$51.15
Both represent the initial timed acupuncture interval. Choose 97813 when electrical stimulation is applied through the needles; choose 97810 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
97813 Acupuncture Medicare reimbursement rates in Hawaii
Report 97813 for the initial 15 minutes of one-on-one acupuncture when electrical stimulation is applied through one or more needles. Compare 97813 office and facility rates across CMS payment localities in Hawaii.
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 97813 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$59.86
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$33.66
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
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.
Acupuncture
About 97813: Acupuncture with electrical stimulation, initial interval
Report 97813 for the initial 15 minutes of one-on-one acupuncture when electrical stimulation is applied through one or more needles.
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.
Where the value comes from
- Work RVU0.74 · 44%
- Practice expense (office) RVU0.90 · 53%
- Malpractice RVU0.05 · 3%
69.6K
Medicare services in 2024 · #676 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.
97813 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$29.95
97813 represents the initial timed interval with electrical stimulation. 97814 represents each additional qualifying interval of that treatment.
$29.62
97811 represents additional acupuncture time without electrical stimulation. For additional time after 97813 when stimulation continues, use 97814.
Compare 97813 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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$59.86
Facility
$33.66
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 97813 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
12,918
- Code
- 97813
- Physician work
- 0.74
- Practice expense
- 0.90
- Malpractice
- 0.05
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.74 | × 1.000 | 0.7400 |
| Practice expense | 0.90 | × 1.137 | 1.0233 |
| Malpractice | 0.05 | × 0.579 | 0.0290 |
| Total RVUs | 1.7923 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$59.86
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.74 | 1 |
| Practice expense | 0.9 | 1.137 |
| Malpractice | 0.05 | 0.579 |
(0.74 × 1 + 0.9 × 1.137 + 0.05 × 0.579) × $33.4009 = $59.86
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.74 | 1 |
| Practice expense | 0.21 | 1.137 |
| Malpractice | 0.05 | 0.579 |
(0.74 × 1 + 0.21 × 1.137 + 0.05 × 0.579) × $33.4009 = $33.66
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.
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 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.
12,91597804,,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
12,92198001,,Synch audio-video new low 30,I,+,1.60,0.92,,0.35,,0.09,2.61,2.04,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014