Table of content for "Mgt est pt dem mod-hi cmplx" (HCPCS G0528)
General information on the “G0528” code
HCPCS Code: G0528
Long Description: Management of established patient with dementia, moderate to high complexity, for use in cmmi model
Short Description: Mgt est pt dem mod-hi cmplx
Original information is taken from G0528 page
Pricing indicators
Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): Z2 – Undefined codes
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20240701
Code Effective Date: 20240701
Action Code: N – No maintenance for this code