Wiki Dry needling codes 20560 and 25061 laterality clarification needed

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hoierj

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The new codes are billed as 1-2 muscles or 3 or more. Is there documentation if this includes laterality? My PT is asking how to bill this example; if she dry needles the upper trapezius on the left side and the dry needles the upper trapezius on the right side to treat headaches, is that considered 1 muscle for both being the upper trapezius? Or is this 2 muscles based on laterality? Just trying to be compliant and I haven't been able to find that level of specification in the book, PT Coding Assistant, or online.

Thanks in advance!
Jenny
 
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Have you looked in Business Monthly Magazine? I think there is an article that explains the dry needling approach. I remember reading about how many muscles? Look through the Knowledge Center too. I looked around but unable to find specifically the article. You may want to reach out to AAPC rep for the article. There may be some new guidelines on this topic in the CPT updates as well.

CPT Assistant may have some updated info on this as well.

I apologize that I couldn't be of more help but hopefully, you can search and find it.
 
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