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CPT code 98925: Osteopathic manipulation, one or two regions2026 Medicare rate & RVUs in Connecticut

Osteopathic manipulative treatment for somatic dysfunction in one or two body regions, selected by the regions treated rather than the number of techniques used.

CMS RVU26DEffective Oct 1, 2026One payment locality44.3K Medicare services in 2024

In Connecticut, Medicare pays $34.17 for 98925 in the office and $20.50 when it’s performed in a hospital or facility.

$34.17Office (non-facility)
$20.50Hospital or facility
+5.5%vs the national office rate ($32.40)

Check a contract rate as a % of Medicare · 98925 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 98925 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 98925 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 98925 covers

98925 represents osteopathic manipulative treatment directed to somatic dysfunction in one or two of the seven body regions: head, cervical, thoracic, lumbar, sacral, pelvic, or extremity. An osteopathic physician typically performs hands-on techniques such as muscle energy or myofascial release in an office or outpatient setting. Select the code based on the distinct regions treated, not the number of techniques or findings within a region. Document the treated regions and clinical findings supporting the manipulation.

CMS assigns a minor-procedure 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for bilateral adjustment. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeon and team-surgery billing are not permitted. A separately identifiable E/M service may be reported when its work is distinct from the manipulation and is documented accordingly.

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.

How Connecticut compares for 98925

Across 109 of 109 payment localities, the office rate for 98925 runs from $29.61 in Arkansas to $40.82 in San Benito County, CA. Connecticut pays $34.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

98925 in Connecticut vs other payment areas
  1. Connecticut · this page$34.17
  2. Los Angeles, CA · California$35.67+$1.50
  3. Washington, DC area · District of Columbia$36.24+$2.07
  4. Miami, FL · Florida$34.60+$0.43
  5. Chicago, IL · Illinois$33.88−$0.29
  6. Manhattan, NY · New York$36.60+$2.43
  7. Alaska · Alaska$40.53+$6.36

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

98925 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$29.92$18.81
ArkansasArkansas$29.61$18.70
ArizonaArizona$31.75$19.45
Bakersfield, CACalifornia$33.86$19.95
Chico, CACalifornia$33.76$19.85
El Centro, CACalifornia$33.77$19.85
Fresno, CACalifornia$33.76$19.85
Hanford, CACalifornia$33.76$19.85

98925 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$29.61

$40.53

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
98925 office rate range by state
State / territoryOffice rate rangeLocalities
AK$40.531
AL$29.921
AR$29.611
AZ$31.751
CA$33.76–$40.8229
CO$33.411
CT$34.171
DC$36.241
DE$32.181
FL$32.18–$34.603
GA$30.82–$32.912
GU$34.221
HI$34.221
IA$30.401
ID$30.561
IL$31.54–$33.884
IN$30.691
KS$30.331
KY$30.501
LA$30.47–$31.572
MA$33.30–$36.082
MD$32.66–$36.243
ME$30.71–$31.882
MI$31.10–$32.512
MN$32.171
MO$30.11–$31.623
MS$29.861
MT$32.401
NC$30.941
ND$31.801
NE$30.521
NH$32.941
NJ$34.60–$36.032
NM$31.241
NV$32.251
NY$31.28–$37.315
OH$30.981
OK$30.421
OR$32.04–$34.202
PA$31.00–$33.532
PR$32.561
RI$33.121
SC$31.001
SD$31.731
TN$30.451
TX$30.85–$33.268
UT$31.311
VA$31.83–$36.242
VI$32.561
VT$31.741
WA$33.22–$36.682
WI$31.021
WV$30.691
WY$32.141

See 98925 in every payment locality

How the 98925 rate is calculated

Each of 98925’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 98925

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.45

0.45 RVUs× 1.000 GPCI

Practice expense0.49

0.49 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

0.9700

Conversion factor

$33.4009

Medicare rate

$32.40

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,937

Code
98925
Physician work
0.45
Practice expense
0.49
Malpractice
0.03

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 98925 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.45× 1.0200.4590
Practice expense0.49× 1.0770.5277
Malpractice0.03× 1.2100.0363
Total RVUs1.0230
Conversion factor× 33.4009

Office rate, Connecticut$34.17

Office: (0.45 × 1.02 + 0.49 × 1.077 + 0.03 × 1.21) × $33.4009 = $34.17

Facility: (0.45 × 1.02 + 0.11 × 1.077 + 0.03 × 1.21) × $33.4009 = $20.50

Open 98925 in the RVU calculator

Payment rules and modifiers for 98925

The CMS indicators that decide how 98925 is paid alongside other services.

CMS payment indicators · 98925

Osteopathic manipulation, one or two regions

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 98925

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 98925
CodeHow it relatesOffice range, Connecticut
Same family
98926Osteopathic manipulation, three to four regionsOsteopathic manipulation for three or four body regions.$48.51
98927Osteopathic manipulation, five to six regionsOsteopathic manipulation for five or six body regions.$63.95
98928Osteopathic manipulation, seven to eight regionsOsteopathic manipulation for seven or eight body regions.$77.20
98929Osteopathic manipulation, nine to ten regionsOsteopathic manipulation for nine or ten body regions.$90.06
Used instead
98940Chiropractic adjustment, spinal, 1–2 regionsChiropractic manipulative treatment for one or two spinal regions; a distinct treatment pathway.$27.97

How 98925 has changed in Connecticut

98925 · Office / nonfacility

$34.17

Effective 2026-10-01

The base rate is $1.91 higher than on 2025-10-01, moving from $32.26 to $34.17 (5.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $32.26changed to$34.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.46 changed to 0.45
    • Practice expense RVU 0.45 changed to 0.49
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $33.20changed to$32.26

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $32.66changed to$33.20

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $33.56changed to$32.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.43 changed to 0.45
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $34.38changed to$33.56

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $34.27changed to$34.38

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.42 changed to 0.43

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $34.33changed to$34.27

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.40 changed to 0.42
    • Malpractice RVU 0.03 changed to 0.04
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $34.31changed to$34.33

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $34.68changed to$34.31

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.41 changed to 0.40

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $34.26changed to$34.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.40 changed to 0.41
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $34.24changed to$34.26

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $33.92changed to$34.24

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $33.76changed to$33.92

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $33.79changed to$33.76

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.39 changed to 0.40
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $33.53changed to$33.79

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.43 changed to 0.39
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $33.53

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$34.17$20.50RVU26D
2026-07-01$34.17$20.50RVU26C
2026-04-01$34.17$20.50RVU26B
2026-01-01$34.17$20.50RVU26A
2025-10-01$32.26$23.08RVU25D
2025-07-01$32.26$23.08RVU25C
2025-04-01$32.26$23.08RVU25B
2025-01-01$32.26$23.08RVU25A
2024-10-01$33.20$23.75RVU24D
2024-07-01$33.20$23.75RVU24C
2024-04-01$33.20$23.75RVU24B
2024-03-09$33.20$23.75RVU24AR
2024-01-01$32.66$23.37RVU24A
2023-10-01$33.56$24.60RVU23D
2023-07-01$33.56$24.60RVU23C
2023-04-01$33.56$24.60RVU23B
2023-01-01$33.56$24.60RVU23A
2022-10-01$34.38$25.13RVU22D
2022-07-01$34.38$25.13RVU22C
2022-04-01$34.38$25.13RVU22B
2022-01-01$34.38$25.13RVU22A
2021-10-01$34.27$25.72RVU21D
2021-07-01$34.27$25.72RVU21C
2021-04-01$34.27$25.72RVU21B
2021-01-01$34.27$25.72RVU21A
2020-10-01$34.33$25.90RVU20D
2020-07-01$34.33$25.90RVU20C
2020-04-01$34.33$25.90RVU20B
2020-01-01$34.33$25.90RVU20A
2019-10-01$34.31$25.90RVU19D
2019-07-01$34.31$25.90RVU19C
2019-04-01$34.31$25.90RVU19B
2019-01-01$34.31$25.90RVU19A
2018-10-01$34.68$25.87RVU18D
2018-07-01$34.68$25.87RVU18C
2018-04-01$34.68$25.87RVU18B
2018-01-01$34.68$25.87RVU18AR1
2017-10-01$34.26$25.84RVU17D
2017-07-01$34.26$25.84RVU17C
2017-04-01$34.26$25.84RVU17B
2017-01-01$34.26$25.84RVU17A
2016-10-01$34.24$25.41RVU16D
2016-07-01$34.24$25.41RVU16C
2016-04-01$34.24$25.41RVU16B
2016-01-01$34.24$25.41RVU16A
2015-10-01$33.92$25.46RVU15D
2015-07-01$33.92$25.46RVU15C
2015-04-01$33.76$25.34RVU15B
2015-01-01$33.76$25.34RVU15A
2014-10-01$33.79$25.40RVU14D
2014-07-01$33.79$25.40RVU14C
2014-04-01$33.79$25.40RVU14B
2014-01-01$33.79$25.40RVU14A
2013-10-01$33.53$24.46RVU13D
2013-07-01$33.53$24.46RVU13C
2013-04-01$33.53$24.46RVU13B
2013-01-01$33.53$24.46RVU13AR

Price 98925 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

98925 billing questions

How is 98925 distinguished from 98926?

Count the distinct body regions treated. Report 98925 for one or two regions; 98926 is for three or four.

Does the number of techniques or findings change the region count?

No. Select the code by the number of distinct body regions treated, not by the number of techniques or individual findings in a region.

Can an E/M service be reported on the same date?

A separately identifiable E/M service may be reported when it involves distinct work beyond the manipulation. Document that work and use modifier 25 when appropriate.

Should modifier 50 be used when both sides are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code; report the treated regions without modifier 50.

What documentation supports 98925?

Document the somatic dysfunction findings, the one or two regions treated, and the manipulation performed.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the service under the 0-day global period.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 98925PPRRVU2026_Oct_nonQPP.csv, line 12,937 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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