Download Free Acupuncture Invoice Templates

Download a template, then edit in PDF, Word, Excel, Google Docs or Google Sheets. Print or email when ready.

Sheets, Excel, Word and Doc Templates Coming November 21, 2025.

Custom Acupuncture Invoice Template

Best for:

Logo, claim and payment plan fields.

Editable Acupuncture Invoice Template

Best for:

Edit rates, packages, cupping, moxa.

Printable Acupuncture Invoice Template

Best for:

Totals, diagnosis ref, signatures.

Free Acupuncture Invoice Template

Best for:

Session length, points, herbs, notes.

How to Invoice as an Acupuncturist

Keep it simple: record the visit, itemize the care, and show credits before you total.

Free Online Invoice Generator

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In 5 Steps:

Capture the visit details right after treatment: date, session type, duration, and modalities used.
Add your standard fee for an initial consult or follow-up, then list each add-on as its own line.
If a booking deposit or package credit exists, apply the credit before you calculate totals.
Add any travel or after-hours surcharge when relevant, then tax retail products only; check local rules.
Attach required treatment codes or a superbill if needed, set the due date and terms, then send and file.

Free Online Invoice Generator

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What to Include in an Acupuncturist Invoice

These are the must-have fields for clear, compliant invoices.

Invoice number and issue date
Provider and clinic name with contact info
Client name and contact
Date of service and session type
Itemized services performed
Itemized products sold (e.g., herbal formula, liniment)
Treatment and diagnosis codes (if required)
Provider license or certification number
Insurance details or claim/reference number (if applicable)
Subtotal, credits/discounts, tax on products, total due, payment terms and due date

Billing Scenarios for Acupuncturists

How to label charges so every invoice makes sense the moment your clients see it.

Initial consult; 60-min acupuncture

New patient visit with add-ons

Shows the base first-visit charges and leaves room to list any add-ons on separate lines.

Follow-up acupuncture; Electroacupuncture add-on

Follow-up with electroacupuncture

Separates the standard visit from the extra modality so the uplift is obvious.

Home-visit surcharge; Mileage/travel

Home or mobile appointment

Explains why the total is higher while keeping your clinic rate unchanged.

Community session; Sliding-scale discount

Community acupuncture group rate

Pair required codes with plain terms a client understands and keep modality names short and clear.

Herbal consult; Herbal formula

Herbal consult with formula purchase

Splits non-taxed care from a taxable product so tax is applied correctly; check local rules.

Late cancellation fee; Deposit applied

Enforces your policy while crediting any deposit already paid.

Free Online Invoice

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Services and add ons acupuncturists bill for

Include initial consults, follow ups, add on therapies, and herbs with professional invoice line items.

Charge or Service

Unit

Taxable

When to use

How to show it

New Patient Intake & Treatment

Time

First visit with evaluation

Duration × hourly rate. Include health history, exam, and initial treatment; document findings and plan.

Follow-Up Acupuncture Session

Time

Routine return treatment

Duration × hourly rate. Session includes needle insertion, monitoring, and removal; note progress and points used.

Cupping Therapy Add-On

Item

Add cups during a visit

Qty × unit rate. Apply as an adjunct to acupuncture; record body area and response.

Moxibustion Therapy

Time

Heat therapy is indicated

Duration × hourly rate. Use stick, loose, or smokeless moxa as appropriate; chart technique and precautions.

Electroacupuncture Add-On

Item

Stim add-on to needles

Qty × unit rate. Place leads on selected points; note frequency and tolerance.

Gua Sha (Scraping)

Item

Myofascial release needed

Qty × unit rate. Lubricate and scrape affected region; record erythema and aftercare advice.

Auricular Acupuncture

Item

Ear protocol requested

Qty × unit rate. Apply needles or ear tacks; document protocol (e.g., NADA) and client response.

Herbal Formula Dispensed

Item

Taxable

Patient takes herbs home

Cost × (1 + markup). Dispense granules or pills; list formula name and dosage on receipt.

Ear Seeds Kit (Take-Home)

Item

Taxable

Self-care between visits

Cost × (1 + markup). Provide seeds and tape in a kit; include brief placement guide.

After-Hours Surcharge

Item

Appointment outside normal hours

Qty × unit rate. Add to the same-date service; disclose policy at booking.

Save and reuse your acupuncture services and fees

Create a free account and save consult rates, follow ups, and add ons once, so nothing gets retyped.

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Common Acupuncturist Invoicing Mistakes

Billing gets messy fast, but small fixes keep cash flow smooth and prevent disputes.

Mistake

How to fix it

Bundling all services into one line makes charges unclear and slows payment approvals.

Itemize each distinct service and any product so clients and payers can see exactly what was provided.

Charging tax on medical services adds costs you may not owe.

Apply tax only to retail products and supplies and leave treatment lines untaxed; check local rules.

Include your provider license, certification, and any required clinic or provider IDs on every invoice.

Pair required codes with plain terms a client understands and keep modality names short and clear.

Omitting session length and date of service makes medical records incomplete.

Record duration and the exact visit date for each line so your invoice matches chart notes and claims.

No payment terms or due date leads to slow or missed payments.

State the due date, accepted methods, and any late-fee policy in one visible section of the invoice.

Acupuncture Invoice FAQs

Line items for intake exams, follow-ups, cupping, moxa, herbs, and add-ons. Pricing, packages, no-shows, and insurance codes. Acupuncture Invoice Template tips for clear answers.

How do I separate the initial evaluation from a treatment visit?

Bill the new patient exam as its own line, then list the treatment. Many clinics use a higher intake rate. Example: “Initial Evaluation (60 min): $95” and “Acupuncture Treatment (45 min): $85.”

What add-ons like cupping, gua sha, or moxa should be listed and how?

List each adjunct as its own charge so patients see what they paid for. Keep treatment simple and itemize extras. Example: “Acupuncture: $85,” “Cupping Add-On: $25,” “Gua Sha: $15,” “Moxa: $10.”

Can I bill for herbal formulas and are they taxable?

Yes, list herbs separately with quantity and markup; taxes depend on your state. Rules vary—check local rules. Example: “Custom Herbal Formula, 120 g: $35,” “Sales Tax: $3.15.”

How should a superbill differ from the receipt I give cash clients?

A superbill needs CPT and ICD-10 codes plus the licensed acupuncturist’s NPI. A cash receipt doesn’t. Example: “97810, 97811; ICD-10: M54.2; Provider NPI: 1234567890.”

What should my cancellation and no-show policy look like on the bill?

Show the policy and the fee as a separate charge when it applies. Keep the window and amount clear. Example: “Late Cancellation <24 hrs: $50.”

How do package credits get applied across visits?

Record the package purchase, then deduct a visit each time with a $0 line noting the credit. Keep a running balance. Example: “5-Visit Package: $375” and “Visit 2 of 5 (Package Credit): $0.”

Do FSA or HSA cards require special wording?

Yes, spell out the medical service, date, and provider credentials. Many administrators want CPT codes on the receipt. Example: “Acupuncture 97810, L.Ac., DOS 10/12/2025: $85.”

What needs to appear on an insurance-ready invoice with CPT and ICD-10 codes?

Include clinic info, patient info, your NPI, CPT 97810/97811 or 97813/97814, and the diagnosis codes. Add units and minutes when needed. Example: “97810 x1, 97811 x1; ICD-10: M54.5; Units: 2.”