G0552
No office rateSupply 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.
On this page
CMS RVU26D · Effective 2026-10-01
G0553 DMHT management Medicare reimbursement rates in Washington
Reports the first 20 minutes of monthly clinical management for a patient using a prescribed digital mental health treatment device. Compare G0553 office and facility rates across CMS payment localities in Washington.
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 G0553 in Washington?
Washington 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
$55.86–$62.32
2 of 2 localities have a supported rate.
Facility setting
$26.31–$27.89
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
About G0553: Monthly digital mental health treatment management
Reports the first 20 minutes of monthly clinical management for a patient using a prescribed digital mental health treatment device.
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.
Where the value comes from
- Work RVU0.62 · 38%
- Practice expense (office) RVU0.97 · 60%
- 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.
G0553 compared with similar codes
Office rates for Washington, from the same CMS release.
$42.50–$46.80
G0553 covers the first 20 minutes of monthly management; G0554 reports each additional 20 minutes.
$55.86–$62.32
98980 is for remote therapeutic monitoring management in applicable RTM services. G0553 is specific to management of a prescribed digital mental health treatment device.
Compare G0553 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 Washington →
Office / nonfacility
$55.86
Facility
$26.31
Seattle (King Cnty) →
Office / nonfacility
$62.32
Facility
$27.89
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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 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.
15,345G0550,,Phone/inter for dx/treat >5m,A,,0.70,0.30,,0.15,,0.05,1.05,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,346G0551,,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