HCPCS Code G0574

Management of new patient with dementia residing in an eligible residential care community, for use only in a medicare-approved cmmi model (services must be furnished within a patient's eligible residential care community, including assisted living facilities, board and care homes, or other qualifying residential settings where dementia care services are provided)
Code effective Jul 01, 2026

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G0574 is a valid 2026 HCPCS code meaning Management of new patient with dementia residing in an eligible residential care community, for use only in a medicare-approved cmmi model (services must be furnished within a patient's eligible residential care community, including assisted living facilities, board and care homes, or other qualifying residential settings where dementia care services are provided) or (Mgt new pt dem res care cmmi) for short. HCPCS G0574 has been effective since 07/01/2026 and applies to Other medical items or services.

HCPCS Code Details - G0574

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G0574
Description

Long description:
Management of new patient with dementia residing in an eligible residential care community, for use only in a medicare-approved cmmi model (services must be furnished within a patient's eligible residential care community, including assisted living facilities, board and care homes, or other qualifying residential settings where dementia care services are provided)

Short description:
Mgt new pt dem res care cmmi

HCPCS Pricing indicator 13 - Clinical Lab Fee Schedule - Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code A - Add procedure or modifier code
Type of service 9 - Other medical items or services
Effective date Effective Jul 01, 2026
Date added Added Jul 01, 2026

See also

  • HCPCS G0571 · Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service)

  • HCPCS G0519 · Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi model

  • HCPCS G0520 · Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model

  • HCPCS G0521 · Management of new patient-caregiver dyad with dementia, high complexity, for use in cmmi model

  • HCPCS G0575 · Management of established patient with dementia residing in an eligible residential care community, for use only in a medicare-approved cmmi model (services must be furnished within a patient's eligible residential care community, including assisted living facilities, board and care homes, or other qualifying residential settings where dementia care services are provided)

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 7/13/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.