INSURANCE COVERAGE GUIDELINES FOR ACUPUNCTURE

Policy:

Coverage is subject to the terms, conditions, and limitations of the member's contract.

The provision of benefits for all services related to acupuncture is in accordance with the individual's benefit contract and varies by insurance company, product and group. Therefore, individual member benefits must be verified. Coverage of acupuncture may be subject to coverage limits, existing contractual exclusions, and medical necessity criteria.

MEDICALLY NECESSARY (More likely covered by Insurance Providers)

Needle acupuncture (manual or with electrical stimulation) is considered medically necessary for the following conditions (to be verified with your individual plan, provider and/or acupuncturist):

  • Headache (migraine and tension)

  • Postoperative nausea and vomiting

  • Chemotherapy-induced nausea and vomiting

  • Nausea of pregnancy

  • Low back pain

  • Chronic neck pain

  • Pain from osteoarthritis of the knee and hip

  • Some plans (Aetna) may cover musculoskeletal joint and soft tissue pain (e.g., hip, knee, spine) resulting in a functional deficit (e.g., inability to perform household chores, interference with job functions, loss of range of motion)

  • Some plans (Aetna) may cover post-operative dental pain

  • Some plans (Aetna) may cover temporomandibular disorders (TMD)

NOT MEDICALLY NECESSARY (Most likely NOT covered by Insurance Providers)

Acupuncture for all other uses is considered “experimental/investigational because there is inadequate scientific research assessing the efficacy of acupuncture compared with placebo, sham acupuncture or other modalities.” The treatment of the following conditions with acupuncture are considered “not medically necessary” and are not covered by insurance (this list is not all inclusive):

  1. Abdominal obesity

  2. Acne

  3. Acute pancreatitis

  4. Addiction

  5. AIDS

  6. Alcohol withdrawal syndrome

  7. Allergies

  8. Alzheimer’s disease

  9. Amblyopia

  10. Anorexia

  11. Asthma

  12. Attention deficit hyperactivity disorder (ADHD)

  13. Autism spectrum disorders

  14. Bell's palsy

  15. Benign prostatic hypertrophy

  16. Breast cancer-related hot flashes

  17. Breast cancer-related lymphedema

  18. Burning mouth syndrome

  19. Cancer-induced bone pain

  20. Cancer-related dyspnea

  21. Cancer-related fatigue

  22. Cardiovascular diseases (e.g., angina pectoris, heart failure, hypertension)

  23. Carpal tunnel syndrome

  24. Cerebral palsy

  25. Chemotherapy-induced leukopenia

  26. Chemotherapy-induced neuropathic pain

  27. Chronic hepatitis B

  28. Chronic ankle instability

  29. Chronic pain syndrome (e.g., RSD, facial pain)

  30. Chronic obstructive pulmonary disease (COPD)

  31. Chronic constipation

  32. Chronic fatigue syndrome

  33. Cognitive impairment

  34. Coronary heart disease

  35. Diabetic gastroparesis

  36. Diabetic peripheral neuropathy

  37. Diminished ovarian reserve

  38. Dry eyes

  39. Dysmenorrhea

  40. Endometriosis pain

  41. Epilepsy

  42. Erectile dysfunction

  43. Facial spasm

  44. Fetal breech presentation

  45. Fibromyalgia

  46. Fibrotic contractures

  47. Gastric ulcer

  48. Glaucoma

  49. Gout

  50. Hypoxic ischemic encephalopathy

  51. Induction of labor

  52. Infantile colic

  53. Infantile diarrhea

  54. Infertility (e.g., to assist oocyte retrieval and embryo transfer during IVF treatment cycle)

  55. Inflammatory bowel diseases (Crohn's disease and ulcerative colitis)

  56. Insomnia (including cancer-related insomnia)

  57. Intra-cerebral hemorrhage

  58. Irritable bowel syndrome

  59. Menopause-associated vasomotor symptoms

  60. Menopausal hot flashes

  61. Menstrual cramps/dysmenorrhea

  62. Mild cognitive impairment

  63. Multiple sclerosis

  64. Mumps

  65. Myofascial pain

  66. Myopia

  67. Neuropathic pain

  68. Nocturnal enuresis

  69. Non-alcoholic fatty liver disease

  70. Obesity / weight reduction

  71. Obstructive sleep apnea

  72. Occipital neuralgia

  73. Oligoasthenozoospermia

  74. Oral ulcer

  75. Osteoporosis

  76. Painful neuropathies

  77. Parkinson's disease

  78. Parkinson's disease-related fatigue, depression

  79. Peptic ulcer

  80. Peripheral arterial disease (e.g., intermittent claudication)

  81. Phantom leg pain

  82. Plantar fasciitis

  83. Polycystic ovary syndrome

  84. Post-herpetic neuralgia

  85. Post-operative ileus

  86. Post-prandial distress syndrome

  87. Post-stroke hiccup

  88. Post-stroke shoulder pain

  89. Post-surgical neuropathic pain after breast cancer surgery

  90. Post-traumatic stress disorder

  91. Premature ejaculation

  92. Premenstrual syndrome/premenstrual dysphoric disorder

  93. Pruritus

  94. Psoriasis

  95. Psychiatric disorders (e.g., anxiety, depression, and schizophrenia)

  96. Raynaud’s disease pain

  97. Renal colic

  98. Respiratory disorders

  99. Restless leg syndrome

  100. Rheumatoid arthritis

  101. Rhinitis

  102. Sensorineural deafness

  103. Sexual dysfunction

  104. Shoulder bursitis

  105. Sleep disturbance in individuals with cancer

  106. Smoking cessation

  107. Spasticity after stroke

  108. Stroke rehabilitation (e.g., dysphagia)

  109. Systemic lupus erythematosus

  110. Tennis elbow / epicondylitis

  111. Thoracic back pain

  112. Tic disorders (e.g., Tourette syndrome)

  113. Tinnitus

  114. Urinary incontinence

  115. Uterine fibroids

  116. Vascular dementia

  117. Xerostomia

  118. Whiplash

REQUIRED DOCUMENTATION

The individual's medical record must reflect the medical necessity for the care provided. These medical records may include, but are not limited to: records from the professional provider's office, hospital, nursing home, home health agencies, therapies, and test reports.