Health Insurance, Worker’s Compensation, and Car Insurance
At Solution Heal, we accept Health Insurance, and Auto Insurance for acupuncture treatment, once benefits are verified. However, the fee charged for each treatment may vary case by case due to the complexity of the health care system.
Here is an example fee schedule for acupuncture. However, each Health Insurance company also has its fee schedule, so the actual payout is likely to be different.
Evaluation and Management (E & M) CPT Codes:
Code | History | Exam | Medical decision making | Typical face-to-face time (minutes) | Charge |
99202 | Expanded problem-focused | Expanded problem-focused | Straightforward | 20 | $95 |
99203 | Detailed | Detailed | Low | 30 | $140 |
99212 | Problem-focused | Problem-focused | Straightforward | 10 | $60 |
99213 | Expanded problem-focused | Expanded problem-focused | Low | 15 | $80 |
Acupuncture CPT Code:
Code | Explanation | Minutes | Units | Charge |
97810 | Acupuncture without electrical stimulation, initial 15 minutes of contact with the patient | 15 | Single | $160 |
97811 | Acupuncture without electrical stimulation, each additional 15 minutes of contact with the patient, with re-insertion of needle(s) [emphasis added]. Must be used with 97810. | 15 | Multiple | $80 |
97813 | Acupuncture with electrical stimulation, initial 15 minutes of contact with the patient | 15 | Single | $180 |
97814 | Acupuncture with electrical stimulation, each additional 15 minutes of contact with the patient, with re-insertion of needle(s) [emphasis added]. Must be used with 97813. | 15 | Multiple | $100 |
Other CPT Code:
Code | Explanation | Minutes | Units | Charge |
97124 | Therapeutic procedure; Tuina, Gua Sha, Cupping | 15 | Multiple | $35 |
97016 | Vasopneumatic devices to one or more areas | Single | $25 | |
97026 | Infrared Therapy | $15 |
Chinese Herbal Therapy is not covered by Health Insurance yet. If you would like this service to be covered, please make this request to your insurance company.
Acupuncture
Each acupuncture session is about 45 minutes to 1 hour depending on the condition to be treated. Often, various procedures will be applied to the best result in the issue. Prior to each step or procedure, our acupuncturist will explain the process to ensure the comfort of our clients. It is our goal to make sure everyone walks out with a big smile on their face at the end of the session, so please let the acupuncturist know if anything makes you uncomfortable. We can always find an alternative to ensure your comfort while providing effective treatment.
If you don’t have health insurance coverage for acupuncture, please call and we can discuss the special discount for those who pay out of pocket. If your health insurance covers acupuncture treatments, it is best to let us know prior to the treatment so we can prepare the necessary documents for you.
Traditional Chinese Medicine Consultation
At Solution Heal, we provide 5 service options for our clients from our consultation session. Each session range from 15 to 30 minutes.
Consultation Fee
Additional Service and Fee
When additional time is spent for each service, a fee of $30 per 15 minutes is charged for most cases. However, the fee may be different depending on the tasks.
No Show and Cancellation Policy
If there is any trouble making the scheduled appointment, please call 617-997-0188 or email jack@soluheal.com.
For cancellation 24 hours before the appointment, there is no additional fee. However, I will have to ask you to pay $10 for cancellation within 24 hours.
For No Show, a $30 fee will be charged. After one No Show, I will ask you to prepay for the service when scheduling the appointment.