When billing for Acupuncture, using any “brand” of Chiropractic Billing Software, there are only 4 CPT codes to use. They are:

  • 97810 – Acupuncture, one or more needles, without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient
  • 97811 – Each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needles
  • 97813 – Acupuncture, one or more needles, with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient
  • 97814 – Each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needles

The only modifier that might be used would be the “52” that indicates a Reduced Service, and only used when you provide less than 8 minutes of therapy. A patient having only 1 to 7 minutes total time would be billed 97810-52.

Acupuncture is a “timed” service but the initial 15 minutes is not documented in Units; the length of time that the therapy is applied is denoted by the actual CPT code used.

For example, the first 8 to 22 minutes, without electric stimulation, is billed as 97810; each additional block of 11 to 15 minutes (for a total time of 23 to 37 minutes) is billed as 97811 and may be in multiple units.

So, if a patient were to have a total of 60 minutes of acupuncture without electric stimulation, you would bill 97810, and 97811 for 3 units.

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Todd Crabtree

Todd Crabtree

Founder & Chief Technology Officer. Founded Clinic Doctor Inc. in 2004, to innovate the providing of insurance billing services to healthcare providers in chiropractic clinics that lacked the resources to pay for qualified billing professionals.

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