HCPCS G0554: DMHT managementMedicare rate & RVUs
Reports each additional 20 minutes of monthly management for a prescribed digital mental health treatment device, beyond the base service.
Medicare pays $41.42 for G0554 nationally in the office and $25.38 in a hospital or facility. Local office rates run $38.11–$52.46.
Medicare rate · G0554
DMHT management
Swap in your local Medicare rate.
- Work RVUs
- 0.61
- Total RVUs
- 1.24
- Global days
- ZZZ
National rate · 2026
$41.42
Office setting, before claim adjustments.
See every locality for G0554 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What G0554 covers
G0554 covers additional monthly treatment-management work for a prescribed digital mental health treatment device, such as software used to support treatment of a behavioral health condition. A physician or other qualified health professional may review patient progress and engagement, communicate about device use, and coordinate treatment adjustments. The service concerns management of the digital treatment, not the supply of the device itself or a separate office visit.
Report G0554 only with the primary monthly management service, G0553, for additional time beyond that base service. The record should identify the device and service month, describe the management work performed, and support the additional time reported. CMS classifies G0554 as an add-on paid within the primary procedure’s global period, so it is not payable on its own.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where G0554 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$38.11 to $52.46
109 of 109 payment localities
G0554 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$38.11
$52.46
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $52.46 | 1 |
| AL | $38.48 | 1 |
| AR | $38.11 | 1 |
| AZ | $40.65 | 1 |
| CA | $43.22–$52.05 | 29 |
| CO | $42.72 | 1 |
| CT | $43.58 | 1 |
| DC | $46.20 | 1 |
| DE | $41.18 | 1 |
| FL | $41.04–$43.77 | 3 |
| GA | $39.45–$42.00 | 2 |
| GU | $43.74 | 1 |
| HI | $43.74 | 1 |
| IA | $39.11 | 1 |
| ID | $39.29 | 1 |
| IL | $40.24–$42.96 | 4 |
| IN | $39.44 | 1 |
| KS | $39.00 | 1 |
| KY | $39.11 | 1 |
| LA | $39.07–$40.37 | 2 |
| MA | $42.60–$46.03 | 2 |
| MD | $41.78–$46.20 | 3 |
| ME | $39.44–$40.87 | 2 |
| MI | $39.80–$41.40 | 2 |
| MN | $41.29 | 1 |
| MO | $38.63–$40.46 | 3 |
| MS | $38.37 | 1 |
| MT | $41.42 | 1 |
| NC | $39.71 | 1 |
| ND | $40.82 | 1 |
| NE | $39.25 | 1 |
| NH | $42.11 | 1 |
| NJ | $44.17–$45.98 | 2 |
| NM | $39.96 | 1 |
| NV | $41.27 | 1 |
| NY | $40.12–$47.37 | 5 |
| OH | $39.68 | 1 |
| OK | $39.05 | 1 |
| OR | $41.04–$43.71 | 2 |
| PA | $39.72–$42.80 | 2 |
| PR | $41.62 | 1 |
| RI | $42.36 | 1 |
| SC | $39.74 | 1 |
| SD | $40.75 | 1 |
| TN | $39.13 | 1 |
| TX | $39.54–$42.51 | 8 |
| UT | $40.11 | 1 |
| VA | $40.78–$46.20 | 2 |
| VI | $41.62 | 1 |
| VT | $40.72 | 1 |
| WA | $42.50–$46.80 | 2 |
| WI | $39.88 | 1 |
| WV | $39.22 | 1 |
| WY | $41.16 | 1 |
How the G0554 rate is calculated
Each of G0554’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G0554
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.61Practice expense 0.60Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0554
The CMS indicators that decide how G0554 is paid alongside other services.
CMS payment indicators · G0554
DMHT management
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
G0554 compared with similar codes
Compare codes
G0554 vs G0553 vs G0552 vs 98981: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0553DMHT management
- G0553 reports the base monthly treatment-management service; G0554 reports additional 20-minute increments and must accompany G0553.
- G0552Supply of digital device
- G0552 reports the device supply. G0554 reports added monthly management time for use of the device.
- 98981RTM management
- Use 98981 for additional time under qualifying remote therapeutic monitoring treatment management; G0554 is for digital mental health treatment management.
G0554 billing questions
Can G0554 be reported by itself?
No. Report it only with G0553, the primary monthly digital mental health treatment management service.
When is G0554 used instead of G0553?
G0553 represents the base monthly management service. Use G0554 for each additional 20 minutes of management time beyond that base.
Does G0554 report the device supply?
No. G0554 reports added management time. G0552 is the separate code associated with supplying a digital mental health treatment device.
What documentation supports G0554?
Document the treatment-management activities, the device involved, the service month, and time supporting the additional increment.
How does G0554 differ from 98981?
G0554 is the add-on for monthly management of a digital mental health treatment device. Code 98981 is used for additional time under the remote therapeutic monitoring treatment-management code family.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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