Medicare Coverage for Acupuncture Services

Medicare Coverage For Acupuncture

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Medicare Part B (Original Medicare)

Medicare Part B covers acupuncture only for chronic low back pain.
To qualify, the pain must:

  • Last 12 weeks or longer,
  • Have no known systemic cause (such as cancer, inflammation, or infection),
  • Not be associated with surgery or pregnancy.

What’s covered:

  • Up to 12 visits in 90 days,
  • Up to 8 additional visits if you show measurable improvement (for a total of 20 visits per year).

Who can provide the service:

  • Treatments must be performed by, or under the supervision of, a physician or qualified practitioner credentialed under Medicare guidelines.
  • Licensed acupuncturists can provide treatment if they meet these requirements and bill appropriately.Co-Pays are assessed based on Part B and Supplemental Plan