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

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 Detroit, MI, Medicare pays $32.51 for 98925 in the office and $20.27 when it’s performed in a hospital or facility.

$32.51Office (non-facility)
$20.27Hospital or facility
+0.3%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 Detroit, MI
  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 Detroit, MI 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. Detroit, MI pays $32.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

98925 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$32.51
  2. Rest of Michigan · Michigan$31.10−$1.41
  3. Los Angeles, CA · California$35.67+$3.16
  4. Washington, DC area · District of Columbia$36.24+$3.73
  5. Miami, FL · Florida$34.60+$2.09
  6. Chicago, IL · Illinois$33.88+$1.37
  7. Manhattan, NY · New York$36.60+$4.09

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

Every other payment area

98925 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$40.53$27.01
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

98925 rates by state

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

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 Detroit, MI 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

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 98925 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work0.45× 1.0000.4500
Practice expense0.49× 0.9650.4728
Malpractice0.03× 1.6860.0506
Total RVUs0.9734
Conversion factor× 33.4009

Office rate, Detroit, MI$32.51

Office: (0.45 × 1 + 0.49 × 0.965 + 0.03 × 1.686) × $33.4009 = $32.51

Facility: (0.45 × 1 + 0.11 × 0.965 + 0.03 × 1.686) × $33.4009 = $20.27

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.

How 98925 has changed in Detroit, MI

98925 · Office / nonfacility

$32.51

Effective 2026-10-01

The base rate is $1.57 higher than on 2025-10-01, moving from $30.94 to $32.51 (5.1%).

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

    $30.94changed to$32.51

    • 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 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $31.84changed to$30.94

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $31.32changed to$31.84

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $32.31changed to$31.32

    • 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 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718
  5. January 1, 2023

    RVU23A

    $33.00changed to$32.31

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $32.93changed to$33.00

    • 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

    $32.73changed to$32.93

    • 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
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $32.66changed to$32.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $32.98changed to$32.66

    • 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

    $32.38changed to$32.98

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.40 changed to 0.41
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $32.13changed to$32.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $31.77changed to$32.13

    • 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

    $31.61changed to$31.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $32.43changed to$31.61

    • 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
    • Work GPCI 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $32.81changed to$32.43

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.43 changed to 0.39
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $32.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$32.51$20.27RVU26D
2026-07-01$32.51$20.27RVU26C
2026-04-01$32.51$20.27RVU26B
2026-01-01$32.51$20.27RVU26A
2025-10-01$30.94$22.65RVU25D
2025-07-01$30.94$22.65RVU25C
2025-04-01$30.94$22.65RVU25B
2025-01-01$30.94$22.65RVU25A
2024-10-01$31.84$23.31RVU24D
2024-07-01$31.84$23.31RVU24C
2024-04-01$31.84$23.31RVU24B
2024-03-09$31.84$23.31RVU24AR
2024-01-01$31.32$22.93RVU24A
2023-10-01$32.31$24.24RVU23D
2023-07-01$32.31$24.24RVU23C
2023-04-01$32.31$24.24RVU23B
2023-01-01$32.31$24.24RVU23A
2022-10-01$33.00$24.72RVU22D
2022-07-01$33.00$24.72RVU22C
2022-04-01$33.00$24.72RVU22B
2022-01-01$33.00$24.72RVU22A
2021-10-01$32.93$25.27RVU21D
2021-07-01$32.93$25.27RVU21C
2021-04-01$32.93$25.27RVU21B
2021-01-01$32.93$25.27RVU21A
2020-10-01$32.73$25.20RVU20D
2020-07-01$32.73$25.20RVU20C
2020-04-01$32.73$25.20RVU20B
2020-01-01$32.73$25.20RVU20A
2019-10-01$32.66$25.18RVU19D
2019-07-01$32.66$25.18RVU19C
2019-04-01$32.66$25.18RVU19B
2019-01-01$32.66$25.18RVU19A
2018-10-01$32.98$25.15RVU18D
2018-07-01$32.98$25.15RVU18C
2018-04-01$32.98$25.15RVU18B
2018-01-01$32.98$25.15RVU18AR1
2017-10-01$32.38$24.90RVU17D
2017-07-01$32.38$24.90RVU17C
2017-04-01$32.38$24.90RVU17B
2017-01-01$32.38$24.90RVU17A
2016-10-01$32.13$24.30RVU16D
2016-07-01$32.13$24.30RVU16C
2016-04-01$32.13$24.30RVU16B
2016-01-01$32.13$24.30RVU16A
2015-10-01$31.77$24.27RVU15D
2015-07-01$31.77$24.27RVU15C
2015-04-01$31.61$24.15RVU15B
2015-01-01$31.61$24.15RVU15A
2014-10-01$32.43$24.84RVU14D
2014-07-01$32.43$24.84RVU14C
2014-04-01$32.43$24.84RVU14B
2014-01-01$32.43$24.84RVU14A
2013-10-01$32.81$24.46RVU13D
2013-07-01$32.81$24.46RVU13C
2013-04-01$32.81$24.46RVU13B
2013-01-01$32.81$24.46RVU13AR

Price 98925 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

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 Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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