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Shelly Posted 1 Year(s) ago
Is codes 97810 reimbursable when used twice in one day?
SuperCoder Posted 1 Year(s) ago


A provider can report only one initial acupuncture code per patient per date of service as these codes include the complete initial service to identify the acupuncture needs of the patient including the patient evaluation, set–up, and treatment. 

You report acupuncture based on 15–minute increments of personal, face–to–face time with the patient and not the time the acupuncture needles are in place. Also, it is not appropriate to report 97810 or +97811, the non–electrical stimulation codes, in addition to 97813 and +97814, the electrical stimulation codes, for the same 15–minute increment.


You can report subsequent 15 minute incremental treatments using +97811 or +97814, depending on whether you use manual or electrical stimulation during that additional time. Remember that use of these add–on codes requires re–insertion of the needle or needles.


If the patient’s condition requires service above and beyond the usual scope of service associated with the acupuncture treatment, you can also report an E/M service separately, by appending modifier 25. The E/M time is not included in the time of the acupuncture service.


Posted by Shelly, 1 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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