$51.14–$53.45
G0553 reports the base monthly treatment-management service; G0554 reports additional 20-minute increments and must accompany G0553.
On this page
CMS RVU26D · Effective 2026-10-01
G0554 DMHT management Medicare reimbursement rates in Maine
Reports each additional 20 minutes of monthly management for a prescribed digital mental health treatment device, beyond the base service. Compare G0554 office and facility rates across CMS payment localities in Maine.
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.
What does Medicare pay for G0554 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$39.44–$40.87
2 of 2 localities have a supported rate.
Facility setting
$24.69–$24.98
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Maine, from the same CMS release.
G0552
No office rateSupply of digital device
G0552 reports the device supply. G0554 reports added monthly management time for use of the device.
$39.44–$40.87
Use 98981 for additional time under qualifying remote therapeutic monitoring treatment management; G0554 is for digital mental health treatment management.
Compare G0554 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$39.44
Facility
$24.69
Southern Maine →
Office / nonfacility
$40.87
Facility
$24.98
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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.
15,346G0551,,Phn/intr svs fr dx treat 30m,A,,0.70,0.35,,0.18,,0.05,1.10,0.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,347G0552,,Supply of digital device,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,348G0553,,Monthly tx for dmht 20mins,A,,0.62,0.97,,0.13,,0.03,1.62,0.78,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,349G0554,,Add 20 m of monthly tx,A,,0.61,0.60,,0.12,,0.03,1.24,0.76,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,350G0555,,Replacment pt electronic sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
15,351G0556,,Adv prim care mgmt lvl 1,A,,0.25,0.22,,0.06,,0.02,0.49,0.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,352G0557,,Adv prim care mgmt lvl 2,A,,0.77,0.79,,0.19,,0.05,1.61,1.01,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00