Reimbursement Codes/G0554
HCPCS · Digital mental health · Active
G0554: DMHT treatment management, each additional 20 minutes
Each additional 20 minutes of monthly DMHT treatment management in the same calendar month.
About this code
Each additional 20 minutes of monthly DMHT treatment management in the same calendar month. 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 parallel to G0553. Locality look-up only.
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
- G0554
- Code type
- HCPCS
- Category
- Digital mental health
- Rule status
- Active