CPT code 97814: Acupuncture, additional 15 minutes with stimulation2026 Medicare rate & RVUs in Maryland
Reports each additional 15-minute acupuncture treatment segment involving needle reinsertion and electrical stimulation after the initial timed acupuncture service.
Medicare pays $28.94–$31.83 for 97814 in the office in Maryland, from Rest of Maryland to Washington, DC area. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 97814 covers
Code 97814 captures a subsequent timed segment of acupuncture treatment in which the practitioner continues one-on-one care, reinserts one or more needles, and applies electrical stimulation. It is used during pain-management visits when treatment extends beyond the initial acupuncture segment. A physician or other qualified acupuncture practitioner may perform the service in an office or outpatient setting, subject to applicable scope and coverage requirements.
Report 97814 only with primary acupuncture code 97813; it is not a stand-alone service. Select additional units from documented treatment time and record the face-to-face work, needle reinsertion, and use of electrical stimulation. CMS identifies 97814 as an add-on code: payment falls within the primary procedure's global period. Keep the initial segment on 97813 and use 97814 only for subsequent qualifying segments; treatment without electrical stimulation follows a different code path.
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.
Where 97814 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$28.94 to $31.83
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | $30.09 | $21.85 |
| Rest of Maryland | $28.94 | $21.17 |
| Washington, DC area | $31.83 | $22.78 |
How the 97814 rate is calculated
Each of 97814’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 · 97814
RVUs × geographic indexes × conversion factor
Work0.47
0.47 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
0.8600
Conversion factor
$33.4009
Medicare rate
$28.72
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 97814
The CMS indicators that decide how 97814 is paid alongside other services.
CMS payment indicators · 97814
Acupuncture, additional 15 minutes with stimulation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
97814 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 97813AcupunctureWith electrical stimulation
- Use 97813 for the initial timed acupuncture segment with electrical stimulation; use 97814 for additional qualifying segments.
- 97811AcupunctureEach additional 15 minutes
- Both describe additional acupuncture segments, but 97811 is for treatment without electrical stimulation and 97814 includes it.
- 97810AcupunctureWithout electrical stimulation, initial 15 minutes
- 97810 is for the initial acupuncture segment without electrical stimulation. 97814 is an add-on for additional segments with stimulation.
97814 billing questions
Can 97814 be reported without 97813?
No. 97814 is an add-on code and must be reported with primary acupuncture code 97813.
How does 97814 differ from 97813?
97813 represents the initial timed acupuncture segment with electrical stimulation. 97814 represents each additional qualifying segment with needle reinsertion.
When should 97811 be used instead?
Use 97811 for an additional acupuncture segment without electrical stimulation. Code 97814 is for additional treatment segments that include electrical stimulation.
What should the documentation support?
Document the additional treatment time, one-on-one service, needle reinsertion, and electrical stimulation. The record should distinguish the initial 97813 segment from the additional 97814 service.
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
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