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CPT code 97813: Acupuncture, with electrical stimulation2026 Medicare rate & RVUs in Montana

Report 97813 for the initial 15 minutes of one-on-one acupuncture when electrical stimulation is applied through one or more needles.

CMS RVU26DEffective Oct 1, 2026One payment locality69.6K Medicare services in 2024

In Montana, Medicare pays $56.44 for 97813 in the office and $33.40 when it’s performed in a hospital or facility.

$56.44Office (non-facility)
$33.40Hospital or facility
−0.0%vs the national office rate ($56.45)

Check a contract rate as a % of Medicare · 97813 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 97813 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 97813 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 97813 covers

A physician or other qualified practitioner performs acupuncture by inserting needles at one or more points and applying electrical stimulation through the needles. The service is used in outpatient care, including treatment sessions for pain, in office or facility settings. The timed service requires direct, one-on-one contact with the patient; the code identifies the initial interval of that treatment.

Report 97813 once for the initial 15-minute interval when electrical stimulation is used. For additional qualifying intervals of acupuncture with electrical stimulation, report 97814. Choose the code based on the technique performed, not simply the patient’s diagnosis or the number of needles. Documentation should identify the acupuncture treatment, use of electrical stimulation, and duration of direct contact. CMS PFS valuation includes work, practice expense, and malpractice inputs; the practice-expense input differs between office and facility settings.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Montana compares for 97813

Across 109 of 109 payment localities, the office rate for 97813 runs from $51.40 in Arkansas to $71.68 in San Benito County, CA. Montana pays $56.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

97813 in Montana vs other payment areas
  1. Montana · this page$56.44
  2. Los Angeles, CA · California$62.40+$5.96
  3. Washington, DC area · District of Columbia$63.32+$6.88
  4. Miami, FL · Florida$60.23+$3.79
  5. Chicago, IL · Illinois$58.93+$2.49
  6. Manhattan, NY · New York$63.88+$7.44
  7. Alaska · Alaska$70.01+$13.57

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

97813 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$51.97$31.80
ArkansasArkansas$51.40$31.60
ArizonaArizona$55.28$32.94
Bakersfield, CACalifornia$59.15$33.89
Chico, CACalifornia$58.98$33.72
El Centro, CACalifornia$58.99$33.73
Fresno, CACalifornia$58.98$33.72
Hanford, CACalifornia$58.98$33.72

97813 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$51.40

$70.01

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
97813 office rate range by state
State / territoryOffice rate rangeLocalities
AK$70.011
AL$51.971
AR$51.401
AZ$55.281
CA$58.98–$71.6829
CO$58.301
CT$59.611
DC$63.321
DE$56.041
FL$55.96–$60.233
GA$53.52–$57.342
GU$59.861
HI$59.861
IA$52.891
ID$53.161
IL$54.77–$58.934
IN$53.391
KS$52.731
KY$52.971
LA$52.92–$54.902
MA$58.10–$63.112
MD$56.92–$63.323
ME$53.41–$55.562
MI$54.05–$56.542
MN$56.141
MO$52.26–$55.013
MS$51.831
MT$56.441
NC$53.831
ND$55.461
NE$53.091
NH$57.471
NJ$60.36–$62.932
NM$54.291
NV$56.201
NY$54.45–$65.145
OH$53.851
OK$52.861
OR$55.83–$59.752
PA$53.89–$58.452
PR$56.751
RI$57.731
SC$53.911
SD$55.341
TN$52.941
TX$53.62–$58.058
UT$54.471
VA$55.45–$63.322
VI$56.751
VT$55.321
WA$57.96–$64.202
WI$54.031
WV$53.231
WY$56.011

See 97813 in every payment locality

How the 97813 rate is calculated

Each of 97813’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 97813

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.74

0.74 RVUs× 1.000 GPCI

Practice expense0.90

0.90 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

1.6900

Conversion factor

$33.4009

Medicare rate

$56.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,918

Code
97813
Physician work
0.74
Practice expense
0.90
Malpractice
0.05

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 97813 in Montana
ComponentRVULocality factorAdjusted
Physician work0.74× 1.0000.7400
Practice expense0.90× 1.0000.9000
Malpractice0.05× 0.9980.0499
Total RVUs1.6899
Conversion factor× 33.4009

Office rate, Montana$56.44

Office: (0.74 × 1 + 0.9 × 1 + 0.05 × 0.998) × $33.4009 = $56.44

Facility: (0.74 × 1 + 0.21 × 1 + 0.05 × 0.998) × $33.4009 = $33.40

Open 97813 in the RVU calculator

Payment rules and modifiers for 97813

97813 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 97813

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$56.45

Non-facility (office)
$56.45
Facility
$33.40

Higher because the practice carries its own overhead.

Codes related to 97813

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 97813
CodeHow it relatesOffice range, Montana
Add-on codes
97814Acupuncture, additional 15 minutes with stimulationAdditional timed acupuncture with electrical stimulation is reported with the initial service.$28.72
Used instead
97810Acupuncture, without electrical stimulation, initial 15 minutesUse for the initial timed acupuncture service when electrical stimulation is not used.$48.09
Same family
97811Acupuncture, each additional 15 minutesAdditional timed acupuncture without electrical stimulation.$28.39

How 97813 has changed in Montana

97813 · Office / nonfacility

$56.44

Effective 2026-10-01

The base rate is $5.04 higher than on 2025-10-01, moving from $51.40 to $56.44 (9.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $51.40changed to$56.44

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.81 changed to 0.90
    • Malpractice RVU 0.04 changed to 0.05
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $45.24changed to$51.40

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 0.65 changed to 0.74
    • Practice expense RVU 0.67 changed to 0.81

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $44.50changed to$45.24

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $45.72changed to$44.50

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.66 changed to 0.67

  5. January 1, 2023

    RVU23A

    $47.03changed to$45.72

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.67 changed to 0.66
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $42.18changed to$47.03

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.51 changed to 0.67
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $42.77changed to$42.18

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.47 changed to 0.51
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. April 1, 2020

    RVU20B

    No ratechanged to$42.77

    Held through RVU20C, RVU20D.

  9. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$56.44$33.40RVU26D
2026-07-01$56.44$33.40RVU26C
2026-04-01$56.44$33.40RVU26B
2026-01-01$56.44$33.40RVU26A
2025-10-01$51.40$36.20RVU25D
2025-07-01$51.40$36.20RVU25C
2025-04-01$51.40$36.20RVU25B
2025-01-01$51.40$36.20RVU25A
2024-10-01$45.24$32.93RVU24D
2024-07-01$45.24$32.93RVU24C
2024-04-01$45.24$32.93RVU24B
2024-03-09$45.24$32.93RVU24AR
2024-01-01$44.50$32.39RVU24A
2023-10-01$45.72$33.52RVU23D
2023-07-01$45.72$33.52RVU23C
2023-04-01$45.72$33.52RVU23B
2023-01-01$45.72$33.52RVU23A
2022-10-01$47.03$34.23RVU22D
2022-07-01$47.03$34.23RVU22C
2022-04-01$47.03$34.23RVU22B
2022-01-01$47.03$34.23RVU22A
2021-10-01$42.18$33.11RVU21D
2021-07-01$42.18$33.11RVU21C
2021-04-01$42.18$33.11RVU21B
2021-01-01$42.18$33.11RVU21A
2020-10-01$42.77$34.83RVU20D
2020-07-01$42.77$34.83RVU20C
2020-04-01$42.77$34.83RVU20B
2020-01-01Separate payment rules applySeparate payment rules applyRVU20A
2019-10-01Separate payment rules applySeparate payment rules applyRVU19D
2019-07-01Separate payment rules applySeparate payment rules applyRVU19C
2019-04-01Separate payment rules applySeparate payment rules applyRVU19B
2019-01-01Separate payment rules applySeparate payment rules applyRVU19A
2018-10-01Separate payment rules applySeparate payment rules applyRVU18D
2018-07-01Separate payment rules applySeparate payment rules applyRVU18C
2018-04-01Separate payment rules applySeparate payment rules applyRVU18B
2018-01-01Separate payment rules applySeparate payment rules applyRVU18AR1
2017-10-01Separate payment rules applySeparate payment rules applyRVU17D
2017-07-01Separate payment rules applySeparate payment rules applyRVU17C
2017-04-01Separate payment rules applySeparate payment rules applyRVU17B
2017-01-01Separate payment rules applySeparate payment rules applyRVU17A
2016-10-01Separate payment rules applySeparate payment rules applyRVU16D
2016-07-01Separate payment rules applySeparate payment rules applyRVU16C
2016-04-01Separate payment rules applySeparate payment rules applyRVU16B
2016-01-01Separate payment rules applySeparate payment rules applyRVU16A
2015-10-01Separate payment rules applySeparate payment rules applyRVU15D
2015-07-01Separate payment rules applySeparate payment rules applyRVU15C
2015-04-01Separate payment rules applySeparate payment rules applyRVU15B
2015-01-01Separate payment rules applySeparate payment rules applyRVU15A
2014-10-01Separate payment rules applySeparate payment rules applyRVU14D
2014-07-01Separate payment rules applySeparate payment rules applyRVU14C
2014-04-01Separate payment rules applySeparate payment rules applyRVU14B
2014-01-01Separate payment rules applySeparate payment rules applyRVU14A
2013-10-01Separate payment rules applySeparate payment rules applyRVU13D
2013-07-01Separate payment rules applySeparate payment rules applyRVU13C
2013-04-01Separate payment rules applySeparate payment rules applyRVU13B
2013-01-01Separate payment rules applySeparate payment rules applyRVU13AR

Price 97813 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

97813 billing questions

How does 97813 differ from 97810?

Both describe the initial timed acupuncture service, but 97813 is for treatment with electrical stimulation through the needles. Use 97810 when acupuncture is performed without electrical stimulation.

When is 97814 reported with 97813?

Report 97814 for each additional qualifying 15-minute interval of acupuncture with electrical stimulation after the initial interval represented by 97813.

Can 97811 be used for additional time after 97813?

No. 97811 describes additional acupuncture time without electrical stimulation; 97814 is the additional-time code for treatment with electrical stimulation.

What documentation supports 97813?

Record that acupuncture was performed with electrical stimulation, the treatment provided, and the duration of direct one-on-one contact supporting the initial timed interval.

Does the number of needles determine whether to use 97813?

No. The distinguishing feature is electrical stimulation during the acupuncture service, not the number of needles.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 97813PPRRVU2026_Oct_nonQPP.csv, line 12,918 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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