HCPCS G0553: DMHT managementMedicare rate & RVUs in Delaware
Reports the first 20 minutes of monthly clinical management for a patient using a prescribed digital mental health treatment device.
Medicare pays $53.72 for G0553 in the office in Delaware (Delaware). Which amount applies depends on the service address.
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 9 sections
What G0553 covers
G0553 covers a clinician’s monthly work managing a prescribed digital mental health treatment (DMHT) device. A physician or other qualified health care professional reviews information generated or transmitted through the device and assesses how the patient is using the digital treatment. The service may include communication with the patient or caregiver when clinically appropriate. It is specific to treatment delivered through a prescribed DMHT device, rather than general use of a wellness app or an ordinary office counseling session.
Report G0553 for the first 20 minutes of qualifying management work in a calendar month. Documentation should identify the prescribed device, the review or treatment-management activities performed, the time spent, and any relevant patient or caregiver communication. G0554 is the add-on code for each additional 20 minutes when the documented monthly work exceeds the time represented by G0553. G0552 describes supply of the device, not monthly management time.
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.
G0553 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $53.72 | $26.00 |
How the G0553 rate is calculated
Each of G0553’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 · G0553
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.62Practice expense 0.97Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0553
G0553 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · G0553
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$54.11
The facility rate would be $26.05 (+$28.06). In a facility, the facility bills its own costs separately.
G0553 compared with similar codes
Compare codes
G0553 vs G0552 vs G0554 vs 98980: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0552Supply of digital device
- G0552 represents supplying the digital mental health treatment device. G0553 represents the clinician’s monthly management work related to a prescribed device.
- G0554DMHT management
- G0553 covers the first 20 minutes of monthly management; G0554 reports each additional 20 minutes.
- 98980RTM management
- 98980 is for remote therapeutic monitoring management in applicable RTM services. G0553 is specific to management of a prescribed digital mental health treatment device.
G0553 billing questions
When should G0553 be reported instead of G0552?
G0553 represents monthly clinician management of a prescribed DMHT device. G0552 describes supplying the device and is not a code for the monthly management work.
What time does G0553 represent?
It covers the first 20 minutes of qualifying management work during the calendar month. Document the time and the specific review or management activities performed.
When is G0554 reported with G0553?
Use G0554 for each additional 20 minutes of qualifying monthly management beyond the first 20 minutes represented by G0553. The record should support the additional time.
Does the record need to show patient contact?
Document any patient or caregiver communication that occurs, along with the device-related review and management work. Communication is included when appropriate to the service.
Can G0553 be used for a general wellness app?
G0553 concerns management of a prescribed digital mental health treatment device. General app use alone does not establish that the service is DMHT management.
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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