acupuncture

  1. C

    Wiki Acupuncture denials from Medicare for "frequency"

    We are providing acupuncture in a hospital-based outpatient department. Both the physicians and the hospital are getting denials due to "frequency" when the patient has not exceeded the max limit of 20 visits in an 11 month period. Is anyone else experiencing this? Neither the pro fees or...
  2. C

    Wiki Billing for Acupuncture Services rendered in an FQHC

    Can you bill Medicare Part A under the facility for acupuncture services rendered in an FQHC? If so, can you please provide me with your source? If not, do you have a different solution? See below for the question from my biller. I’m trying to get more information on billing acupuncture...
  3. K

    Wiki MUE for CPT code 97811

    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 full 60 minutes. VA has paid the 97810 but is denying the 97811 with the following denial...
  4. M

    Wiki 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 accurate number of units on 97811/97814 or does each reinsertion time stand on its own? CPT Assistant...
  5. B

    Wiki Manipulation and Acupuncture

    Hi I have a chiropractor that also does acupuncture on the same day as a manipulation. I am curious to know how people are billing these two codes together. I have gotten it paid (might not always be correct) with a modifier 59 on the 97810. I have also been told to put a 51 on the 98940 which...
  6. L

    Wiki Acupuncture Billing for FP in Ga.

    What is the appropriate way for a Family Practice physician to bill out for Acupuncture? I have seen CPT 97810 and 97811; also I have heard where it is billed out as an office visit E/M. Given there is a specific CPT I would think that 97810 and 97811 are the appropriate way to bill out for...
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