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When dry needling is applied to an affected muscle or trigger point, it can decrease muscle tightness, increase blood flow and reduce pain. Patients often report immediate relief after treatment. The needles remain in your muscle for a short period of time between 10 seconds and 20 minutes during treatment.
The minimal requirements for documenting dry needling are in addition to and not in place of normal physical therapy notes, and include at least the following information: i. The anatomical region treated; ii. The manner in which the patient tolerated the treatment; and iii. The clinical outcome of the treatment.
For dates of service on or after 01/01/2020, dry needling should be reported with CPT code 20560 and/or 20561. Effective January 21, 2020, Medicare will cover all types of acupuncture including dry needling for chronic low back pain within specific guidelines in ance with NCD 30.3. 3.
The two TPDN CPT codes are: Code 20560: Needle insertion(s) without injection; 1 or 2 muscle(s). Code 20561: Needle insertion(s) without injection; 3 or more muscle(s).
CPT code 97140: Manual therapy techniques, 1 or more regions, each 15 minutes (Mobilization/manipulation, manual lymphatic drainage, manual traction)
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The bottom line from that official position by the APTA is they state: the use of CPT code 97140 for the performance of dry needling should not be utilized. (97140 = manual therapy).
For dates of service on or after 01/01/2020, dry needling should be reported with CPT code 20560 and/or 20561. Effective January 21, 2020, Medicare will cover all types of acupuncture including dry needling for chronic low back pain within specific guidelines in ance with NCD 30.3. 3.
Also known as trigger point dry needling or intramuscular manual therapy, the treatment uses a dry needle a needle without medicine to deactivate trigger points in your muscle. Dry needling is typically combined with other physical therapy exercises and techniques. And unlike acupuncture.

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