Question 1

What is HCPCS code G0553?

Accepted Answer

HCPCS code G0553 is "Monthly tx for dmht 20mins". First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing information related to the use of the dmht device, including patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month

Question 2

What category is G0553 in?

Accepted Answer

G0553 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0553?

Accepted Answer

Use G0553 when billing for monthly tx for dmht 20mins. 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 G0553 covered by Medicare?

Accepted Answer

Coverage for G0553 (Monthly tx for dmht 20mins) 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 G0553?

Accepted Answer

Documentation for G0553 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).