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CPT code 97814: Acupuncture, additional 15 minutes with stimulation2026 Medicare rate & RVUs in Puerto Rico

Reports each additional 15-minute acupuncture treatment segment involving needle reinsertion and electrical stimulation after the initial timed acupuncture service.

CMS RVU26DEffective Oct 1, 2026One payment locality90.9K Medicare services in 2024

In Puerto Rico, Medicare pays $28.84 for 97814 in the office and $21.08 when it’s performed in a hospital or facility.

$28.84Office (non-facility)
$21.08Hospital or facility
+0.4%vs the national office rate ($28.72)

Check a contract rate as a % of Medicare · 97814 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 97814 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 97814 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 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.

How Puerto Rico compares for 97814

Across 109 of 109 payment localities, the office rate for 97814 runs from $26.54 in Arkansas to $36.91 in Alaska. Puerto Rico pays $28.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

97814 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$28.84
  2. Los Angeles, CA · California$31.23+$2.39
  3. Washington, DC area · District of Columbia$31.83+$2.99
  4. Miami, FL · Florida$30.75+$1.91
  5. Chicago, IL · Illinois$30.19+$1.35
  6. Manhattan, NY · New York$32.26+$3.42
  7. Alaska · Alaska$36.91+$8.07

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

Every other payment area

97814 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$26.79$20.06
ArkansasArkansas$26.54$19.94
ArizonaArizona$28.21$20.76
Bakersfield, CACalifornia$29.79$21.37
Chico, CACalifornia$29.68$21.26
El Centro, CACalifornia$29.69$21.27
Fresno, CACalifornia$29.68$21.26
Hanford, CACalifornia$29.68$21.26

97814 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.

$26.54

$36.91

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

View every state and territory as a table
97814 office rate range by state
State / territoryOffice rate rangeLocalities
AK$36.911
AL$26.791
AR$26.541
AZ$28.211
CA$29.68–$35.3029
CO$29.461
CT$30.181
DC$31.831
DE$28.561
FL$28.70–$30.753
GA$27.62–$29.172
GU$29.951
HI$29.951
IA$27.101
ID$27.231
IL$28.24–$30.194
IN$27.331
KS$27.071
KY$27.301
LA$27.30–$28.152
MA$29.41–$31.592
MD$28.94–$31.833
ME$27.38–$28.252
MI$27.81–$28.992
MN$28.371
MO$27.04–$28.153
MS$26.791
MT$28.721
NC$27.561
ND$28.131
NE$27.181
NH$29.091
NJ$30.56–$31.712
NM$27.931
NV$28.571
NY$27.83–$32.865
OH$27.691
OK$27.211
OR$28.38–$30.052
PA$27.68–$29.692
PR$28.841
RI$29.311
SC$27.661
SD$28.061
TN$27.171
TX$27.57–$29.348
UT$27.901
VA$28.23–$31.832
VI$28.841
VT$28.111
WA$29.33–$32.062
WI$27.531
WV$27.581
WY$28.461

See 97814 in every payment locality

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

Office or facility?

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,919

Code
97814
Physician work
0.47
Practice expense
0.36
Malpractice
0.03

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 97814 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.47× 1.0000.4700
Practice expense0.36× 1.0110.3640
Malpractice0.03× 0.9850.0295
Total RVUs0.8635
Conversion factor× 33.4009

Office rate, Puerto Rico$28.84

Office: (0.47 × 1 + 0.36 × 1.011 + 0.03 × 0.985) × $33.4009 = $28.84

Facility: (0.47 × 1 + 0.13 × 1.011 + 0.03 × 0.985) × $33.4009 = $21.08

Open 97814 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 97814

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

Codes related to 97814
CodeHow it relatesOffice range, Puerto Rico
Primary code
97813Acupuncture, with electrical stimulationPrimary acupuncture service with electrical stimulation; report 97814 for additional qualifying segments.$56.75
Same family
97811Acupuncture, each additional 15 minutesAdditional acupuncture segment without electrical stimulation.$28.51
Used instead
97810Acupuncture, without electrical stimulation, initial 15 minutesInitial acupuncture segment without electrical stimulation.$48.37

How 97814 has changed in Puerto Rico

97814 · Office / nonfacility

$28.84

Effective 2026-10-01

The base rate is $0.02 lower than on 2025-10-01, moving from $28.86 to $28.84 (0.1%).

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

    $28.86changed to$28.84

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.39 changed to 0.36
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $36.71changed to$28.86

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 0.55 changed to 0.47
    • Practice expense RVU 0.51 changed to 0.39
    • Malpractice RVU 0.04 changed to 0.03

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $36.11changed to$36.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $37.39changed to$36.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $37.28changed to$37.39

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $38.89changed to$37.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.53 changed to 0.51
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $34.98changed to$38.89

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.40 changed to 0.53
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $34.73changed to$34.98

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.36 changed to 0.40
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. April 1, 2020

    RVU20B

    No ratechanged to$34.73

    Held through RVU20C, RVU20D.

  10. 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$28.84$21.08RVU26D
2026-07-01$28.84$21.08RVU26C
2026-04-01$28.84$21.08RVU26B
2026-01-01$28.84$21.08RVU26A
2025-10-01$28.86$23.32RVU25D
2025-07-01$28.86$23.32RVU25C
2025-04-01$28.86$23.32RVU25B
2025-01-01$28.86$23.32RVU25A
2024-10-01$36.71$28.00RVU24D
2024-07-01$36.71$28.00RVU24C
2024-04-01$36.71$28.00RVU24B
2024-03-09$36.71$28.00RVU24AR
2024-01-01$36.11$27.54RVU24A
2023-10-01$37.39$28.51RVU23D
2023-07-01$37.28$28.47RVU23C
2023-04-01$37.28$28.47RVU23B
2023-01-01$37.28$28.47RVU23A
2022-10-01$38.89$29.47RVU22D
2022-07-01$38.89$29.47RVU22C
2022-04-01$38.89$29.47RVU22B
2022-01-01$38.89$29.47RVU22A
2021-10-01$34.98$28.30RVU21D
2021-07-01$34.98$28.30RVU21C
2021-04-01$34.98$28.30RVU21B
2021-01-01$34.98$28.30RVU21A
2020-10-01$34.73$29.27RVU20D
2020-07-01$34.73$29.27RVU20C
2020-04-01$34.73$29.27RVU20B
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 97814 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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

Show the CMS file lines behind this rate
RVUs for 97814PPRRVU2026_Oct_nonQPP.csv, line 12,919 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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