Evidence map›Paper›PMID 40766988›Full record

ArticleMedical care2025

Changes in Reimbursed Acupuncture Therapy Amidst the COVID-19 Pandemic: A Cross-Sectional Analysis.

Molly Candon, Jeffery A Dusek, Arya Nielsen

Abstract read
In one paragraph

Article in Medical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Trends in acupuncture billing by a large commercial insurer.The American journal of managed care · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Molly CandonDepartment of Psychiatry and Health Care Management, Perelman School of Medicine and the Wharton School, University of Pennsylvania, Philadelphia, PA.
Jeffery A DusekSusan Samueli Integrative Health Institute and the Department of Medicine, University of California, Irvine, Irvine, CA.
Arya NielsenDepartment of Family Medicine & Community Health, Icahn School of Medicine at Mount Sinai, New York, NY.

Funding

Acupuncture in the Emergency Department for Pain Management: A BraveNet Multi-Center Feasibility StudyR01AT010598 · NCCIH · CASE WESTERN RESERVE UNIVERSITY · PI DUSEK, JEFFERY A, FARYAR, KIRAN ANN · 2021 to 2022
$1.3M
Insurance Coverage for AcupunctureK01AT011776 · NCCIH · UNIVERSITY OF PENNSYLVANIA · PI CANDON, MOLLY · 2022 to 2025
$636k
NCCIH NIH HHS K01 AT011776NCCIH NIH HHS R01 AT010598
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic induced a shift to telemedicine, which may have disproportionately affected in-person treatments such as acupuncture therapy.

objectivesWe measured trends in reimbursed acupuncture between 2018 and 2021. We also measured trends in other types of pain care among patients with low back pain (LBP), which was the most common diagnosis for acupuncture. RESEARCH

designA descriptive, retrospective, and claims-based analysis. SUBJECTS: The sample included any patient who used their insurance to pay for acupuncture, which was defined using Current Procedural Technology (CPT) codes 97810, 97811, 97813, and 97814. In secondary analysis, the sample included only patients with LBP, which were identified using the International Classification of Diseases, 10th Edition code of M54.5. MEASURES: We tracked reimbursed acupuncture and patient and provider characteristics associated with reimbursed acupuncture. Among patients with LBP, trends in acupuncture were compared with trends in chiropractic care, physical therapy, psychotherapy, as well as prescription fills for gabapentinoids, muscle relaxants, and opioids.

resultsAfter increasing between 2018 and 2019, there was a 28% decline in the number of patients receiving reimbursed acupuncture between 2019 and 2020. Although acupuncture use increased between 2020 and 2021, it did not reach pre-COVID-19 levels. Acupuncturists comprised a smaller share of providers who billed insurance for acupuncture while the share of providers who identified as rehabilitation specialists increased. Among patients with LBP, use of acupuncture fell more during COVID-19 compared with other types of pain care.

conclusionsThe COVID-19 pandemic had a disproportionate impact on acupuncture therapy, which may be driven by a reduction in acupuncturists who billed insurance. Future research should assess the long-term impact of COVID-19 on acupuncture use in the United States.

Indexed as

Acupuncture TherapyCOVID-19Insurance, Health, ReimbursementAdultAgedCross-Sectional StudiesFemaleHumansLow Back PainMaleMiddle AgedPandemicsRetrospective StudiesSARS-CoV-2TelemedicineUnited Statesacupunctureback painCOVID-19pain management

Identifiers

PMID40766988
PMCPMC12333544

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.