Acupuncture may be considered medically necessary for treatment of the following conditions:
1. Chronic neck pain
2. Chronic headache
3. Low back pain
4. Pain from osteoarthritis of the knee or hip (adjunctive therapy)
5. Post-operative dental pain
6. Temporomandibular disorders (TMD).
7. Post-operative and chemotherapy-induced nausea and vomiting
8. Nausea of pregnancy
Acupuncture for any other indication, including but not limited to acupuncture for the treatment of pain, is considered investigational.