CMS Acupuncture for Osteoarthritis Form
Procedure is not covered
Background for this Policy
A. General
Acupuncture is the selection and manipulation of specific acupuncture points by a variety of needling and non-needling techniques.
B. Nationally Covered Indications
N/A for acupuncture for osteoarthritis.
C. Nationally Non-Covered Indications
Effective for claims with dates of service on and after April 16, 2004, after careful reconsideration of its initial non-coverage determination for acupuncture, the Centers for Medicare & Medicaid Services (CMS) concludes that there is no convincing evidence for the use of acupuncture for pain relief in patients with osteoarthritis. Study design flaws presently prohibit assessing acupuncture’s utility for improving health outcomes. Accordingly, CMS determines that acupuncture is not considered reasonable and necessary for the treatment of osteoarthritis within the meaning of §1862(a)(1) of the Social Security Act, and the national non-coverage determination for acupuncture for osteoarthritis continues.
D. Other
N/A
(This NCD last reviewed April 2004.)