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JustCoding News: Outpatient, November 4, 2009

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How should I code trigger point dry needling? I’m inclined to use the acupuncture codes because the physician is not injecting any ‘agents’ in the tendon. The physician wants to use CPT code 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s). The Coders’ Desk Reference states that saline or another agent is injected into the tendon, but with dry needling, nothing is injected (not even saline). Any suggestions?

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