INSURANCE GUIDE
Information Relevant to Insurance, Flex Spending, HSA Submissions
Use this guide as a resource if you’re submitting receipts to insurance for reimbursement. If you need to request a PDF report with all your visit dates and costs, please use the button below and plan on receiving them via email within 7 business days. I do not communicate or submit forms to insurance companies.
Provider information:
Nicole ES Lange
Life Healing Life LLC
National provider ID 1699127340
License Numbers:
MN Medical Board 1377
NCCAOM ID (National Certification): 28812
Address:
2615 Park Ave S Suite B4
Minneapolis, M 55407
Procedure Codes
CODE #1
Chatting / Check-In / Education Time
Select only 1 from the following visit options.
REGULAR VISIT
Use this code for a normal in-person visit.
99214 Evaluation / Management - Detailed
Detailed history, detailed examination, moderate complexity.
Provider spends 20-25 minutes face to face with patient.
- or -
EXTENDED or DELUXE VISIT
Use 1 of the following codes for any visit that was longer than a normal in-person visit.
99203 Evaluation / Management - Detailed
Detailed history, examination and medical decision making.
Provider typically spends 30 minutes face to face with the patient.
99204 Evaluation / Management - Comprehensive
Comprehensive history, comprehensive examination, moderate complexity.
Provider typically spends 45* minutes face to face with the patient.
*Any amount of time >45 minutes will not be covered, simply choose 99204 to get the most possible.
CODES #2 thru #6
Actual Treatment Time
ACUPUNCTURE
Pick 1 from each of the following 2 groupings.
97810 Initial 15 Minutes of Insertion of Needles
97813 Initial 15 Minutes of Insertion of Needles with Electrical Stimulation
- and -
97811 Subsequent Unit of Acupuncture
(One unit = additional 15 minutes)
97814 Subsequent Unit of Acupuncture with Electrical Stimulation
(One unit = additional 15 minutes)
- Finally -
INCLUDE ANY ADDITIONAL SERVICES
Select any if applicable to your visit.
97016 Cupping
97026 Heat Lamps
Superficial infrared heat in conjunction with other procedures.
97124 Massage (Tui Na Massage)
15 minutes of one on one direct patient contact.
Cost Assigning
Example of a typical in person acupuncture visit.
Your Total Visit Fee should always equal my current visit rate. If additional services were provided at your visit, adjust the individual amounts so they still total the visit rate when added. They’re all a part of my service!
Date of Service - 01/10/2021
Total Visit Fee - $120
99214 - $40
Evaluation / Management - Detailed
97810 - $30
Initial 15 Minutes of Acupuncture
97811 - $30
Subsequent Acupuncture Unit
97124 - $10
Tui Na Massage
97026 - $10
Heat Lamps
ICD-10 Diagnosis Codes
If your insurance required ICD-10 Codes for Diagnosis, you will find many of the common ones below. If you need a more complete (and complex) listing, here's a link for you.
MENSTRUATION
Anovulatory N97.0
Cycle, Irregular N92.6
Delayed N91.0
Disorder N93.9
- psychogenic F45.8
During Pregnancy O20.8
Excessive (with Regular Cycle) N92.0
- with irregular cycle N92.1
- at puberty N92.2
Frequent N92.0
Infrequent — see Oligomenorrhea
Irregular N92.6
- specified NEC N92.5
Latent N92.5
Membranous N92.5
Painful N94.6
- primary N94.4
- psychogenic F45.8
- secondary N94.5
Passage of Clots N92.0
Precocious E30.1
Protracted N92.5
Retained N94.89
Retrograde N92.5
ScantyN94.89
MIGRAINE (IDIOPATHIC)
G43.909
MENSTRUAL MIGRAINE
G43.829
ANXIETY DISORDER
F41.9
SITUATIONAL DEPRESSION
F34.1
MILD DEPRESSION
F34.1
DYSTHYMIC DISORDER
F34.1
ADJUSTMENT DISORDE
Grief, emotional crisis, emotional upset F43.20
GENERAL DIGESTIVE SYMPTOMS
Dyspepsia (Indigestion) 536.8
Nausea R11.0
Heartburn R12
Constipation K59.0
PAIN
Abdominal R10.9
- generalized R10.84
- - pelvic or perineal R10.2
- - periumbilical R10.33
- - right quadrant R10.31
Back (Postural) M54.9
Bladder R39.89
Breast N64.4
Broad Ligament R10.2
Chest (Central) R07.9
Chronic G89.29
Coccyx M53.3
Colon — see Pain, Abdominal
Costochondral R07.1
Diaphragm R07.1
- genital NEC T83.84
Ear H92.0
Epigastric, Epigastrium R10.13
Eye — see Pain, Ocular
Face, Facial R51
- atypical G50.1
Female Genital Organs NEC N94.89
Finger — see Pain, Limb, Upper
Flank — see Pain, Abdominal
Foot — see Pain, Limb, Lower
Gallbladder K82.9
Gas (Intestinal) R14.1
Gastric — see Pain, Abdominal
Generalized NOS R52
Genital Organ
- female N94.89
- male N50.8
Hand — see Pain, Limb, Upper
Head — see Headache
Heart — see Pain, Precordial
Infra-Orbital — see Neuralgia, Trigeminal
Intercostal R07.82
Intermenstrual N94.0
Jaw R68.84
Joint M25.50
- ankle M25.57
- elbow M25.52
- finger M79.64
- foot M25.57
- hand M79.64
- hip M25.55
- knee M25.56
- shoulder M25.51
- toe M25.57
- wrist M25.53
PAIN (continued)
Leg — see Pain, Limb, Lower
Limb M79.609
- lower M79.60
- - foot M79.67
Low Back M54.5
Lumbar Region M54.5
Menstrual N94.6
Musculoskeletal M79.1
Myofascial M79.1
Nasal J34.89
Nasopharynx J39.2
Neck NEC M54.2
Nerve NEC — see Neuralgia
Neuromuscular — see Neuralgia
Nose J34.89
Ocular H57.1
Orbital Region — see Pain, Ocular
Ovary N94.89
Ovulation N94.0
Pelvic (Female) R10.2
Penis N48.89
Premenstrual N94.3
Stomach — see Pain, Abdominal
Tooth K08.8
Trigeminal — see Neuralgia
Ureter N23
Urinary (Organ / System) N23
Uterus NEC N94.89
Vagina R10.2