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Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · Psychiatry, Sleep MedicineMedium impact

Digital Health Technologies: Therapeutic Applications

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

The use of Freespira is considered investigational for all indications, including treatment of panic disorder and post-traumatic stress disorder (PTSD). The use of NightWare is considered investigational for all indications, including nightmare disorder and nightmares from PTSD. Several prescription digital therapy and digital mental health treatment codes are listed as investigational, including HCPCS A9291, A9294, G0552, G0553 and G0554.

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What to do

Action · 4 steps
01Billing team: Do not bill Freespira or NightWare as medically necessary for panic disorder, PTSD, nightmare disorder, or nightmares from PTSD, since the policy considers their use investigational for all indications.
02Do not bill HCPCS A9291, A9294, G0552, G0553 or G0554 as medically necessary, since the policy lists them as investigational codes.
03For Federal Employee Program members, FDA-approved devices, drugs or biologics may not be considered investigational and may be assessed only on the basis of medical necessity.
04BCBSMS makes no payment for services not documented to be medically necessary.

Codes mentioned

A9291A9294G0552G0553G0554

Original notice

Digital Health Technologies: Therapeutic Applications
bcbsms.com · Always check the source before changing claims.
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