Acupuncture

Service and Fee

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.

  1. Dietary/Lifestyle Recommendations
    • It is often that changes in diet and lifestyle can help to balance our body and improve overall health without additional supplements.
    • It is part of the acupuncture service.
  2. Herbal Supplement in Powder
    • Herbal Powder is prepared at Crane Herb Company and meets Good Manufacturing Practice requirements. You can read more about their service at Crane Herb Company website.
  3. Herbal Supplement in Pills, Tablets, and other OTC supplements.
    • There are some available in the office
    • For the herbal supplements that aren’t available in the office, a herbal prescription will be sent to Crane Herb Company for online order.

 Consultation Fee

  • No extra cost with acupuncture.
  • $50 for each consultation.
  • $20 for 10 minutes consultation at the desk. (no herbal prescription)
  • Additional fees may apply for additional services ($120/hour rate).

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.