Is there a specific amount of sets you can bill for as an acupuncturist? The answer is no but the number of sets used should depend on…
Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).
Is there a specific amount of sets you can bill for as an acupuncturist? The answer is no but the number of sets used should depend on the necessity to properly address the patient’s symptom(s) and condition(s) being cared for.
According to the CPT codebook, there is no limit to the number of Acupuncture sets you can utilize; yet, it does specify you must spend 15-minutes face-to-face with your patient, with the insertion of needle(s) to qualify for 1 single set.
Most acupuncturist’s treatment is between 30-45 minutes, which is 2-3 billing sets (considered the average).
When billing for 4 sets of Acupuncture the requirement is a minimum of 53-minutes face-to-face with the patient and 4 separate and distinct insertions of needles (8 minutes minimum for each set, and 15-minutes to add another set on).
Please note: Time resting with needles does not count towards face-to-face time.
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 by 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.