G0528 Mgt established pt dem mod-hi cmplx
Also known as: dementia management established moderate-high, dementia follow-up visit, ongoing Alzheimer's care
Management of established patient with dementia at moderate to high medical complexity level, individual patient visit.
In Plain Language
Complex follow-up dementia care visit; Advanced memory loss management; Complicated Alzheimer's follow-up
Clinical Context
Ongoing dementia care and monitoring for established patients with moderate to advanced dementia and comorbidities.
RVU Information
CPT G0528 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G0528?
CPT G0528 (Mgt established pt dem mod-hi cmplx) is a G Codes code. Management of established patient with dementia at moderate to high medical complexity level, individual patient visit.
Who uses CPT code G0528?
CPT G0528 is used by Neurology, Geriatrics, Primary Care. Ongoing dementia care and monitoring for established patients with moderate to advanced dementia and comorbidities.
When is CPT G0528 used?
Ongoing dementia care and monitoring for established patients with moderate to advanced dementia and comorbidities.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.