Oregon Health Plan - Acupuncture Coverage
Due to limited government funding, the Oregon Health Plan (OHP), Oregon’s Medicaid program, covers acupuncture treatment only for a limited list of medical conditions. A referral from your Primary Care Physician (PCP) is not required but is recommended. The referral should include a qualifying diagnosis and be sent to our office using one of the ICD-10 diagnosis codes listed below for acupuncture coverage.
*OHP coordinated by CareOregon, your PCP should submit the referral along with the Keele STarT Back Screening Tool to our office, can be faxed to 503-972-1849. Authorizations can also be submitted through CareOregon Connect.
As of 01/01/2025, OHP funding covers Line 1 through Line 469 of the Prioritized List of Health Services.
*OHP coordinated by CareOregon, your PCP should submit the referral along with the Keele STarT Back Screening Tool to our office, can be faxed to 503-972-1849. Authorizations can also be submitted through CareOregon Connect.
As of 01/01/2025, OHP funding covers Line 1 through Line 469 of the Prioritized List of Health Services.
2025 OHP Acupuncture Coverage (ICD-10 Diagnoses Codes)
PREGNANCY RELEATED:
O21.0, O21.1, O32.1, O99.89
DEPRESSION (POST-STROKE DEPRESSOIN ONLY):
F32.0-F32.1, F32.8, F33.8, F34.0, F34.8, F39, N94.3
SCOLIOSIS:
M41.00-M41.08, M41.112-M41.9, M96.5, Q67.5, Q76.3, Z47.82
CONDITIONS OF THE BACK AND SPINE:
F45.42, G83.4, G95.0, M24.08, M25.78, M40.00-M40.15, M40.202-M40.57, M42.00-M42.09, M42.11-M42.9, M43.00-M43.4, M43.5X2-M43.9, M45.0-M45.9, M46.1, M46.40-M46.99, M47.011-M47.9, M48.00-M48.38, M48.8X1-M48.9, M49.80-M49.89, M50.00-M50.93, M51.04-M51.9, M53.2X1-M53.9, M54.00-M54.9, M62.830, M96.1-M96.4, M99.00-M99.09, M99.20-M99.79, M99.81-M99.84, Q06.0-Q06.3, Q06.8-Q06.9, Q76.0-Q76.2, Q76.411-Q76.49, S13.0, S13.4, S13.8, S13.9, S16.1, S23.0-S23.171, S23.3, S23.8, S23.9, S33.0-S33.9, S34.3, S39.092, S39.82, S39.92
MIGRAINE HEADACHES:
G43.0, G43.1, G43.5, G43.7, G43.8, G43.9
OSTEOARTHRITIS (KNEE ONLY):
M17
*Note: Medicare does have acupuncture coverage as of 2020, however Aculinks Acupuncture is not a Medicare Provider.
PREGNANCY RELEATED:
O21.0, O21.1, O32.1, O99.89
DEPRESSION (POST-STROKE DEPRESSOIN ONLY):
F32.0-F32.1, F32.8, F33.8, F34.0, F34.8, F39, N94.3
SCOLIOSIS:
M41.00-M41.08, M41.112-M41.9, M96.5, Q67.5, Q76.3, Z47.82
CONDITIONS OF THE BACK AND SPINE:
F45.42, G83.4, G95.0, M24.08, M25.78, M40.00-M40.15, M40.202-M40.57, M42.00-M42.09, M42.11-M42.9, M43.00-M43.4, M43.5X2-M43.9, M45.0-M45.9, M46.1, M46.40-M46.99, M47.011-M47.9, M48.00-M48.38, M48.8X1-M48.9, M49.80-M49.89, M50.00-M50.93, M51.04-M51.9, M53.2X1-M53.9, M54.00-M54.9, M62.830, M96.1-M96.4, M99.00-M99.09, M99.20-M99.79, M99.81-M99.84, Q06.0-Q06.3, Q06.8-Q06.9, Q76.0-Q76.2, Q76.411-Q76.49, S13.0, S13.4, S13.8, S13.9, S16.1, S23.0-S23.171, S23.3, S23.8, S23.9, S33.0-S33.9, S34.3, S39.092, S39.82, S39.92
MIGRAINE HEADACHES:
G43.0, G43.1, G43.5, G43.7, G43.8, G43.9
OSTEOARTHRITIS (KNEE ONLY):
M17
*Note: Medicare does have acupuncture coverage as of 2020, however Aculinks Acupuncture is not a Medicare Provider.