Acupuncture for Fibromyalgia (Effective April 16, 2004)

30.3.1 – Acupuncture for Fibromyalgia (Effective April 16, 2004) (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) 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.)