The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
Maryland PT Dry Needling
"Dry needling" means a physical therapy intervention, also known as intramuscular manual therapy, that:
Dry needling is not performed for:
Minimum education and training necessary to perform dry needling
In order to perform dry needling, a physical therapist shall have at least 80 total hours of instruction, which includes:
A total of at least forty (40) hours of instruction in the following dry needling-specific course content areas:
At least forty (40) hours of practical, hands-on instruction in the application and technique of dry needling, under the supervision of a licensed health care practitioner competent in dry needling procedures who has:
The instruction shall be provided by a continuing education course sponsored by the:
The instruction shall be offered:
A physical therapist may not fulfill any portion of the practical, hands-on instruction required with online or distance learning.
A physical therapist shall have practiced physical therapy for at least two (2) years before performing dry needling in the State.
A physical therapist shall be registered with the Board as having the appropriate education and training required by this regulation before the physical therapist may practice dry needling.
In order to be registered to practice dry needling, a physical therapist shall:
Standards of practice
A physical therapist shall:
A physical therapist shall perform dry needling in a manner consistent with standards set forth in the Maryland Occupational Safety and Health Act, Labor and Employment Article, Title 5, Annotated Code of Maryland.
A physical therapist shall document the provision of dry needling services in accordance with the documentation requirements of COMAR 10.38.03.02-1.
A physical therapist who practices dry needling in a manner inconsistent with the standards of practice enumerated in this regulation shall be subject to discipline pursuant to COMAR 10.38.10.04A(14).
Dry needling is not within the scope of practice of limited physical therapy and shall only be performed by a licensed physical therapist.