Prolonged 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)
- G0515Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutesterminated
- G0516Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)
- G0517Removal 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 model
- G0520Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model
- G0521Management of new patient-caregiver dyad with dementia, high complexity, for use in cmmi model
- G0523Management of a new patient with dementia, moderate to high complexity, for use in cmmi model
- G0524Management of established patient-caregiver dyad with dementia, low complexity, for use in cmmi model
- G0525Management of established patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model
- G0526Management of established patient-caregiver dyad with dementia, high complexity, for use in cmmi model
- G0527Management of established patient with dementia, low complexity, for use in cmmi model
- G0528Management of established patient with dementia, moderate to high complexity, for use in cmmi model
- G0529In-home respite care, 4-hour unit, for use in cmmi model
- G0530Adult day center, 8-hour unit, for use in cmmi model
Questions about G0522
What is HCPCS code G0522?
G0522 is a HCPCS Level II code for management of a new patient with dementia, low complexity, for use in cmmi model. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G0522?
The CMS HCPCS file marks G0522 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is G0522 paid under the physician fee schedule?
G0522 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.