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US · guidance

CMS Pub. 100-03, ch. 1, § 30.3.1

Acupuncture for Fibromyalgia (Effective April 16, 2004)

activein force · 2026-08-25 – presentas-observed

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 fibromyalgia.

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 fibromyalgia. 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 fibromyalgia within the meaning of §1862(a)(1) of

the Social Security Act, and the national non-coverage determination for acupuncture

for fibromyalgia continues.

D. Other

N/A

(This NCD last reviewed April 2004.)

History

(Rev. 10337, Issued: 08-27-20, Effective: 01-21-20, Implementation: 06-24 - 20 - A/B MACs; 10-05-20-SSM Edits; 01- 04-21 - BR 13 CWF only)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
6cd00827123f1f75b894b459758cbb86072eeb761f97ec4d2dea01037f364cf2
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