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Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary procedure)

CPT4 code

Name of the Procedure:

Acupuncture, (1 or more needles) without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s)

Summary

Acupuncture involves the insertion of fine needles into specific points on the body by a trained practitioner. This particular approach does not include electrical stimulation and may involve reinserting needles as necessary during the session.

Purpose

Medical Conditions Addressed: Chronic pain, stress, headaches, muscle tension, and various other conditions. Goals: To alleviate symptoms and promote overall well-being by stimulating the body's natural healing processes.

Indications

Symptoms: Chronic pain, migraine headaches, osteoarthritis, stress, anxiety, muscle tension, and fibromyalgia. Patient Criteria: Individuals experiencing chronic or acute symptoms not relieved by conventional treatments, or those seeking complementary treatment.

Preparation

Instructions: Typically, no specific preparation is required. Patients should wear loose clothing and avoid heavy meals or alcohol before the session. Assessments: A thorough medical history and physical examination to determine suitability.

Procedure Description

  1. Initial Consultation: Practitioner reviews medical history and discusses symptoms.
  2. Preparation: Patient lies down in a comfortable position.
  3. Needle Insertion: Practitioner identifies and sanitizes acupuncture points, then inserts fine needles at specific locations.
  4. Re-Insertion: Needles may be adjusted or reinserted based on the patient's response.
  5. Duration: Each additional 15 minutes involves further one-on-one care, possibly with needle re-insertion done as needed.

Tools Used: Fine, sterile acupuncture needles. Anesthesia: Not typically required; local points may occasionally be numbed.

Duration

Each session can last between 30 to 60 minutes in total, with each additional block of 15 minutes involving further treatment as described.

Setting

Typically performed in outpatient clinics or wellness centers.

Personnel

Licensed acupuncturist or a healthcare provider specialized in acupuncture.

Risks and Complications

Common Risks: Minor bleeding or bruising at needle sites, slight discomfort. Rare Risks: Infection, dizziness, or fainting. Managed with proper aseptic techniques and patient monitoring.

Benefits

Expected Benefits: Pain relief, reduced stress, improved function, often noticeable after several sessions. Timeframe: Beneficial effects can sometimes be felt immediately, with cumulative benefits over repeated sessions.

Recovery

Post-Procedure Care: Patients can usually resume normal activities immediately. Hydration and rest are encouraged. Recovery Time: Minimal, often immediate. Follow-up sessions may be scheduled based on individual response and condition.

Alternatives

Other Treatment Options: Physical therapy, medication, mindfulness and stress-reducing techniques, chiropractic care. Pros and Cons: Acupuncture is non-invasive with fewer side effects compared to medication, but its effectiveness can vary among individuals.

Patient Experience

During Procedure: Mild tingling or warming sensation, occasional mild discomfort at needle insertion points. After Procedure: Generally, patients feel relaxed and may experience symptom relief. Pain management and comfort are prioritized throughout the session.

Medical Policies and Guidelines for Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary procedure)

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