$43.73–$61.38
Use 97810 for the initial 15 minutes of acupuncture without electrical stimulation; use 97811 for qualifying additional 15-minute periods.
On this page
CMS RVU26D · Effective 2026-10-01
97811 Acupuncture Medicare reimbursement rates
Report this add-on for each additional 15 minutes of one-on-one acupuncture without electrical stimulation, following the initial acupuncture service. Compare 97811 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 97811?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$26.21–$36.40
109 of 109 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 97811 pays more and less
109 payment localities
$26.21 to $36.40
Acupuncture
About 97811: Additional acupuncture without electrical stimulation
Report this add-on for each additional 15 minutes of one-on-one acupuncture without electrical stimulation, following the initial acupuncture service.
This add-on represents an additional 15 minutes of direct, one-on-one acupuncture care without electrical stimulation, including reinsertion of one or more needles. Acupuncturists and other qualified practitioners may provide the service in an office or facility setting. A typical treatment uses needles placed at selected points and manually manipulated; electrical stimulation of the needles belongs to a different code family.
Report 97811 only with the primary acupuncture service 97810, after the initial service, and only for additional qualifying time. Document the practitioner’s face-to-face time and needle reinsertion supporting the additional service. CMS classifies 97811 as an add-on code: it must be billed with a primary procedure and is paid within that procedure’s global period.
CMS billing rules for 97811
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.46 · 54%
- Practice expense (office) RVU0.36 · 42%
- Malpractice RVU0.03 · 4%
98.5K
Medicare services in 2024 · #565 by national volume
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.
97811 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$26.54–$36.91
Both represent additional acupuncture time, but 97814 is for treatment using electrical stimulation and 97811 is for treatment without it.
$51.40–$71.68
97813 represents the initial acupuncture service with electrical stimulation. 97811 represents additional time without electrical stimulation.
See how rates vary across the country
97811 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$26.21
$36.40
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $36.40 | 1 |
| AL | $26.45 | 1 |
| AR | $26.21 | 1 |
| AZ | $27.87 | 1 |
| CA | $29.34–$34.93 | 29 |
| CO | $29.13 | 1 |
| CT | $29.83 | 1 |
| DC | $31.47 | 1 |
| DE | $28.22 | 1 |
| FL | $28.37–$30.42 | 3 |
| GA | $27.28–$28.83 | 2 |
| GU | $29.62 | 1 |
| HI | $29.62 | 1 |
| IA | $26.76 | 1 |
| ID | $26.90 | 1 |
| IL | $27.91–$29.86 | 4 |
| IN | $27.00 | 1 |
| KS | $26.74 | 1 |
| KY | $26.97 | 1 |
| LA | $26.97–$27.82 | 2 |
| MA | $29.07–$31.24 | 2 |
| MD | $28.61–$31.47 | 3 |
| ME | $27.05–$27.91 | 2 |
| MI | $27.47–$28.66 | 2 |
| MN | $28.03 | 1 |
| MO | $26.71–$27.82 | 3 |
| MS | $26.46 | 1 |
| MT | $28.39 | 1 |
| NC | $27.22 | 1 |
| ND | $27.80 | 1 |
| NE | $26.84 | 1 |
| NH | $28.76 | 1 |
| NJ | $30.21–$31.35 | 2 |
| NM | $27.59 | 1 |
| NV | $28.24 | 1 |
| NY | $27.49–$32.51 | 5 |
| OH | $27.35 | 1 |
| OK | $26.88 | 1 |
| OR | $28.05–$29.71 | 2 |
| PA | $27.35–$29.35 | 2 |
| PR | $28.51 | 1 |
| RI | $28.97 | 1 |
| SC | $27.33 | 1 |
| SD | $27.73 | 1 |
| TN | $26.83 | 1 |
| TX | $27.24–$29.00 | 8 |
| UT | $27.57 | 1 |
| VA | $27.89–$31.47 | 2 |
| VI | $28.51 | 1 |
| VT | $27.78 | 1 |
| WA | $28.99–$31.71 | 2 |
| WI | $27.19 | 1 |
| WV | $27.25 | 1 |
| WY | $28.13 | 1 |
Compare 97811 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $26.45 | Facility $19.73 |
| Alaska* | Office $36.40 | Facility $28.22 |
| Arizona | Office $27.87 | Facility $20.43 |
| Arkansas | Office $26.21 | Facility $19.61 |
| Atlanta | Office $28.83 | Facility $21.03 |
| Austin | Office $29.00 | Facility $20.88 |
| Bakersfield | Office $29.45 | Facility $21.03 |
| Baltimore/Surr. Cntys | Office $29.75 | Facility $21.51 |
| Beaumont | Office $27.24 | Facility $20.25 |
| Brazoria | Office $28.19 | Facility $20.57 |
| Chicago | Office $29.86 | Facility $22.14 |
| Chico | Office $29.34 | Facility $20.92 |
| Colorado | Office $29.13 | Facility $20.95 |
| Connecticut | Office $29.83 | Facility $21.56 |
| Dallas | Office $28.34 | Facility $20.69 |
| Dc + Md/Va Suburbs | Office $31.47 | Facility $22.42 |
| Delaware | Office $28.22 | Facility $20.63 |
| Detroit | Office $28.66 | Facility $21.24 |
| East St. Louis | Office $28.44 | Facility $21.38 |
| El Centro | Office $29.35 | Facility $20.93 |
| Fort Lauderdale | Office $29.36 | Facility $21.57 |
| Fort Worth | Office $28.23 | Facility $20.66 |
| Fresno | Office $29.34 | Facility $20.92 |
| Galveston | Office $28.26 | Facility $20.63 |
| Hanford-Corcoran | Office $29.34 | Facility $20.92 |
| Hawaii, Guam | Office $29.62 | Facility $20.88 |
| Houston | Office $28.81 | Facility $21.18 |
| Idaho | Office $26.90 | Facility $19.83 |
| Indiana | Office $27.00 | Facility $19.88 |
| Iowa | Office $26.76 | Facility $19.74 |
| Kansas | Office $26.74 | Facility $19.79 |
| Kentucky | Office $26.97 | Facility $20.14 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $30.88 | Facility $21.80 |
| Madera | Office $29.34 | Facility $20.92 |
| Manhattan | Office $31.91 | Facility $22.98 |
| Merced | Office $29.34 | Facility $20.92 |
| Metropolitan Boston | Office $31.24 | Facility $22.07 |
| Metropolitan Kansas City | Office $27.63 | Facility $20.42 |
| Metropolitan Philadelphia | Office $29.35 | Facility $21.36 |
| Metropolitan St. Louis | Office $27.82 | Facility $20.50 |
| Miami | Office $30.42 | Facility $22.42 |
| Minnesota | Office $28.03 | Facility $20.13 |
| Mississippi | Office $26.46 | Facility $19.84 |
| Modesto | Office $29.34 | Facility $20.92 |
| Montana** | Office $28.39 | Facility $20.71 |
| Napa | Office $32.69 | Facility $22.56 |
| Nebraska | Office $26.84 | Facility $19.75 |
| Nevada** | Office $28.24 | Facility $20.55 |
| New Hampshire | Office $28.76 | Facility $20.76 |
| New Mexico | Office $27.59 | Facility $20.55 |
| New Orleans | Office $27.82 | Facility $20.59 |
| North Carolina | Office $27.22 | Facility $20.06 |
| North Dakota** | Office $27.80 | Facility $20.11 |
| Northern Nj | Office $31.35 | Facility $22.44 |
| Nyc Suburbs/Long Island | Office $32.51 | Facility $23.37 |
| Ohio | Office $27.35 | Facility $20.34 |
| Oklahoma | Office $26.88 | Facility $20.02 |
| Oxnard-Thousand Oaks-Ventura | Office $30.63 | Facility $21.55 |
| Portland | Office $29.71 | Facility $21.18 |
| Poughkpsie/N Nyc Suburbs | Office $30.43 | Facility $22.02 |
| Puerto Rico | Office $28.51 | Facility $20.74 |
| Queens | Office $32.01 | Facility $22.93 |
| Redding | Office $29.34 | Facility $20.92 |
| Rest Of California | Office $29.34 | Facility $20.92 |
| Rest Of Florida | Office $28.37 | Facility $21.02 |
| Rest Of Georgia | Office $27.28 | Facility $20.43 |
| Rest Of Illinois | Office $27.91 | Facility $20.89 |
| Rest Of Louisiana | Office $26.97 | Facility $20.17 |
| Rest Of Maine | Office $27.05 | Facility $19.98 |
| Rest Of Maryland | Office $28.61 | Facility $20.83 |
| Rest Of Massachusetts | Office $29.07 | Facility $20.98 |
| Rest Of Michigan | Office $27.47 | Facility $20.46 |
| Rest Of Missouri | Office $26.71 | Facility $20.08 |
| Rest Of New Jersey | Office $30.21 | Facility $21.82 |
| Rest Of New York | Office $27.49 | Facility $20.19 |
| Rest Of Oregon | Office $28.05 | Facility $20.39 |
| Rest Of Pennsylvania | Office $27.35 | Facility $20.30 |
| Rest Of Texas | Office $27.68 | Facility $20.39 |
| Rest Of Washington | Office $28.99 | Facility $20.90 |
| Rhode Island | Office $28.97 | Facility $21.04 |
| Riverside-San Bernardino-Ontario | Office $29.67 | Facility $21.25 |
| Sacramento-Roseville-Folsom | Office $30.44 | Facility $21.50 |
| Salinas | Office $30.31 | Facility $21.41 |
| San Diego-Chula Vista-Carlsbad | Office $30.75 | Facility $21.56 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $34.24 | Facility $23.41 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $34.20 | Facility $23.37 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $34.93 | Facility $23.85 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $34.79 | Facility $23.71 |
| San Luis Obispo-Paso Robles | Office $29.86 | Facility $21.11 |
| Santa Cruz-Watsonville | Office $30.83 | Facility $21.50 |
| Santa Maria-Santa Barbara | Office $30.35 | Facility $21.39 |
| Santa Rosa-Petaluma | Office $31.13 | Facility $21.69 |
| Seattle (King Cnty) | Office $31.71 | Facility $22.28 |
| South Carolina | Office $27.33 | Facility $20.23 |
| South Dakota** | Office $27.73 | Facility $20.04 |
| Southern Maine | Office $27.91 | Facility $20.30 |
| Stockton | Office $29.34 | Facility $20.92 |
| Suburban Chicago | Office $29.60 | Facility $21.71 |
| Tennessee | Office $26.83 | Facility $19.85 |
| Utah | Office $27.57 | Facility $20.35 |
| Vallejo | Office $32.64 | Facility $22.52 |
| Vermont | Office $27.78 | Facility $20.17 |
| Virgin Islands | Office $28.51 | Facility $20.74 |
| Virginia | Office $27.89 | Facility $20.34 |
| Visalia | Office $29.34 | Facility $20.92 |
| West Virginia | Office $27.25 | Facility $20.57 |
| Wisconsin | Office $27.19 | Facility $19.83 |
| Wyoming** | Office $28.13 | Facility $20.45 |
| Yuba City | Office $29.34 | Facility $20.92 |
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97811 billing questions
Can 97811 be reported by itself?
No. It is an add-on code and must be reported with the primary acupuncture service, 97810.
How does 97811 differ from 97810?
97810 represents the initial 15 minutes of acupuncture without electrical stimulation. 97811 represents each additional 15 minutes after that initial service.
What documentation supports 97811?
Document the additional one-on-one time and needle reinsertion supporting the service, along with the acupuncture treatment provided.
When should 97814 be used instead?
Use 97814 for additional acupuncture time when electrical stimulation is applied to the needles. Code 97811 is for treatment without electrical stimulation.
How does the CMS add-on rule affect payment?
CMS requires 97811 to be billed with a primary procedure and pays it within that procedure’s global period.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,91497803,,Med nutrition indiv subseq,A,,0.45,0.49,,0.20,,0.01,0.95,0.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91597804,,Medical nutrition group,A,,0.25,0.25,,0.11,,0.01,0.51,0.37,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91697810,,Acup 1/> wo estim 1st 15 min,A,,0.61,0.79,,0.17,,0.04,1.44,0.82,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91797811,,Acup 1/> w/o estim ea add 15,A,,0.46,0.36,,0.13,,0.03,0.85,0.62,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91897813,,Acup 1/> w/estim 1st 15 min,A,,0.74,0.90,,0.21,,0.05,1.69,1.00,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91997814,,Acup 1/> w/estim ea addl 15,A,,0.47,0.36,,0.13,,0.03,0.86,0.63,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,92098000,,Synch audio-video new sf 15,I,+,0.93,0.61,,0.21,,0.06,1.60,1.20,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00