Did you know there are different acupuncture E&M codes for established patients vs new patients?

Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).

Did you know there are different acupuncture E&M codes for established patients vs new patients?

An established or returning patient is someone who has received professional services from you or another provider of the same specialty in your practice within the past 3 years.

When examining an existing patient whether for a new injury or follow-up during a continued course of care it would be appropriate to use E&M codes 99211-99215 for this evaluation.

*Note: The E&M code must be appended with modifier 25 if performed on the same day as treatment.

Remember, billing with incorrect acupuncture CPT and ICD codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network is your solution.

American Acupuncture Council Network stays ahead of the curve on the latest trends and changes in billing and coding utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason acupuncturists have trusted AAC with their business for over 30 years.