Acupuncture invoice template
Acupuncture invoice template is used by licensed acupuncturists to bill patients and insurers for treatments. It should include provider and patient details, date of service, CPT codes (e.g., 97810, 97811, 97813, 97814), units based on 15-minute increments, and diagnosis codes (ICD-10) that match payer policy. Accurate invoicing supports insurance reimbursement and Medicare rules where applicable.
Acupuncture invoice template Sample
Acupuncture invoice template
123 Business Street, City, Country
Phone: (123) 456-7890
Email: contact@company.com
Acupuncture invoice template
Bill To:
Client Name
Client Address
Client City, Country
Phone: (987) 654-3210
Email: client@example.com
Invoice #: 12345
Date: 2024-10-10
Due Date: 2024-11-10
| Item | Description | Qty | Price | Total |
|---|---|---|---|---|
| Service A | Itemized service or product | 1 | $100.00 | $100.00 |
| Service B | Additional line item | 2 | $50.00 | $100.00 |
| Subtotal | $200.00 | |||
| Tax (10%) | $20.00 | |||
| Total Due | $220.00 | |||
An invoice should include your business or name, the customer’s details, the date and invoice number, and a line-by-line breakdown of what was provided. Including payment terms—such as due on receipt, Net 15, or Net 30—helps you get paid on time and keeps records clear for taxes.
Supporting resources
| Resource | Type | Description |
|---|---|---|
| NCCAOM certification and licensure | Trade association | NCCAOM certifies acupuncturists; most states require NCCAOM or state exam for licensure. Verify state board requirements for billing. |
| Acupuncture CPT codes | Benchmark | 97810/97811 (without e-stim), 97813/97814 (with e-stim); bill in 15-minute units; only direct contact time counts. |
| Medicare acupuncture rules | Government | Medicare covers chronic low back pain only; max 12 visits in 90 days, up to 8 more if documented improvement; must be delivered/supervised by eligible provider per CMS. |
| Documentation for billing | Checklist | Document clock-in/out, units, diagnosis, and treatment goals; commercial plans often require prior auth and cap visits (e.g., 12–20 per year). |
Frequently Asked Questions
- What CPT codes do acupuncturists use?
- Common codes are 97810 (first 15 min, no e-stim), 97811 (each add’l 15 min), 97813 (first 15 min with e-stim), 97814 (each add’l 15 min with e-stim). Bill in 15-minute increments based on direct treatment time.
- Can acupuncturists bill Medicare directly?
- Medicare coverage for acupuncture is limited to chronic low back pain and must be delivered or supervised by a physician, NP, or PA who meets CMS requirements; check current CMS and state rules.
- What should an acupuncture invoice include for insurance?
- Provider NPI and credentials, patient info, date of service, CPT codes with units, ICD-10 diagnosis codes, and any prior authorization number. Match payer-specific coverage and documentation rules.