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Integrating acupuncture into a chiropractic practice was the subject of an excellent article in the June 2017 issue of Chiropractic Economics.
The article discussed two ways to integrate acupuncture into a chiropractic practice. One option would be for the doctor of chiropractic (DC) to pursue their own Licensed Acupuncturist (LAc) degree. Option two would be for the DC to hire an LAc. There is a third option, however. In many cases, a DC can add acupuncture to their practice without the services of a licensed acupuncturist.
In the majority of states, DCs can become certified in acupuncture under their chiropractic license. Acupuncture certification allows the DC to perform and bill for acupuncture (CPT codes 97810, 97811, 97813, and 97814). Using this certification is the key to building a chiropractic and acupuncture practice under one chiropractic license. This certification allows the DC to perform the acupuncture personally and add acupuncture to their practice without hiring an LAc or being an L.Ac.
The District of Columbia and 30 states allow DCs to add acupuncture to their practice. The 30 states are: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Minnesota, Missouri, Nebraska, New Hampshire New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia and Wyoming.
The minimum number of hours of acupuncture training required varies from state to state, and some states also require the National Board of Chiropractic Examiners (NBCE) Acupuncture Examination. (See table below. Information provided courtesy of Jim Ventresca, DOM, LAc, of AcuPractice Seminars.)
States that allow doctors of chiropractic to practice acupuncture
| State |
Chiropractors Minimum Number of Hours of Acupuncture Training Required |
Other Requirements |
| Alabama | 100 | NBCE Exam |
| Alaska | 300 | |
| Arizona | 100 | NBCE Exam |
| Arkansas | 100 | |
| Colorado | 100 | NBCE Exam |
| Connecticut |
100 Recommended (not specified by state law) |
|
| Delaware | 100 | |
| District of Columbia | 100 | NBCE Exam |
| Florida | 100 | NBCE Exam |
| Idaho | 300 | |
| Illinois |
100 Recommended (not specified by state law) |
|
| Indiana | 200 | |
| Idaho | 200 | |
| Illinois | 100 | |
| Indiana | 200 | |
| Iowa |
100 Must be live, in-person training |
|
| Kansas |
100 Recommended (not specified by state law) |
|
| Maine | 200 | |
| Minnesota | 100 | NBCE Exam |
| Missouri | 100 | NBCE Exam |
| Nebraska |
100 Recommended (not specified by state law) |
|
| New Hampshire |
100 Recommended (not specified by state law) |
|
| New Mexico |
100 Recommended (not specified by state law) |
DCs may not use the term “Acupuncture” may only refer to treatments as “meridian therapy” |
| North Carolina | 200 | |
| North Dakota | 100 | |
| Ohio | 300 | |
| Oklahoma | 100 | Post-program exam required |
| South Dakota | 100 | NBCE Exam |
| Tennessee | 300 | NBCE Exam |
| Texas | 100 | NBCE Exam |
| Utah | 100 | NBCE Exam |
| Vermont | 300 | |
| Virginia |
200 To include 50 clinical hours |
|
| West Virginia | 100 | NBCE Exam |
| Wyoming | 100 | NBCE Exam |
Note: This information is believed to be accurate at the time of publication. However, state laws, rules, and regulations can change quickly. This information is not a substitute for legal advice and shall not be relied upon for any citation, application, or use of law. Consult with your licensing agency for a definitive interpretation of the applicable laws, rules and regulations in regard to your licensure, education and scope of practice.DC acupuncture certification programsAcupuncture certification programs for DCs are available through several institutions. Many chiropractic schools include acupuncture as part of their postgraduate curricula. Here a few of the institutions that offer acupuncture certification programs for DCs:
- AcuPractice Seminars
- Acupuncture Society of America
- International Academy of Medical Acupuncture
- Logan University Postgraduate Acupuncture Program
- New York Chiropractic College Postgraduate Program
- Northwestern Health Sciences University Postgraduate Acupuncture Program
- Parker University Postgraduate Acupuncture Program
- University of Bridgeport College of Chiropractic Postgraduate Program
- University of Western States Postgraduate Acupuncture Program
Some states also require acupuncture training courses for chiropractic assistants (CAs). This additional training is required by law and allows CAs to legally assist the doctor of chiropractic with acupuncture treatments as well as chiropractic treatments. Consult your state board for more information on what acupuncture training may be required for CAs in your state.
Conclusion
With additional training, most DCs can provide and bill for acupuncture services under their chiropractic license, without the services of an LAc. Since the laws governing DCs practicing Acupuncture can change and vary from state to state, it is imperative to consult with your chiropractic state board before implementing acupuncture into your practice.Steven Brown, DC, is a certified acupuncturist and has been practicing chiropractic and acupuncture together for 22 years. His private practice is located in Tempe, Arizona. He can be contacted through brownchiro.com.
