NCDActive
Acupuncture for Osteoarthritis
NCD284
Effective: January 21, 2020
Updated: December 31, 2025
Policy Summary
CMS has a national non-coverage determination for acupuncture to treat osteoarthritis, finding it not reasonable and necessary due to lack of convincing evidence and study design flaws. This non-coverage is effective for claims on or after April 16, 2004 (Policy NCD284).
Coverage Criteria Preview
Key requirements from the full policy
"Acupuncture for the treatment of osteoarthritis is nationally non-covered because it is not considered reasonable and necessary under §1862(a)(1) of the Social Security Act."
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