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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Acupuncture Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 98014 |
| Medicaid Fee Schedule | $79.275 median of the 8 states in the free preview · View Medicaid rates for 98014 |
National average reimbursement for CPT 98014 by major payers:

$115.55

$122.19

$96.06

$306.78
Choose a payer to see a sample of rates for CPT 98014.
John Hamilton
Anesthesiology Consultants Exchange, P.C.
Judith Lee-Sigler
Msk Group, PC Dba Orthosouth
Clark Scovel
Anesthesia Medical Group PC
Manuel Cavazos
Linda Passini
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Rate Benchmarking
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See a sample payer proposalCPT 98014 vs. Other Acupuncture Procedures Codes
The CPT 98014 code is part of the Medicine Services and Procedures services used for Acupuncture Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 98014 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 98014-CPT | Low | Synch Audio Only Est Mod 30, Synchronous Audio Only Visit For The Evaluation And Management Of An Established Patient Which Requires A Medically Appropriate History And/Or Examination Moderate Medical Decision Making And More Than 10 Minutes Of Medical Discussion. When Using Total Time On The Date Of The Encounter For Code Selection 30 Minutes Must Be Met Or Exceeded. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98014. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98014 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Factors that affect CPT 98014 fee schedules include Medicare & Medicaid Rates (government-set reimbursement amounts), Private Insurance Rates (negotiated rates between providers and insurance companies), Geographic Location (costs may be higher in urban areas), and Provider Type (hospital providers may have different rates than private practice).
The CPT 98014 code is part of the Medicine Services and Procedures for Acupuncture. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements. CPT 98014 specifically involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.