Question 1

What is HCPCS code G0552?

Accepted Answer

HCPCS code G0552 is "Supply of digital device". Supply of digital mental health treatment device and initial education and onboarding, per course of treatment that augments a behavioral therapy plan

Question 2

What category is G0552 in?

Accepted Answer

G0552 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0552?

Accepted Answer

Use G0552 when billing for supply of digital device. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G0552 covered by Medicare?

Accepted Answer

Coverage for G0552 (Supply of digital device) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G0552?

Accepted Answer

Documentation for G0552 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).