Wellness & prevention
Is massage guns (percussive therapy) FSA eligible?
Sometimes — percussive massage devices are FSA eligible with a letter of medical necessity, and some FSA retailers sell them as pre-approved.
A Theragun-style device bought to treat a specific condition (chronic muscle pain, injury recovery) can qualify with a doctor's letter, and FSA-dedicated stores increasingly list certain models as eligible without one. Bought at a general retailer for everyday soreness, expect your administrator to ask for the letter — get it before you spend.
Before you buy: get the letter first
- Ask your doctor for a letter of medical necessity that names the condition and why this is treatment, and keep it on file.
- Then pay with your FSA/HSA card or file a claim with the letter attached. Buying before you have the letter risks a denied claim.
Does the same answer apply to an HSA?
Yes. FSAs and HSAs share the same qualified-medical-expense rules (IRS Publication 502), so eligibility is identical. The difference is the deadline: FSA money is forfeited at the end of the plan year, while HSA money never expires.
Last reviewed 2026-06-11. Based on IRS Publication 502 and published IRS guidance. Not tax or medical advice — your plan administrator has the final say.