HCPCS Code 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)

Procedures/Professional Services (Temporary Codes)

  HCPCS Code G0575 is a newly added HCPCS code for 2026 and effective Jul 01, 2026.

G0575 is a valid 2026 HCPCS code for 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) or just “Mgt est pt dem res care cmmi” for short, used in Other medical items or services.

HCPCS Code Details - G0575

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G0575
Description

Long description:
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)

Short description:
Mgt est pt dem res care cmmi

HCPCS Modifier1
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
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
“NU” identifies the hospital bed as new equipment

See also

  • HCPCS 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)

  • HCPCS G0524 · Management of established patient-caregiver dyad with dementia, low complexity, for use in cmmi model

  • HCPCS G0525 · Management of established patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model

  • HCPCS G0526 · Management of established patient-caregiver dyad with dementia, high complexity, for use in cmmi model

  • HCPCS G0527 · Management of established patient with dementia, low complexity, for use in cmmi model

  • HCPCS G0528 · Management of established patient with dementia, moderate to high complexity, for use in cmmi model

  • HCPCS G0577 · Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction performed in the non-facility setting

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”