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Digital Health Therapies for Substance Use Disorders
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Digital health therapies for individuals with substance use disorders are considered investigational under this policy. The policy lists CPT 98978 and HCPCS A9291, G0552, G0553 and G0554 as investigational codes. The policy history shows HCPCS codes G0552, G0553 and G0554 were added effective 01/01/2025, and the description of CPT 98978 was revised in the 01/01/2026 update.
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What to do
Action · 4 steps
01Billing team: When billing digital health therapies for substance use disorders under CPT 98978, HCPCS A9291, HCPCS G0552, G0553 or G0554, note that the policy considers these services investigational.
02Investigative means not yet recognized as a generally accepted standard of good medical practice for the treatment of the condition being treated and therefore not considered medically necessary.
03Federal Employee Program (FEP) may dictate that FDA-approved devices may not be considered investigational, and those devices may be assessed only on the basis of their medical necessity.
04Check the member's specific benefit plan language before billing, because the coverage guidelines should not be used in place of that language.
Codes mentioned
98978A9291G0552G0553G0554
Original notice
Digital Health Therapies for Substance Use Disorders
bcbsms.com · Always check the source before changing claims.
Related changes
See all Blue Cross & Blue Shield of Mississippi changes →Digital Health Technologies for Attention Deficit/Hyperactivity DisorderMediumNo effective date · Medical PolicyDigital Health Technologies: Diagnostic ApplicationsMediumEffective Jan 1, 2025 · Medical PolicyDigital Health Technologies: Therapeutic ApplicationsMediumNo effective date · Medical PolicyBrowse every Blue Cross & Blue Shield of Mississippi change in the policy list