CPT^® 97811, Under Acupuncture Procedures

The Current Procedural Terminology (CPT^®) code 97811 as maintained by American Medical Association, is a medical procedural code under the range - Acupuncture Procedures.

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Summary

The provider uses thin, solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand. This code is for each additional 15 minutes of manual treatment, after an initial treatment, and includes re–insertion of needles. This therapeutic intervention provides relief or prevention of pain, treatment of post–operative and chemotherapy nausea and vomiting, stroke rehabilitation, and treatment of asthma, addiction, and various other health conditions.

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VA acupuncture services payment issue with evaluation visit

Hi Kristy 2! This thread was back in May when I started having issue with VA claim process. I have figured out since then that VA (I am in legion 3) pays eval and RA visit for OV code as long as long ... [ Read More ]

VA acupuncture services payment issue with evaluation visit

Hello, I am researching VA CCN coding for acupuncture and came across your thread. We are billing 99202-99203 or 99212-99213 for our initial or re-assessments and we have gotten paid without any issu... [ Read More ]

MUE for CPT code 97811 acupuncture acupuncture billing

I have a problem with my VA billing for acupuncture visit. Provider is rendering 60 minutes of services. Claims are coded as 97810 for the first 15 minutes and 97811 x 3 units (no modifiers) for the... [ Read More ]

Acupuncture 97810/97811 & 97813/97814

Is it a requirement that in the notes that it not only states time but where the needles are placed?... [ Read More ]

Acupunture Coders PLEASE!

Although I don't routinely code acupuncture, the coding is quite simple. There are only 4 codes for acupuncture - two for treatments without electrical stimulation (97810-97811) and two for treatment... [ Read More ]

Acupuncture time 97811 97814 acupuncture time

In need of clarification on codes 97811 and 97814 that require reinsertion per AMA. If the provider performs more than one reinsertion, are we to add the time of all reinsertions together for an accur... [ Read More ]

In network Acupuncture

Part of a participating provider agreement is to not discussion of contracted rates with 3rd parties. It would be a violation of ones contract to discuss. Now if you want publicly available rates. Me... [ Read More ]

In network Acupuncture

We are currently out of network billing Acupuncture. Does anyone bill in network, and Could you please tell me what you are paid for codes 97810 and 97811 in network rate? Thank you.... [ Read More ]

Acupuncture codes/ billing for extended service

97810 is for the first 15 minutes of acupuncture without electrical stimulation, then use code 97811 for each additional 15 minutes of acupuncture without electrical stimulation. Thanks, Jonique Diet... [ Read More ]

Does 15 minute rule apply to Acupuncture CPT code 97810-97814?

Since this is a non-covered service by Medicare and several payers, it is difficult to find guidance or any official guidelines on acupuncture. The following two articles are frequently cited and pr... [ Read More ]

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