US · guidance
CMS Pub. 100-03, ch. 1, § 30.3.1
Acupuncture for Fibromyalgia (Effective April 16, 2004)
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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