$36.35–$38.02
Both describe dry needling without injection; choose 20560 for one or two muscles and 20561 for three or more.
On this page
CMS RVU26D · Effective 2026-10-01
20560 Dry needling Medicare reimbursement rates in Michigan
Reports dry needling without injected medication when a clinician treats one or two muscles for muscular pain or movement limitation. Compare 20560 office and facility rates across CMS payment localities in Michigan.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 20560 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$23.54–$24.45
2 of 2 localities have a supported rate.
Facility setting
$12.26–$12.53
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Physical medicine
About 20560: Dry needling, one or two muscles
Reports dry needling without injected medication when a clinician treats one or two muscles for muscular pain or movement limitation.
Code 20560 represents dry needling: a clinician inserts one or more fine needles into one or two muscles, without injecting medication or another substance. Physical therapists commonly perform it in outpatient rehabilitation for myofascial pain or muscle-related movement limitation; other qualified practitioners may perform it within their scope. The target is muscle tissue, rather than a tendon sheath, ligament, or tendon origin.
Choose 20560 by the number of muscles treated, not by needle passes, needles, or trigger points. When three or more muscles are treated, assess the related 20561 level. The record should identify each muscle treated, describe needle insertion without injection, and connect the procedure to the patient's condition and treatment plan. CMS assigns work, practice-expense, and malpractice relative value units to this service; its practice-expense inputs differ between office and facility settings.
Where the value comes from
- Work RVU0.31 · 42%
- Practice expense (office) RVU0.42 · 57%
- Malpractice RVU0.01 · 1%
1.2K
Medicare services in 2024 · #2866 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
20560 compared with similar codes
Office rates for Michigan, from the same CMS release.
$49.63–$52.39
20560 is dry needling without injection. 20552 describes trigger-point injection for up to two trigger points.
$57.28–$60.48
20560 represents dry needling without injection. 20553 describes injection of three or more trigger points.
Compare 20560 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Detroit →
Office / nonfacility
$24.45
Facility
$12.53
Rest Of Michigan →
Office / nonfacility
$23.54
Facility
$12.26
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
20560 billing questions
When should I use 20560 instead of 20561?
Use 20560 for treatment of one or two muscles. For three or more muscles, assess 20561.
Is 20560 selected by needle count or muscle count?
Select the code by the number of muscles treated, not the number of needles or insertion passes. Document the muscles addressed.
Can 20560 be used when medication is injected?
No. 20560 describes needle insertion without an injection; a trigger-point injection is represented by a different code family, including 20552 and 20553.
What documentation supports 20560?
Record the treated muscle or muscles, the dry-needling procedure without injection, and the clinical condition or limitation being addressed.
How does 20560 differ from trigger-point injection codes?
20560 represents needle insertion without injectate. Codes 20552 and 20553 describe trigger-point injection services, with selection based on the number of points injected.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,76120552,,Njx 1/mlt trigger point 1/2,A,,0.64,0.84,,0.36,,0.07,1.55,1.07,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,76220553,,Njx 1/mlt trigger points 3/>,A,,0.73,0.98,,0.41,,0.08,1.79,1.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,76320555,,Place ndl musc/tis for rt,A,,5.85,2.06,NA,2.06,,0.46,8.37,8.37,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,76420560,,Ndl insj w/o njx 1 or 2 musc,A,,0.31,0.42,,0.05,,0.01,0.74,0.37,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,76520561,,Ndl insj w/o njx 3+ musc,A,,0.47,0.64,,0.09,,0.03,1.14,0.59,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,76620600,,Drain/inj joint/bursa w/o us,A,,0.64,0.96,,0.22,,0.08,1.68,0.94,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,76720604,,Drain/inj joint/bursa w/us,A,,0.87,1.63,,0.21,,0.11,2.61,1.19,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00