Question: Doesthe MA APCD contain medical claims for alternative medical procedures like acupuncture?
Answer: Yes, there are alternative medical procedures in the MA APCD. Since calendar year 2012, the number of acupuncture medical claim lines have more than doubled. The acupuncture procedure codes include '97780', '97781', '97810', '97811', '97813', '97814‘. The top three acupuncture procedure codes in the medical claims are ‘97810’, ‘97811’, and ‘97814’ described as follows:The MA APCD Release 6.0 includes paid claims from over 4,000 acupuncture providers in both hospital and community based settings. It is important to note that a portion of the community based alternative care providers in various Wellness Clinics and Holistic Health Centers are reimbursed by carriers even though they do not have a National Billing Provider ID or National Service Provider ID in the medical claims data.