The American Society of Acupuncturists has been taking part in the American Medical Association CPT meeting for approximately 2 years. This committee of the AMA is where codes for procedural billing are developed, and hence is critical to the practice of medicine in the United States. This committee has very strict rules for confidentiality of content and process, with only the final results of efforts being made public. ASA involvement in this work must respect these confidentiality rules. For some time, however, there has been interest among multiple professional communities outside of the AMA in the creation of codes to describe myofascial needling techniques that are not time based. In the current public agenda of the AMA CPT meeting coming up in Boston this month, you will find two applications for codes addressing this interest: Tab 44 was introduced by the physical therapy and chiropractic communities to advocate for "Dry Needling" codes. Tab 45 was introduced by the ASA to advocate for "Trigger Point Acupuncture" codes. The ASA will be present at the CPT meeting and will be in discussion with other professional communities about the creation of these codes. We will keep you updated as allowable by AMA confidentiality rules. No doubt, we anticipate there will be needed diplomatic discussions on this topic, as these code set proposals overlap significantly. It is possible that a hybrid code could emerge, that no code will be approved, that one of the two codes would be approved, or another unforeseen outcome. We will advocate for the best practices possible, with an eye towards the public benefit as the ultimate goal.