Reimbursement Codes/G0553
HCPCS · Digital mental health · Active
G0553: DMHT treatment management, first 20 minutes
First 20 minutes of monthly treatment management tied to the patient's therapeutic use of a DMHT device, including interactive communication.
About this code
First 20 minutes of monthly treatment management tied to the patient's therapeutic use of a DMHT device, including interactive communication. 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.
PaymentNational PFS pricing; CMS valued these management codes by crosswalk to RTM treatment management. Check the current PFS look-up for locality dollars.
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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
- G0553
- Code type
- HCPCS
- Category
- Digital mental health
- Rule status
- Active