[Aama-cases] CPT

[Michael Green]

These rates probably reflect the incorrect RV values discussed in the  
most recent AAMA Journal and are likely to improve in the future as  
the corrections make their way through the system.  The licensed  
acupuncturists have been hurting as well since they cannot charge an  
E&M code and they also hope that reimbursements will improve with the  
publication of the corrections.

Michael Green, MD, DABMA

On Aug 25, 2005, at 5:23 PM, Joseph Kuhn wrote:

>     -- I am not discussing my fees or charges--
>
>
> I am contracted with Aetna in their PPO.  I have seen a patient for  
> three acupuncture treatments who is insured with Aetna.
> Therefore I have to take what they pay.
>
> Aetna's reimbursement is:
>
> 97810  without e stim  15 min   $23.85
> 97811   additional 15 min          $20.06
>
> 97813   with e stim  15 min        $25.71
> 97814   additional 15 min           $21.95
>
> On the first visit, I can charge a higher E&M code.  On repeat  
> visits, this reimbursement is too low,  in my opinion.
> Seeing sore throats pays better.
>
>
> J. Kuhn, DO  DABMA
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