[karenbrowning]

Just starting IDN at a non profit hospital out pt and there seems to be confusion as to billing and the CPT code. Medicare does not recognize dry needling so not able to perform unless pay direct (?)… all other insurances that do allow dry needling bill it under manual(?)
I would appreciate shared experience with billing that will shed light on this topic so to avoid issues.
thank you,
Karen Browning, DPT

[Brendan]

I too work at a hospital based OP clinic. I have read and been told that needing does not fall under manual for billing. DN has it’s own CPT codes at this time.

[Frank Gargano]

Codes 20560 and 20561 are the new codes for DN and should be used even though they are not reimbursed by Medicare and essentially all commercial carriers. I would no longer bill MT for it even thought the APTA sites DN under MT in clinical practice guidelines. Cash payment is the best way to go and yes an ABN can be used for Medicare patients since medicare is clear they do not reimburse for it. I would consult your billing dept. at the hospital as I have been only in private practice and hospital billing may be different.

[kirstindyoder]

The codes follow the timed code 8-min rule?

[Sonya Worth]

The 20560 and 20561 codes are untimed codes.

[Adam]

I just returned from the initial IDN course. i was given the CPT – codes as described above and it was looked up by one of the hosts to show that CMS was reimbursing M 20560 = $29.00 and M 20561 = $42.00. Can anyone confirm? Thank you!

[Author]

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