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CMS RVU26D · Effective 2026-10-01

G0554 in Redding

Office / nonfacility

$43.22

Base rate per service

Facility setting

$25.65

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Digital mental health treatment

About G0554: Additional digital mental health treatment management

Reports each additional 20 minutes of monthly management for a prescribed digital mental health treatment device, beyond the base service.

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.

CMS billing rules for G0554

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.

Where the value comes from

  • Work RVU0.61 · 49%
  • Practice expense (office) RVU0.60 · 48%
  • Malpractice RVU0.03 · 2%

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.

G0554 compared with similar codes

Office rates for Redding, from the same CMS release.

G0553

DMHT management

First 20 minutes monthly

$57.11

G0553 reports the base monthly treatment-management service; G0554 reports additional 20-minute increments and must accompany G0553.

G0552

Supply of digital device

No office rate

G0552 reports the device supply. G0554 reports added monthly management time for use of the device.

98981

RTM management

Each additional 20 minutes

$43.22

Use 98981 for additional time under qualifying remote therapeutic monitoring treatment management; G0554 is for digital mental health treatment management.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for G0554 is $43.34—$0.12 higher than the $43.22 rate in Redding. Both use the same code, release and participation basis.

G0554 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $43.22

  2. Bakersfield

    $43.34

    $0.12 higher than Redding

  3. Chico

    $43.22

    The same base rate than Redding

  4. El Centro

    $43.23

    $0.01 higher than Redding

  5. Fresno

    $43.22

    The same base rate than Redding

  6. Hanford-Corcoran

    $43.22

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $45.58

    $2.36 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, G0554 ranges from $38.11 in Arkansas to $52.46 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · G0554

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Redding for the office setting.

  • Merced

    California · G0554

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Redding for the office setting.

  • Modesto

    California · G0554

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Redding for the office setting.

  • Napa

    California · G0554

    Office

    $48.58

    Facility

    $27.45

    $5.36 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G0554

    Office

    $45.26

    Facility

    $26.31

    $2.04 higher than Redding for the office setting.

  • Rest Of California

    California · G0554

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G0554

    Office

    $43.56

    Facility

    $25.99

    $0.34 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · G0554

    Office

    $44.95

    Facility

    $26.31

    $1.73 higher than Redding for the office setting.

  • Salinas

    California · G0554

    Office

    $44.77

    Facility

    $26.19

    $1.55 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G0554

    Office

    $45.50

    Facility

    $26.32

    $2.28 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G0554

    Office

    $51.03

    Facility

    $28.42

    $7.81 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · G0554

    Office

    $50.99

    Facility

    $28.39

    $7.77 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · G0554

    Office

    $52.05

    Facility

    $28.93

    $8.83 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · G0554

    Office

    $51.91

    Facility

    $28.79

    $8.69 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · G0554

    Office

    $44.08

    Facility

    $25.82

    $0.86 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · G0554

    Office

    $45.69

    Facility

    $26.21

    $2.47 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · G0554

    Office

    $44.85

    Facility

    $26.16

    $1.63 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · G0554

    Office

    $46.13

    Facility

    $26.44

    $2.91 higher than Redding for the office setting.

  • Stockton

    California · G0554

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Redding for the office setting.

  • Vallejo

    California · G0554

    Office

    $48.53

    Facility

    $27.40

    $5.31 higher than Redding for the office setting.

  • Visalia

    California · G0554

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Redding for the office setting.

  • Yuba City

    California · G0554

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · G0554

    Office

    $46.20

    Facility

    $27.31

    $2.98 higher than Redding for the office setting.

  • Miami

    Florida · G0554

    Office

    $43.77

    Facility

    $27.08

    $0.55 higher than Redding for the office setting.

  • Chicago

    Illinois · G0554

    Office

    $42.96

    Facility

    $26.84

    $0.26 lower than Redding for the office setting.

  • Manhattan

    New York · G0554

    Office

    $46.55

    Facility

    $27.93

    $3.33 higher than Redding for the office setting.

  • Alaska*

    Alaska · G0554

    Office

    $52.46

    Facility

    $35.38

    $9.24 higher than Redding for the office setting.

  • Alabama

    Alabama · G0554

    Office

    $38.48

    Facility

    $24.45

    $4.74 lower than Redding for the office setting.

  • Arkansas

    Arkansas · G0554

    Office

    $38.11

    Facility

    $24.33

    $5.11 lower than Redding for the office setting.

  • Arizona

    Arizona · G0554

    Office

    $40.65

    Facility

    $25.12

    $2.57 lower than Redding for the office setting.

  • Colorado

    Colorado · G0554

    Office

    $42.72

    Facility

    $25.67

    $0.50 lower than Redding for the office setting.

  • Connecticut

    Connecticut · G0554

    Office

    $43.58

    Facility

    $26.31

    $0.36 higher than Redding for the office setting.

  • Delaware

    Delaware · G0554

    Office

    $41.18

    Facility

    $25.34

    $2.04 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · G0554

    Office

    $42.49

    Facility

    $26.25

    $0.73 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · G0554

    Office

    $41.04

    Facility

    $25.71

    $2.18 lower than Redding for the office setting.

  • Atlanta

    Georgia · G0554

    Office

    $42.00

    Facility

    $25.71

    $1.22 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · G0554

    Office

    $39.45

    Facility

    $25.14

    $3.77 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · G0554

    Office

    $43.74

    Facility

    $25.51

    $0.52 higher than Redding for the office setting.

  • Iowa

    Iowa · G0554

    Office

    $39.11

    Facility

    $24.44

    $4.11 lower than Redding for the office setting.

  • Idaho

    Idaho · G0554

    Office

    $39.29

    Facility

    $24.54

    $3.93 lower than Redding for the office setting.

  • East St. Louis

    Illinois · G0554

    Office

    $40.83

    Facility

    $26.08

    $2.39 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · G0554

    Office

    $40.24

    Facility

    $25.60

    $2.98 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · G0554

    Office

    $42.87

    Facility

    $26.41

    $0.35 lower than Redding for the office setting.

  • Indiana

    Indiana · G0554

    Office

    $39.44

    Facility

    $24.58

    $3.78 lower than Redding for the office setting.

  • Kansas

    Kansas · G0554

    Office

    $39.00

    Facility

    $24.50

    $4.22 lower than Redding for the office setting.

  • Kentucky

    Kentucky · G0554

    Office

    $39.11

    Facility

    $24.85

    $4.11 lower than Redding for the office setting.

  • New Orleans

    Louisiana · G0554

    Office

    $40.37

    Facility

    $25.28

    $2.85 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · G0554

    Office

    $39.07

    Facility

    $24.88

    $4.15 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · G0554

    Office

    $46.03

    Facility

    $26.89

    $2.81 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G0554

    Office

    $42.60

    Facility

    $25.72

    $0.62 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G0554

    Office

    $43.44

    Facility

    $26.24

    $0.22 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · G0554

    Office

    $41.78

    Facility

    $25.55

    $1.44 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · G0554

    Office

    $39.44

    Facility

    $24.69

    $3.78 lower than Redding for the office setting.

  • Southern Maine

    Maine · G0554

    Office

    $40.87

    Facility

    $24.98

    $2.35 lower than Redding for the office setting.

  • Detroit

    Michigan · G0554

    Office

    $41.40

    Facility

    $25.93

    $1.82 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · G0554

    Office

    $39.80

    Facility

    $25.17

    $3.42 lower than Redding for the office setting.

  • Minnesota

    Minnesota · G0554

    Office

    $41.29

    Facility

    $24.80

    $1.93 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · G0554

    Office

    $40.17

    Facility

    $25.12

    $3.05 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · G0554

    Office

    $40.46

    Facility

    $25.19

    $2.76 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · G0554

    Office

    $38.63

    Facility

    $24.81

    $4.59 lower than Redding for the office setting.

  • Mississippi

    Mississippi · G0554

    Office

    $38.37

    Facility

    $24.57

    $4.85 lower than Redding for the office setting.

  • Montana**

    Montana · G0554

    Office

    $41.42

    Facility

    $25.38

    $1.80 lower than Redding for the office setting.

  • North Carolina

    North Carolina · G0554

    Office

    $39.71

    Facility

    $24.75

    $3.51 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · G0554

    Office

    $40.82

    Facility

    $24.79

    $2.40 lower than Redding for the office setting.

  • Nebraska

    Nebraska · G0554

    Office

    $39.25

    Facility

    $24.45

    $3.97 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · G0554

    Office

    $42.11

    Facility

    $25.42

    $1.11 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · G0554

    Office

    $45.98

    Facility

    $27.38

    $2.76 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · G0554

    Office

    $44.17

    Facility

    $26.67

    $0.95 higher than Redding for the office setting.

  • New Mexico

    New Mexico · G0554

    Office

    $39.96

    Facility

    $25.25

    $3.26 lower than Redding for the office setting.

  • Nevada**

    Nevada · G0554

    Office

    $41.27

    Facility

    $25.22

    $1.95 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · G0554

    Office

    $47.37

    Facility

    $28.30

    $4.15 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G0554

    Office

    $44.45

    Facility

    $26.89

    $1.23 higher than Redding for the office setting.

  • Queens

    New York · G0554

    Office

    $46.81

    Facility

    $27.86

    $3.59 higher than Redding for the office setting.

  • Rest Of New York

    New York · G0554

    Office

    $40.12

    Facility

    $24.89

    $3.10 lower than Redding for the office setting.

  • Ohio

    Ohio · G0554

    Office

    $39.68

    Facility

    $25.04

    $3.54 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · G0554

    Office

    $39.05

    Facility

    $24.73

    $4.17 lower than Redding for the office setting.

  • Portland

    Oregon · G0554

    Office

    $43.71

    Facility

    $25.90

    $0.49 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · G0554

    Office

    $41.04

    Facility

    $25.07

    $2.18 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G0554

    Office

    $42.80

    Facility

    $26.11

    $0.42 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G0554

    Office

    $39.72

    Facility

    $25.00

    $3.50 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · G0554

    Office

    $41.62

    Facility

    $25.41

    $1.60 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · G0554

    Office

    $42.36

    Facility

    $25.80

    $0.86 lower than Redding for the office setting.

  • South Carolina

    South Carolina · G0554

    Office

    $39.74

    Facility

    $24.93

    $3.48 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · G0554

    Office

    $40.75

    Facility

    $24.72

    $2.47 lower than Redding for the office setting.

  • Tennessee

    Tennessee · G0554

    Office

    $39.13

    Facility

    $24.56

    $4.09 lower than Redding for the office setting.

  • Austin

    Texas · G0554

    Office

    $42.51

    Facility

    $25.54

    $0.71 lower than Redding for the office setting.

  • Beaumont

    Texas · G0554

    Office

    $39.54

    Facility

    $24.95

    $3.68 lower than Redding for the office setting.

  • Brazoria

    Texas · G0554

    Office

    $41.18

    Facility

    $25.29

    $2.04 lower than Redding for the office setting.

  • Dallas

    Texas · G0554

    Office

    $41.38

    Facility

    $25.41

    $1.84 lower than Redding for the office setting.

  • Fort Worth

    Texas · G0554

    Office

    $41.19

    Facility

    $25.38

    $2.03 lower than Redding for the office setting.

  • Galveston

    Texas · G0554

    Office

    $41.27

    Facility

    $25.35

    $1.95 lower than Redding for the office setting.

  • Houston

    Texas · G0554

    Office

    $41.82

    Facility

    $25.90

    $1.40 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · G0554

    Office

    $40.30

    Facility

    $25.08

    $2.92 lower than Redding for the office setting.

  • Utah

    Utah · G0554

    Office

    $40.11

    Facility

    $25.04

    $3.11 lower than Redding for the office setting.

  • Virginia

    Virginia · G0554

    Office

    $40.78

    Facility

    $25.02

    $2.44 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · G0554

    Office

    $41.62

    Facility

    $25.41

    $1.60 lower than Redding for the office setting.

  • Vermont

    Vermont · G0554

    Office

    $40.72

    Facility

    $24.85

    $2.50 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · G0554

    Office

    $42.50

    Facility

    $25.62

    $0.72 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · G0554

    Office

    $46.80

    Facility

    $27.13

    $3.58 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · G0554

    Office

    $39.88

    Facility

    $24.52

    $3.34 lower than Redding for the office setting.

  • West Virginia

    West Virginia · G0554

    Office

    $39.22

    Facility

    $25.29

    $4.00 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · G0554

    Office

    $41.16

    Facility

    $25.12

    $2.06 lower than Redding for the office setting.

See how rates vary across the country

G0554 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

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 all state and territory rates as a table
State / territoryRate rangeLocalities
AK$52.461
AL$38.481
AR$38.111
AZ$40.651
CA$43.22–$52.0529
CO$42.721
CT$43.581
DC$46.201
DE$41.181
FL$41.04–$43.773
GA$39.45–$42.002
GU$43.741
HI$43.741
IA$39.111
ID$39.291
IL$40.24–$42.964
IN$39.441
KS$39.001
KY$39.111
LA$39.07–$40.372
MA$42.60–$46.032
MD$41.78–$46.203
ME$39.44–$40.872
MI$39.80–$41.402
MN$41.291
MO$38.63–$40.463
MS$38.371
MT$41.421
NC$39.711
ND$40.821
NE$39.251
NH$42.111
NJ$44.17–$45.982
NM$39.961
NV$41.271
NY$40.12–$47.375
OH$39.681
OK$39.051
OR$41.04–$43.712
PA$39.72–$42.802
PR$41.621
RI$42.361
SC$39.741
SD$40.751
TN$39.131
TX$39.54–$42.518
UT$40.111
VA$40.78–$46.202
VI$41.621
VT$40.721
WA$42.50–$46.802
WI$39.881
WV$39.221
WY$41.161

Explore G0554 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For G0554 in Redding, the physician’s office rate is $43.22 and the facility-setting rate is $25.65: a difference of $17.57.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for G0554 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$47.54

$43.22 × 110% = $47.54

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0554 in Redding.

PPRRVU2026_Oct_nonQPP.csv

15,349

Code
G0554
Physician work
0.61
Practice expense
0.60
Malpractice
0.03

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for G0554 in Redding
ComponentRVULocality factorAdjusted
Physician work0.61× 1.0170.6204
Practice expense0.60× 1.0960.6576
Malpractice0.03× 0.5360.0161
Total RVUs1.2941
Conversion factor× 33.4009

Office / nonfacility rate, Redding$43.22

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open G0554 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.611.017
Practice expense0.61.096
Malpractice0.030.536

(0.61 × 1.017 + 0.6 × 1.096 + 0.03 × 0.536) × $33.4009 = $43.22

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.611.017
Practice expense0.121.096
Malpractice0.030.536

(0.61 × 1.017 + 0.12 × 1.096 + 0.03 × 0.536) × $33.4009 = $25.65

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

G0554 · Office / nonfacility

$43.22

Effective 2026-10-01

The base rate is $1.98 higher than on 2025-10-01, moving from $41.24 to $43.22 (4.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $41.24changed to$43.22

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.58 changed to 0.60
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $41.24

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$43.22$25.65RVU26D
2026-07-01$43.22$25.65RVU26C
2026-04-01$43.22$25.65RVU26B
2026-01-01$43.22$25.65RVU26A
2025-10-01$41.24$28.86RVU25D
2025-07-01$41.24$28.86RVU25C
2025-04-01$41.24$28.86RVU25B
2025-01-01$41.24$28.86RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for G0554PPRRVU2026_Oct_nonQPP.csv, line 15,349 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet