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CMS RVU26D · Effective 2026-10-01

97811 in Austin

Office / nonfacility

$29.00

Base rate per service

Facility setting

$20.88

Base rate per service

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.

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 rates for Austin, from the same CMS release.

97810

Acupuncture

Without electrical stimulation, initial 15 minutes

$49.52

Use 97810 for the initial 15 minutes of acupuncture without electrical stimulation; use 97811 for qualifying additional 15-minute periods.

97814

Acupuncture

Additional 15 minutes with stimulation

$29.34

Both represent additional acupuncture time, but 97814 is for treatment using electrical stimulation and 97811 is for treatment without it.

97813

Acupuncture

With electrical stimulation

$58.05

97813 represents the initial acupuncture service with electrical stimulation. 97811 represents additional time without electrical stimulation.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 97811 is $27.24—$1.76 lower than the $29.00 rate in Austin. Both use the same code, release and participation basis.

97811 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $29.00

  2. Beaumont

    $27.24

    $1.76 lower than Austin

  3. Brazoria

    $28.19

    $0.81 lower than Austin

  4. Dallas

    $28.34

    $0.66 lower than Austin

  5. Fort Worth

    $28.23

    $0.77 lower than Austin

  6. Galveston

    $28.26

    $0.74 lower than Austin

  7. Houston

    $28.81

    $0.19 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 97811 ranges from $26.21 in Arkansas to $36.40 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 97811

    Office

    $27.68

    Facility

    $20.39

    $1.32 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 97811

    Office

    $30.88

    Facility

    $21.80

    $1.88 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97811

    Office

    $31.47

    Facility

    $22.42

    $2.47 higher than Austin for the office setting.

  • Miami

    Florida · 97811

    Office

    $30.42

    Facility

    $22.42

    $1.42 higher than Austin for the office setting.

  • Chicago

    Illinois · 97811

    Office

    $29.86

    Facility

    $22.14

    $0.86 higher than Austin for the office setting.

  • Manhattan

    New York · 97811

    Office

    $31.91

    Facility

    $22.98

    $2.91 higher than Austin for the office setting.

  • Alaska*

    Alaska · 97811

    Office

    $36.40

    Facility

    $28.22

    $7.40 higher than Austin for the office setting.

  • Alabama

    Alabama · 97811

    Office

    $26.45

    Facility

    $19.73

    $2.55 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 97811

    Office

    $26.21

    Facility

    $19.61

    $2.79 lower than Austin for the office setting.

  • Arizona

    Arizona · 97811

    Office

    $27.87

    Facility

    $20.43

    $1.13 lower than Austin for the office setting.

  • Bakersfield

    California · 97811

    Office

    $29.45

    Facility

    $21.03

    $0.45 higher than Austin for the office setting.

  • Chico

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • El Centro

    California · 97811

    Office

    $29.35

    Facility

    $20.93

    $0.35 higher than Austin for the office setting.

  • Fresno

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Madera

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Merced

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Modesto

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Napa

    California · 97811

    Office

    $32.69

    Facility

    $22.56

    $3.69 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97811

    Office

    $30.63

    Facility

    $21.55

    $1.63 higher than Austin for the office setting.

  • Redding

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Rest Of California

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97811

    Office

    $29.67

    Facility

    $21.25

    $0.67 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97811

    Office

    $30.44

    Facility

    $21.50

    $1.44 higher than Austin for the office setting.

  • Salinas

    California · 97811

    Office

    $30.31

    Facility

    $21.41

    $1.31 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97811

    Office

    $30.75

    Facility

    $21.56

    $1.75 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97811

    Office

    $34.24

    Facility

    $23.41

    $5.24 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 97811

    Office

    $34.20

    Facility

    $23.37

    $5.20 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 97811

    Office

    $34.93

    Facility

    $23.85

    $5.93 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 97811

    Office

    $34.79

    Facility

    $23.71

    $5.79 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97811

    Office

    $29.86

    Facility

    $21.11

    $0.86 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 97811

    Office

    $30.83

    Facility

    $21.50

    $1.83 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 97811

    Office

    $30.35

    Facility

    $21.39

    $1.35 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 97811

    Office

    $31.13

    Facility

    $21.69

    $2.13 higher than Austin for the office setting.

  • Stockton

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Vallejo

    California · 97811

    Office

    $32.64

    Facility

    $22.52

    $3.64 higher than Austin for the office setting.

  • Visalia

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Yuba City

    California · 97811

    Office

    $29.34

    Facility

    $20.92

    $0.34 higher than Austin for the office setting.

  • Colorado

    Colorado · 97811

    Office

    $29.13

    Facility

    $20.95

    $0.13 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 97811

    Office

    $29.83

    Facility

    $21.56

    $0.83 higher than Austin for the office setting.

  • Delaware

    Delaware · 97811

    Office

    $28.22

    Facility

    $20.63

    $0.78 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 97811

    Office

    $29.36

    Facility

    $21.57

    $0.36 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 97811

    Office

    $28.37

    Facility

    $21.02

    $0.63 lower than Austin for the office setting.

  • Atlanta

    Georgia · 97811

    Office

    $28.83

    Facility

    $21.03

    $0.17 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 97811

    Office

    $27.28

    Facility

    $20.43

    $1.72 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 97811

    Office

    $29.62

    Facility

    $20.88

    $0.62 higher than Austin for the office setting.

  • Iowa

    Iowa · 97811

    Office

    $26.76

    Facility

    $19.74

    $2.24 lower than Austin for the office setting.

  • Idaho

    Idaho · 97811

    Office

    $26.90

    Facility

    $19.83

    $2.10 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 97811

    Office

    $28.44

    Facility

    $21.38

    $0.56 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 97811

    Office

    $27.91

    Facility

    $20.89

    $1.09 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 97811

    Office

    $29.60

    Facility

    $21.71

    $0.60 higher than Austin for the office setting.

  • Indiana

    Indiana · 97811

    Office

    $27.00

    Facility

    $19.88

    $2.00 lower than Austin for the office setting.

  • Kansas

    Kansas · 97811

    Office

    $26.74

    Facility

    $19.79

    $2.26 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 97811

    Office

    $26.97

    Facility

    $20.14

    $2.03 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 97811

    Office

    $27.82

    Facility

    $20.59

    $1.18 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 97811

    Office

    $26.97

    Facility

    $20.17

    $2.03 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 97811

    Office

    $31.24

    Facility

    $22.07

    $2.24 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97811

    Office

    $29.07

    Facility

    $20.98

    $0.07 higher than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97811

    Office

    $29.75

    Facility

    $21.51

    $0.75 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 97811

    Office

    $28.61

    Facility

    $20.83

    $0.39 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 97811

    Office

    $27.05

    Facility

    $19.98

    $1.95 lower than Austin for the office setting.

  • Southern Maine

    Maine · 97811

    Office

    $27.91

    Facility

    $20.30

    $1.09 lower than Austin for the office setting.

  • Detroit

    Michigan · 97811

    Office

    $28.66

    Facility

    $21.24

    $0.34 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 97811

    Office

    $27.47

    Facility

    $20.46

    $1.53 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 97811

    Office

    $28.03

    Facility

    $20.13

    $0.97 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 97811

    Office

    $27.63

    Facility

    $20.42

    $1.37 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 97811

    Office

    $27.82

    Facility

    $20.50

    $1.18 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 97811

    Office

    $26.71

    Facility

    $20.08

    $2.29 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 97811

    Office

    $26.46

    Facility

    $19.84

    $2.54 lower than Austin for the office setting.

  • Montana**

    Montana · 97811

    Office

    $28.39

    Facility

    $20.71

    $0.61 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 97811

    Office

    $27.22

    Facility

    $20.06

    $1.78 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 97811

    Office

    $27.80

    Facility

    $20.11

    $1.20 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 97811

    Office

    $26.84

    Facility

    $19.75

    $2.16 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 97811

    Office

    $28.76

    Facility

    $20.76

    $0.24 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 97811

    Office

    $31.35

    Facility

    $22.44

    $2.35 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 97811

    Office

    $30.21

    Facility

    $21.82

    $1.21 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 97811

    Office

    $27.59

    Facility

    $20.55

    $1.41 lower than Austin for the office setting.

  • Nevada**

    Nevada · 97811

    Office

    $28.24

    Facility

    $20.55

    $0.76 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97811

    Office

    $32.51

    Facility

    $23.37

    $3.51 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97811

    Office

    $30.43

    Facility

    $22.02

    $1.43 higher than Austin for the office setting.

  • Queens

    New York · 97811

    Office

    $32.01

    Facility

    $22.93

    $3.01 higher than Austin for the office setting.

  • Rest Of New York

    New York · 97811

    Office

    $27.49

    Facility

    $20.19

    $1.51 lower than Austin for the office setting.

  • Ohio

    Ohio · 97811

    Office

    $27.35

    Facility

    $20.34

    $1.65 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 97811

    Office

    $26.88

    Facility

    $20.02

    $2.12 lower than Austin for the office setting.

  • Portland

    Oregon · 97811

    Office

    $29.71

    Facility

    $21.18

    $0.71 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 97811

    Office

    $28.05

    Facility

    $20.39

    $0.95 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97811

    Office

    $29.35

    Facility

    $21.36

    $0.35 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97811

    Office

    $27.35

    Facility

    $20.30

    $1.65 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 97811

    Office

    $28.51

    Facility

    $20.74

    $0.49 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 97811

    Office

    $28.97

    Facility

    $21.04

    $0.03 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 97811

    Office

    $27.33

    Facility

    $20.23

    $1.67 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 97811

    Office

    $27.73

    Facility

    $20.04

    $1.27 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 97811

    Office

    $26.83

    Facility

    $19.85

    $2.17 lower than Austin for the office setting.

  • Utah

    Utah · 97811

    Office

    $27.57

    Facility

    $20.35

    $1.43 lower than Austin for the office setting.

  • Virginia

    Virginia · 97811

    Office

    $27.89

    Facility

    $20.34

    $1.11 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97811

    Office

    $28.51

    Facility

    $20.74

    $0.49 lower than Austin for the office setting.

  • Vermont

    Vermont · 97811

    Office

    $27.78

    Facility

    $20.17

    $1.22 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 97811

    Office

    $28.99

    Facility

    $20.90

    $0.01 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 97811

    Office

    $31.71

    Facility

    $22.28

    $2.71 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 97811

    Office

    $27.19

    Facility

    $19.83

    $1.81 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 97811

    Office

    $27.25

    Facility

    $20.57

    $1.75 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 97811

    Office

    $28.13

    Facility

    $20.45

    $0.87 lower than Austin for the office setting.

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.

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.

$26.21

$36.40

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$36.401
AL$26.451
AR$26.211
AZ$27.871
CA$29.34–$34.9329
CO$29.131
CT$29.831
DC$31.471
DE$28.221
FL$28.37–$30.423
GA$27.28–$28.832
GU$29.621
HI$29.621
IA$26.761
ID$26.901
IL$27.91–$29.864
IN$27.001
KS$26.741
KY$26.971
LA$26.97–$27.822
MA$29.07–$31.242
MD$28.61–$31.473
ME$27.05–$27.912
MI$27.47–$28.662
MN$28.031
MO$26.71–$27.823
MS$26.461
MT$28.391
NC$27.221
ND$27.801
NE$26.841
NH$28.761
NJ$30.21–$31.352
NM$27.591
NV$28.241
NY$27.49–$32.515
OH$27.351
OK$26.881
OR$28.05–$29.712
PA$27.35–$29.352
PR$28.511
RI$28.971
SC$27.331
SD$27.731
TN$26.831
TX$27.24–$29.008
UT$27.571
VA$27.89–$31.472
VI$28.511
VT$27.781
WA$28.99–$31.712
WI$27.191
WV$27.251
WY$28.131

Explore 97811 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 97811 in Austin, the physician’s office rate is $29.00 and the facility-setting rate is $20.88: a difference of $8.12.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 97811 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$31.90

$29.00 × 110% = $31.90

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 97811 in Austin.

PPRRVU2026_Oct_nonQPP.csv

12,917

Code
97811
Physician work
0.46
Practice expense
0.36
Malpractice
0.03

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 97811 in Austin
ComponentRVULocality factorAdjusted
Physician work0.46× 1.0020.4609
Practice expense0.36× 1.0580.3809
Malpractice0.03× 0.8860.0266
Total RVUs0.8684
Conversion factor× 33.4009

Office / nonfacility rate, Austin$29.00

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 97811 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.461.002
Practice expense0.361.058
Malpractice0.030.886

(0.46 × 1.002 + 0.36 × 1.058 + 0.03 × 0.886) × $33.4009 = $29.00

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.461.002
Practice expense0.131.058
Malpractice0.030.886

(0.46 × 1.002 + 0.13 × 1.058 + 0.03 × 0.886) × $33.4009 = $20.88

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

97811 · Office / nonfacility

$29.00

Effective 2026-10-01

The base rate is $3.08 higher than on 2025-10-01, moving from $25.92 to $29.00 (11.9%).

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

    $25.92changed to$29.00

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.30 changed to 0.36
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $25.92

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$29.00$20.88RVU26D
2026-07-01$29.00$20.88RVU26C
2026-04-01$29.00$20.88RVU26B
2026-01-01$29.00$20.88RVU26A
2025-10-01$25.92$23.21RVU25D
2025-07-01$25.92$23.21RVU25C
2025-04-01$25.92$23.21RVU25B
2025-01-01$25.92$23.21RVU25A

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.

RVUs for 97811PPRRVU2026_Oct_nonQPP.csv, line 12,917 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet