Acupuncture coverage is narrow and its codes are time-based, so small errors mean denials or unpaid units. Our coders understand acupuncture billing and coverage rules so you collect what’s covered.
Get a Free Acupuncture Billing AuditWe handle acupuncture billing end to end — verifying coverage, coding time-based sessions correctly, submitting, and following up on denials. Because acupuncture coverage varies widely and its codes depend on 15-minute increments of personal contact, accurate verification and coding are essential to getting paid.
The leaks: billing non-covered plans without verification, miscounting 15-minute time units, misusing the add-on re-insertion codes, and missing Medicare’s specific chronic-low-back-pain coverage rules. We verify coverage first and code the time-based units precisely.
Benefits and limits confirmed before treatment, preventing non-covered denials.
15-minute increments and add-on codes reported correctly.
Clean handling of both insurance and cash-pay patients.
With time-based CPT codes: 97810 and 97811 (without electrical stimulation) and 97813 and 97814 (with electrical stimulation), billed in 15-minute increments of personal one-on-one contact. Correct unit counting is essential to full payment.
Medicare covers acupuncture only for chronic low back pain under specific conditions and visit limits. We apply the current coverage rules so eligible claims are paid and non-eligible services aren’t billed to Medicare incorrectly.
Yes. Acupuncture is non-covered under many plans, so we verify benefits and any visit limits up front to prevent denials and unexpected patient bills.
Yes. We support insurance billing and cash-pay workflows, so mixed practices stay organized and paid.
Explore our full billing, coding & denial management services and provider credentialing, or see other specialties we bill including pain management and more.
See exactly where your practice is leaking revenue — denials, underpayments, and AR gaps — before you commit to anything.
Request Your Free AnalysisOr call (551) 320-2027 · info@prmsbs.com