Are you confused about how to bill for an acupuncture office visit?

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

Are you confused about how to bill for an acupuncture office visit?

An acupuncture office visit known as Evaluation and Management (E/M) services has specific billing guidelines.

Here are some important things to know about billing for acupuncture E/M services:

E/M services can be billed on the initial patient evaluation. Bill a new patient for their first acupuncture visit using CPT codes 99201 to 99204.

E/M services can be billed for periodic follow-up evaluations (every 30 days or every sixth visit using CPT codes 99211 – 99214) with established acupuncture patients.

Acupuncture treatment CPT codes 97810, 97813, 97811, and 97814 all include E/M done as part of the overall daily 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.


yuriovi · July 29, 2021 at 11:19 am

It does not work with ASH. They explained it like this: service is included in an all-inclusive maximum daily rate with another service billed for the
same date of service (that is only $41)

    The Blog Team · July 30, 2021 at 5:08 am

    Some plan contracts and payments under ASH may have an all-inclusive maximum daily rate that is all inclusive or per diem that is paid for any and all set is provided, including treatment and/or an exam when necessary that may have a maximum rate only $41.

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