G0553 commercial payer coverage policies

18 commercial payer policies list G0553. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.

Get free alerts for G0553

Free account. Policy pages stay open to everyone.

Commercial payer policies listing G0553

18 policies from 6 payers

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Regence BCBS

Regence BCBS policies listing G0553, with the code’s status in each
Policy	Effective	Status of G0553
Digital Therapeutic ProductsPayerPolicy · REGENCE-MED175	Apr 1, 2026	Covered
Digital Therapeutic Products for Attention Deficit Hyperactivity DisorderPayerPolicy · REGENCE-MED175.01	Jan 1, 2026	Covered
Digital Therapeutic Products for Chronic Low Back PainPayerPolicy · REGENCE-MED175.03	Jan 1, 2026	Covered
Digital Therapeutic Products for Post-traumatic Stress Disorder and Panic DisorderPayerPolicy · REGENCE-MED175.05	Apr 1, 2026	Covered
Digital Therapeutic Products for Substance Use DisordersPayerPolicy · REGENCE-MED175.02	Jan 1, 2026	Covered

G0553 commercial payer coverage policies

Commercial payer policies listing G0553

Regence BCBS

BCBS Illinois

G0553 commercial payer coverage policies

Commercial payer policies listing G0553

Regence BCBS

BCBS Illinois

BCBS Montana

BCBS New Mexico

BCBS Oklahoma

Anthem

Policy	Effective	Status of G0553
Digital Health Technologies for Attention Deficit/Hyperactivity DisorderPayerPolicy · BCBSIL-PSY301.022	Dec 15, 2025	Covered
Digital Health Technologies: Diagnostic ApplicationsPayerPolicy · BCBSIL-PSY301.024	Dec 15, 2025	Covered
Digital Health Technologies: Therapeutic ApplicationsPayerPolicy · BCBSIL-PSY301.025	Dec 15, 2025	Covered