CPT Billing Codes

If you’re an acupuncture provider new to insurance billing, you may be wondering, “Where can I find the right acupuncture CPT codes to use?” At Holistic Billing Services, we understand this common concern. That’s why we’ve provided a list of the most up-to-date codes for your practice, including 97810, to help ensure accurate billing and maximize your reimbursements.

We believe these codes are ones that most insurances will reimburse, categorized by the three main sources of revenue for your practice: acupuncture billing, office visits, and physical therapy-based treatments.

Acupuncture Treatment Billing Codes

Acupuncture services are always coded in 15-minute increments, so you will use one code for the initial 15 minutes of service and a separate code for additional units of time. When managing acupuncture billing, CPT code 97810 will be used for the first 15 minutes of treatment. Codes may vary if you include electronic stimulation in your treatment. Many of the services you bill to insurance for acupuncture treatments will fall under the following four codes.

Office visits (or evaluation and management services) can be billed during the initial patient evaluation and follow-up evaluations thereafter. A good rule of thumb when handling acupuncture billing is to bill these codes every 30 days or after every sixth visit. Be cautious not to bill these codes every time a patient receives acupuncture treatments, as acupuncture codes 97810, 97813, 97811, and 97814 are designed to include evaluation and management as part of the overall daily treatment.

Physical Therapy-Based Treatments
and Modalities Billing Codes

Many acupuncturists use a variety of treatments and modalities to help patients strengthen, relax, and heal their muscles. Here are a few used by acupuncturists in their daily practice: