
Email: info@prgmd.com | Call: +1 (630) 242-6474
Business hours: 9:00 to 5:00 | Monday to Friday
Table of Contents
ToggleMedically necessary acupuncture treatments and benefits are for patients who meet CMS (Centers for Medicare and Medicaid) criteria – for lower back pain. To determine the patients’ qualifications, a prior authorization request is submitted. It is a part of acupuncture medical billing services. Additionally, the acupuncture CPT codes are treatment-specific – more on that later. Furthermore, supplemental acupuncture benefits are for patients enrolled in participating plans. Such do not need prior authorizations unless specific health plans direct it.
The Acupuncture Treatments Include:
Even when you outsource your medical billing services to third-party billing companies, knowing the correct CPT codes is vital. Every insurance provider can decide which codes they will reimburse, and that varies from provider to provider.
Ideally, there are 4 Acupuncture CPT codes. Furthermore, these codes are associated with 15-minute increments of time, so you get to use one for a specific code for the first 15 minutes, with an additional code for the other times and the set of needles. The first two codes will be used together for initial and subsequent needle insertion and time with a particular patient. CPT Codes for Acupuncture 97810-97814 are classified as time-based codes.
The following are common modifiers for changing a CPT code:
Share:
Categories
Recently Added
How to Optimize Your Medical Billing Workflow?
Common Mistakes in Podiatry Medical Billing and How to Avoid Them
The Role of Automated Revenue Cycle Management in Healthcare
We Would Love to Assist You!
We treat your data confidentially and don’t share any information with a third party.