• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki In network Acupuncture

Create Wiki
P

princessv1724

Guest
Messages
2
Best answers
0
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.
 
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. Medicare has an RVU assigned. Nationally unadjusted rate based on these

[TABLE="width: 400"]
[TR]
[TD]HCPCS[/TD]
[TD]DESCRIPTION[/TD]
[TD]Office Rate[/TD]
[/TR]
[TR]
[TD]97810[/TD]
[TD]Acupunct w/o stimul 15 min[/TD]
[TD="align: right"]37.08[/TD]
[/TR]
[TR]
[TD]97811[/TD]
[TD]Acupunct w/o stimul addl 15m[/TD]
[TD="align: right"]28.08[/TD]
[/TR]
[TR]
[TD]97813[/TD]
[TD]Acupunct w/stimul 15 min[/TD]
[TD="align: right"]39.60[/TD]
[/TR]
[TR]
[TD]97814[/TD]
[TD]Acupunct w/stimul addl 15m[/TD]
[TD="align: right"]31.68[/TD]
[/TR]
[/TABLE]
 
You must log in or register to reply here.
Top