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ICD-10 CM Codes Eligible to be Reported for Acupuncture
Acupuncture


PROCEDURE CODES 97810, 97811, 97813, 97814 AND S8930 ARE CONSIDERED MEDICALLY NECESSARY WHEN REPORTED WITH THE FOLLOWING ICD-10 DIAGNOSIS CODES:

G43.001Migraine without aura, not intractable, with status migrainosus
G43.009Migraine without aura, not intractable, without status migrainosus
G43.011Migraine without aura, intractable, with status migrainosus
G43.019Migraine without aura, intractable, without status migrainosus
G43.101Migraine with aura, not intractable, with status migrainosus
G43.109Migraine with aura, not intractable, without status migrainosus
G43.111Migraine with aura, intractable, with status migrainosus
G43.119Migraine with aura, intractable, without status migrainosus
G43.401Hemiplegic migraine, not intractable, with status migrainosus
G43.409Hemiplegic migraine, not intractable, without status migrainosus
G43.411Hemiplegic migraine, intractable, with status migrainosus
G43.419Hemiplegic migraine, intractable, without status migrainosus
G43.501Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus
G43.509Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus
G43.511Persistent migraine aura without cerebral infarction, intractable, with status migrainosus
G43.519Persistent migraine aura without cerebral infarction, intractable, without status migrainosus
G43.601Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus
G43.609Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus
G43.009Migraine without aura, not intractable, without status migrainosus
G43.611Persistent migraine aura with cerebral infarction, intractable, with status migrainosus
G43.619Persistent migraine aura with cerebral infarction, intractable, without status migrainosus
G43.701Chronic migraine without aura, not intractable, with status migrainosus
G43.709Chronic migraine without aura, not intractable, without status migrainosus
G43.711Chronic migraine without aura, intractable, with status migrainosus
G43.719Chronic migraine without aura, intractable, without status migrainosus
G43.801Other migraine, not intractable, with status migrainosus
G43.809Other migraine, not intractable, without status migrainosus
G43.811Other migraine, intractable, with status migrainosus
G43.819Other migraine, intractable, without status migrainosus
G43.821Menstrual migraine, not intractable, with status migrainosus
G43.829Menstrual migraine, not intractable, without status migrainosus
G43.831Menstrual migraine, intractable, with status migrainosus
G43.839Menstrual migraine, intractable, without status migrainosus
G43.901Migraine, unspecified, not intractable, with status migrainosus
G43.909Migraine, unspecified, not intractable, without status migrainosus
G43.911Migraine, unspecified, intractable, with status migrainosus
G43.919Migraine, unspecified, intractable, without status migrainosus
​G43.E01
​Chronic migraine with aura, not intractable, with status migrainosus
G43.E09Chronic migraine with aura, not intractable, without status migrainosus
G43.E11Chronic migraine with aura, intractable, with status migrainosus
G43.E19Chronic migraine with aura, intractable, without status migrainosus
G44.201Tension-type headache, unspecified, intractable
G44.209Tension-type headache, unspecified, not intractable
G44.211Episodic tension-type headache, intractable
G44.219Episodic tension-type headache, not intractable
G44.221Chronic tension-type headache, intractable
G44.229Chronic tension-type headache, not intractable
K91.0Vomiting following gastrointestinal surgery
M16.0Bilateral primary osteoarthritis of hip
M16.10Unilateral primary osteoarthritis, unspecified hip
M16.11Unilateral primary osteoarthritis, right hip
M16.12Unilateral primary osteoarthritis, left hip
M16.2Bilateral osteoarthritis resulting from hip dysplasia
M16.30Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip
M16.31Unilateral osteoarthritis resulting from hip dysplasia, right hip
M16.32Unilateral osteoarthritis resulting from hip dysplasia, left hip
M16.4Bilateral post-traumatic osteoarthritis of hip
M16.50Unilateral post-traumatic osteoarthritis, unspecified hip
M16.51Unilateral post-traumatic osteoarthritis, right hip
M16.52Unilateral post-traumatic osteoarthritis, left hip
M16.6Other bilateral secondary osteoarthritis of hip
M16.7Other unilateral secondary osteoarthritis of hip
M16.9Osteoarthritis of hip, unspecified
M17.0Bilateral primary osteoarthritis of knee
M17.10Unilateral primary osteoarthritis, unspecified knee
M17.11Unilateral primary osteoarthritis, right knee
M17.12Unilateral primary osteoarthritis, left knee
M17.2Bilateral post-traumatic osteoarthritis of knee
M17.30Unilateral post-traumatic osteoarthritis, unspecified knee
M17.31Unilateral post-traumatic osteoarthritis, right knee
M17.32Unilateral post-traumatic osteoarthritis, left knee
M17.4Other bilateral secondary osteoarthritis of knee
M17.5Other unilateral secondary osteoarthritis of knee
M17.9Osteoarthritis of knee, unspecified
M54.2Cervicalgia
M54.50Low back pain, unspecified
M54.51Vertebrogenic low back pain
M54.59Other low back pain
O21.0Mild hyperemesis gravidarum
O21.1Hyperemesis gravidarum with metabolic disturbance
O21.2Late vomiting of pregnancy
O21.8Other vomiting complicating pregnancy
O21.9Vomiting of pregnancy, unspecified
R11.2Nausea with vomiting, unspecified​


10/01/2023
09/29/2023
02/21/2024
Medical Policy Bulletin
Commercial
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