Reimbursement Codes/G0552
HCPCS · Digital mental health · Active
G0552: DMHT device supply and onboarding
HCPCS code for supply of an FDA-cleared or De Novo digital mental health treatment device plus initial education and onboarding, per course of treatment that augments a behavioural therapy plan.
About this code
HCPCS code for supply of an FDA-cleared or De Novo digital mental health treatment device plus initial education and onboarding, per course of treatment that augments a behavioural therapy plan. Active under the Medicare Physician Fee Schedule. CY2026 expanded eligibility to FDA-classified ADHD digital therapy devices under 21 CFR 882.5803 in addition to 882.5801 behavioural therapy devices. This entry uses our own plain-English summary, not the copyrighted AMA CPT long descriptor. Always confirm the current CMS addendum before billing.
Medicare statusActive under the Medicare Physician Fee Schedule. CY2026 expanded eligibility to FDA-classified ADHD digital therapy devices under 21 CFR 882.5803 in addition to 882.5801 behavioural therapy devices.
PaymentContractor-priced under the PFS. No invented national dollar amount.
No on-site startup slug match for leading PDTX vendors in our directory at seed time.
What changed
Not part of the CY2027 OPPS SaMS Table 61 proposal. Remains a PFS digital mental health pathway. Watch the CY2027 PFS final rule for any further eligibility or valuation updates.
Who bills under it
Physicians and practitioners authorised to diagnose and treat mental illness who furnish DMHT devices incident to ongoing behavioural health care.
- Code
- G0552
- Code type
- HCPCS
- Category
- Digital mental health
- Rule status
- Active