Are Chiropractors & Acupuncture Covered in North Carolina Workers’ Compensation?
October 4, 2025When an employee is injured on the job, receiving the proper medical treatment is crucial for a successful recovery. In North Carolina, workers’ compensation is designed to cover necessary medical care related to a workplace injury or illness. But many injured workers wonder whether that includes alternative treatments such as chiropractic care and acupuncture. Understanding when and how these treatments are covered can help ensure you receive the necessary care without unexpected out-of-pocket expenses.
Understanding Workers’ Compensation Medical Coverage
Under North Carolina law, workers’ compensation provides medical benefits for all treatments deemed necessary to heal or lessen the effects of a workplace injury. This typically includes doctor visits, hospital stays, medications, surgery, and physical therapy.
The key factor is that the treatment must be considered reasonable and necessary for recovery, and it must be authorized by the employer’s workers’ compensation insurance company. In many cases, the insurer has the right to direct medical care, meaning you must see approved providers for the treatment to be covered. That requirement can make it more complicated to pursue nontraditional therapies, such as chiropractic care or acupuncture.
When Chiropractic Care May Be Covered
Chiropractic treatment can play a significant role in helping injured workers recover from back, neck, or soft tissue injuries. Adjustments can help reduce pain, improve mobility, and accelerate the healing process.
In North Carolina, chiropractic care may be covered under workers’ compensation if:
- The treating physician or authorized medical provider refers you to a licensed chiropractor.
- The chiropractor’s treatment plan is approved as medically necessary.
- The care is provided by a chiropractor within the insurer’s approved network.
If you see a chiropractor without approval from the workers’ compensation carrier or authorized doctor, your treatment may not be reimbursed. For this reason, it is essential to proceed through the proper channels before initiating chiropractic care.
When Acupuncture May Be Covered
Acupuncture is increasingly recognized as a valid pain management and rehabilitation method for work-related injuries. It can help alleviate chronic pain, nerve damage, and aid in recovery from musculoskeletal conditions. However, because it is considered an alternative therapy, insurance companies often require additional documentation before approving coverage.
To qualify for reimbursement, acupuncture must usually be prescribed or recommended by an authorized physician who believes it is a reasonable part of your treatment plan. The practitioner must also be appropriately licensed. If approved, the costs of acupuncture sessions may be fully covered under your workers’ compensation benefits.
How an Attorney Can Help Protect Your Rights
Although North Carolina law permits a wide range of medical treatments, insurance companies sometimes deny coverage for therapies they consider unconventional. If your request for chiropractic or acupuncture care is denied, a workers’ compensation attorney can help you appeal the decision and provide evidence supporting the medical necessity of your treatment.
Legal representation ensures that your rights are protected, your care is coordinated correctly, and you receive every benefit available under the law.
Contact Ramsay Law Firm
If you were hurt at work and want to explore your treatment options, the team at Ramsay Law Firm can help. Our experienced Charlotte workers’ compensation attorneys know how to navigate the system, work with medical providers, and advocate for the care you need to recover.
Call 651-604-0000 or contact us online for a free consultation. We will stand by your side, fight for your rights, and help you get the treatment and benefits you deserve.
A Voice For The Injured. Here Every Step of The Way.
