Results 1 to 5 of 5

Acupuncture coding

  1. #1
    Default Acupuncture coding
    Medical Coding Books
    I am looking for information on coding for Acupuncture for a CA work comp case.

    Does anybody know if CPT 97800 or 97801 has a "time" increment associated with it in the OMFS? As far as I can tell, these codes have no time requirements unlike the non-work comp CPT codes for the same services. Also, if there is no time associated with them, how/when would it be appropriate to assign CPT 97145 (addn'l time) codes?

    I appreciate any help/info that any of you can provide.

    Thanks!

  2. #2
    Location
    Prescott, AZ
    Posts
    67
    Default
    After looking at the current CPT 2010 book, I do not see these codes listed anymore. 97800/97801 must be discontinued codes. The current codes for Acupuncture are listed as 97810, 97811, 97813, and 97814. These are all time-based codes.

    I'm not familiar with CA Work Comp, so maybe there's some special coding with this insurance...??? They should provide you with a list of codes on their fee schedule.

  3. #3
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    I checked and the codes for acupuncture prior to 01/01/2005 were 97780 for one or more needles without electrical stimulation, and 97781 for with electrical stimulation. There was no time element, and that is why these codes were deleted and codes 97810-97814 were created.

    So your work comp in CA is still using 2004 codes? I thought my state was behind!

    I did look through previous CPT Assistants, but they only talk about how the new codes are time based correctly, whereas the previous codes didn't have that. I wish I could be more help.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  4. #4
    Default
    The codes that you referred me to (97810-97814) are not in the CA Official Medical Fee Schedule for CA worker's comp. The only codes that apply in this situation that are one the OMFS are 97800 or 97801 and I don't see where there is a time element associated with them. However, some of our providers continue to associate the time element of "15 min" with them. This is why I was trying to verify my information before proceeding any further with the providers. Thanks.

  5. #5
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    Quote Originally Posted by ms_rnell View Post
    The codes that you referred me to (97810-97814) are not in the CA Official Medical Fee Schedule for CA worker's comp. The only codes that apply in this situation that are one the OMFS are 97800 or 97801 and I don't see where there is a time element associated with them. However, some of our providers continue to associate the time element of "15 min" with them. This is why I was trying to verify my information before proceeding any further with the providers. Thanks.
    Sorry - I don't find 97800 or 97801 in previous editions of CPT either; they must be specific codes for CA worker's comp (I did a search of Ingenix archives and can't find them). When I found the previous CPT codes and they didn't have time elements, I thought that was what you were looking for. Sorry I misunderstood.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

Similar Threads

  1. Acupuncture Coding - codes be reported
    By dballard2004 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 10-22-2013, 03:49 AM
  2. Acupuncture CPT coding
    By tbuxton in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 03-16-2011, 06:02 PM
  3. Coding for Acupuncture
    By ms_rnell in forum Medicare Regulations
    Replies: 0
    Last Post: 08-03-2010, 06:41 PM
  4. Acupuncture Coding
    By sloinvestigator in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-23-2008, 08:57 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.