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CommercialBilling CodesLow impact

Digital Health Technologies for Attention Deficit/Hyperactivity Disorder

Blue Cross & Blue Shield of Mississippi·MS · Psychiatry, Pediatrics, Neurology·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

BCBS updated their policy on digital health technologies for ADHD treatment, specifically adding new billing codes for 2025. EndeavorRx remains considered investigational and not covered, but new codes G0552, G0553, and G0554 were added for digital mental health treatment devices effective January 1, 2025.

Action Required

Action needed
By January 1, 2025: Billing team must update billing software to include new HCPCS codes G0552, G0553, and G0554 for digital mental health treatment devices. Update code reference materials to reflect revised description for CPT 98978. Note that all listed codes remain investigational and claims will likely be denied without special authorization.

Affected Billing Codes

98978
A9291
A9999
G0552
G0553
G0554