CPT code 98925: Osteopathic manipulation, one or two regions2026 Medicare rate & RVUs in Montana
Osteopathic manipulative treatment for somatic dysfunction in one or two body regions, selected by the regions treated rather than the number of techniques used.
In Montana, Medicare pays $32.40 for 98925 in the office and $19.70 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Montana 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. Montana pays $32.40. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$32.40
- Los Angeles, CA · California$35.67+$3.27
- Washington, DC area · District of Columbia$36.24+$3.84
- Miami, FL · Florida$34.60+$2.20
- Chicago, IL · Illinois$33.88+$1.48
- Manhattan, NY · New York$36.60+$4.20
- Alaska · Alaska$40.53+$8.13
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $33.76 | $19.85 |
| Merced, CACalifornia | $33.76 | $19.85 |
| Modesto, CACalifornia | $33.76 | $19.85 |
| Napa, CACalifornia | $38.06 | $21.33 |
| Oxnard, CACalifornia | $35.42 | $20.42 |
| Redding, CACalifornia | $33.76 | $19.85 |
| Rest of CaliforniaCalifornia | $33.76 | $19.85 |
| Riverside, CACalifornia | $34.09 | $20.18 |
| Sacramento, CACalifornia | $35.14 | $20.38 |
| Salinas, CACalifornia | $35.00 | $20.29 |
| San Diego, CACalifornia | $35.60 | $20.42 |
| Marin County, CACalifornia | $39.99 | $22.10 |
| San Francisco, CACalifornia | $39.96 | $22.06 |
| San Benito County, CACalifornia | $40.82 | $22.52 |
| Santa Clara County, CACalifornia | $40.68 | $22.38 |
| San Luis Obispo, CACalifornia | $34.46 | $20.01 |
| Santa Cruz, CACalifornia | $35.77 | $20.35 |
| Santa Maria, CACalifornia | $35.07 | $20.27 |
| Santa Rosa, CACalifornia | $36.12 | $20.53 |
| Stockton, CACalifornia | $33.76 | $19.85 |
| Vallejo, CACalifornia | $38.01 | $21.28 |
| Visalia, CACalifornia | $33.76 | $19.85 |
| Yuba City, CACalifornia | $33.76 | $19.85 |
| ColoradoColorado | $33.41 | $19.90 |
| ConnecticutConnecticut | $34.17 | $20.50 |
| DelawareDelaware | $32.18 | $19.64 |
| Fort Lauderdale, FLFlorida | $33.42 | $20.56 |
| Rest of FloridaFlorida | $32.18 | $20.05 |
| Atlanta, GAGeorgia | $32.91 | $20.01 |
| Rest of GeorgiaGeorgia | $30.82 | $19.50 |
| Hawaii, Guam, HIHawaii | $34.22 | $19.79 |
| IowaIowa | $30.40 | $18.79 |
| IdahoIdaho | $30.56 | $18.88 |
| East St. Louis, ILIllinois | $32.11 | $20.43 |
| Rest of IllinoisIllinois | $31.54 | $19.95 |
| Suburban Chicago, ILIllinois | $33.72 | $20.68 |
| IndianaIndiana | $30.69 | $18.92 |
| KansasKansas | $30.33 | $18.86 |
| KentuckyKentucky | $30.50 | $19.21 |
| New Orleans, LALouisiana | $31.57 | $19.63 |
| Rest of LouisianaLouisiana | $30.47 | $19.24 |
| Metropolitan Boston, MAMassachusetts | $36.08 | $20.93 |
| Rest of MassachusettsMassachusetts | $33.30 | $19.94 |
| Baltimore area, MDMaryland | $34.07 | $20.45 |
| Rest of MarylandMaryland | $32.66 | $19.82 |
| Rest of MaineMaine | $30.71 | $19.03 |
| Southern Maine, MEMaine | $31.88 | $19.30 |
| Detroit, MIMichigan | $32.51 | $20.27 |
| Rest of MichiganMichigan | $31.10 | $19.52 |
| MinnesotaMinnesota | $32.17 | $19.11 |
| Metropolitan Kansas City, MOMissouri | $31.38 | $19.46 |
| Metropolitan St. Louis, MOMissouri | $31.62 | $19.53 |
| Rest of MissouriMissouri | $30.11 | $19.17 |
| MississippiMississippi | $29.86 | $18.93 |
| North CarolinaNorth Carolina | $30.94 | $19.10 |
| North DakotaNorth Dakota | $31.80 | $19.11 |
| NebraskaNebraska | $30.52 | $18.80 |
| New HampshireNew Hampshire | $32.94 | $19.73 |
| Northern New JerseyNew Jersey | $36.03 | $21.31 |
| Rest of New JerseyNew Jersey | $34.60 | $20.74 |
| New MexicoNew Mexico | $31.24 | $19.60 |
| NevadaNevada | $32.25 | $19.54 |
| NYC suburbs and Long Island, NYNew York | $37.31 | $22.22 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $34.84 | $20.94 |
| Queens, NYNew York | $36.78 | $21.78 |
| Rest of New YorkNew York | $31.28 | $19.23 |
| OhioOhio | $30.98 | $19.39 |
| OklahomaOklahoma | $30.42 | $19.09 |
| Portland, OROregon | $34.20 | $20.10 |
| Rest of OregonOregon | $32.04 | $19.39 |
| Metropolitan Philadelphia, PAPennsylvania | $33.53 | $20.32 |
| Rest of PennsylvaniaPennsylvania | $31.00 | $19.35 |
| Puerto RicoPuerto Rico | $32.56 | $19.73 |
| Rhode IslandRhode Island | $33.12 | $20.01 |
| South CarolinaSouth Carolina | $31.00 | $19.28 |
| South DakotaSouth Dakota | $31.73 | $19.04 |
| TennesseeTennessee | $30.45 | $18.91 |
| Austin, TXTexas | $33.26 | $19.84 |
| Beaumont, TXTexas | $30.85 | $19.30 |
| Brazoria, TXTexas | $32.15 | $19.57 |
| Dallas, TXTexas | $32.33 | $19.68 |
| Fort Worth, TXTexas | $32.18 | $19.66 |
| Galveston, TXTexas | $32.23 | $19.63 |
| Houston, TXTexas | $32.78 | $20.18 |
| Rest of TexasTexas | $31.47 | $19.42 |
| UtahUtah | $31.31 | $19.38 |
| VirginiaVirginia | $31.83 | $19.35 |
| Virgin Islands, VIUnited States Virgin Islands | $32.56 | $19.73 |
| VermontVermont | $31.74 | $19.17 |
| Rest of WashingtonWashington | $33.22 | $19.86 |
| King County, WAWashington | $36.68 | $21.11 |
| WisconsinWisconsin | $31.02 | $18.86 |
| West VirginiaWest Virginia | $30.69 | $19.66 |
| WyomingWyoming | $32.14 | $19.45 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $40.53 | 1 |
| AL | $29.92 | 1 |
| AR | $29.61 | 1 |
| AZ | $31.75 | 1 |
| CA | $33.76–$40.82 | 29 |
| CO | $33.41 | 1 |
| CT | $34.17 | 1 |
| DC | $36.24 | 1 |
| DE | $32.18 | 1 |
| FL | $32.18–$34.60 | 3 |
| GA | $30.82–$32.91 | 2 |
| GU | $34.22 | 1 |
| HI | $34.22 | 1 |
| IA | $30.40 | 1 |
| ID | $30.56 | 1 |
| IL | $31.54–$33.88 | 4 |
| IN | $30.69 | 1 |
| KS | $30.33 | 1 |
| KY | $30.50 | 1 |
| LA | $30.47–$31.57 | 2 |
| MA | $33.30–$36.08 | 2 |
| MD | $32.66–$36.24 | 3 |
| ME | $30.71–$31.88 | 2 |
| MI | $31.10–$32.51 | 2 |
| MN | $32.17 | 1 |
| MO | $30.11–$31.62 | 3 |
| MS | $29.86 | 1 |
| MT | $32.40 | 1 |
| NC | $30.94 | 1 |
| ND | $31.80 | 1 |
| NE | $30.52 | 1 |
| NH | $32.94 | 1 |
| NJ | $34.60–$36.03 | 2 |
| NM | $31.24 | 1 |
| NV | $32.25 | 1 |
| NY | $31.28–$37.31 | 5 |
| OH | $30.98 | 1 |
| OK | $30.42 | 1 |
| OR | $32.04–$34.20 | 2 |
| PA | $31.00–$33.53 | 2 |
| PR | $32.56 | 1 |
| RI | $33.12 | 1 |
| SC | $31.00 | 1 |
| SD | $31.73 | 1 |
| TN | $30.45 | 1 |
| TX | $30.85–$33.26 | 8 |
| UT | $31.31 | 1 |
| VA | $31.83–$36.24 | 2 |
| VI | $32.56 | 1 |
| VT | $31.74 | 1 |
| WA | $33.22–$36.68 | 2 |
| WI | $31.02 | 1 |
| WV | $30.69 | 1 |
| WY | $32.14 | 1 |
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
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 Montana 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
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.45 | × 1.000 | 0.4500 |
| Practice expense | 0.49 | × 1.000 | 0.4900 |
| Malpractice | 0.03 | × 0.998 | 0.0299 |
| Total RVUs | 0.9699 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$32.40
Office: (0.45 × 1 + 0.49 × 1 + 0.03 × 0.998) × $33.4009 = $32.40
Facility: (0.45 × 1 + 0.11 × 1 + 0.03 × 0.998) × $33.4009 = $19.70
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 98925 has changed in Montana
98925 · Office / nonfacility
$32.40
Effective 2026-10-01
The base rate is $2.02 higher than on 2025-10-01, moving from $30.38 to $32.40 (6.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$30.38changed to$32.40
- 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
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$31.27changed to$30.38
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$30.76changed to$31.27
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$31.49changed to$30.76
- 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
January 1, 2023
RVU23A
$32.15changed to$31.49
- Conversion factor 34.6062 changed to 33.8872
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$32.07changed to$32.15
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.42 changed to 0.43
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$32.45changed to$32.07
- 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
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$32.76changed to$32.45
- Conversion factor 36.0391 changed to 36.0896
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$33.08changed to$32.76
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.41 changed to 0.40
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$32.40changed to$33.08
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.40 changed to 0.41
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$32.11changed to$32.40
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$31.78changed to$32.11
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.02 changed to 0.03
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$31.63changed to$31.78
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$31.70changed to$31.63
- 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
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$31.41changed to$31.70
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.43 changed to 0.39
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $31.41
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $32.40 | $19.70 | RVU26D |
| 2026-07-01 | $32.40 | $19.70 | RVU26C |
| 2026-04-01 | $32.40 | $19.70 | RVU26B |
| 2026-01-01 | $32.40 | $19.70 | RVU26A |
| 2025-10-01 | $30.38 | $21.97 | RVU25D |
| 2025-07-01 | $30.38 | $21.97 | RVU25C |
| 2025-04-01 | $30.38 | $21.97 | RVU25B |
| 2025-01-01 | $30.38 | $21.97 | RVU25A |
| 2024-10-01 | $31.27 | $22.61 | RVU24D |
| 2024-07-01 | $31.27 | $22.61 | RVU24C |
| 2024-04-01 | $31.27 | $22.61 | RVU24B |
| 2024-03-09 | $31.27 | $22.61 | RVU24AR |
| 2024-01-01 | $30.76 | $22.24 | RVU24A |
| 2023-10-01 | $31.49 | $23.35 | RVU23D |
| 2023-07-01 | $31.49 | $23.35 | RVU23C |
| 2023-04-01 | $31.49 | $23.35 | RVU23B |
| 2023-01-01 | $31.49 | $23.35 | RVU23A |
| 2022-10-01 | $32.15 | $23.85 | RVU22D |
| 2022-07-01 | $32.15 | $23.85 | RVU22C |
| 2022-04-01 | $32.15 | $23.85 | RVU22B |
| 2022-01-01 | $32.15 | $23.85 | RVU22A |
| 2021-10-01 | $32.07 | $24.39 | RVU21D |
| 2021-07-01 | $32.07 | $24.39 | RVU21C |
| 2021-04-01 | $32.07 | $24.39 | RVU21B |
| 2021-01-01 | $32.07 | $24.39 | RVU21A |
| 2020-10-01 | $32.45 | $24.87 | RVU20D |
| 2020-07-01 | $32.45 | $24.87 | RVU20C |
| 2020-04-01 | $32.45 | $24.87 | RVU20B |
| 2020-01-01 | $32.45 | $24.87 | RVU20A |
| 2019-10-01 | $32.76 | $25.19 | RVU19D |
| 2019-07-01 | $32.76 | $25.19 | RVU19C |
| 2019-04-01 | $32.76 | $25.19 | RVU19B |
| 2019-01-01 | $32.76 | $25.19 | RVU19A |
| 2018-10-01 | $33.08 | $25.16 | RVU18D |
| 2018-07-01 | $33.08 | $25.16 | RVU18C |
| 2018-04-01 | $33.08 | $25.16 | RVU18B |
| 2018-01-01 | $33.08 | $25.16 | RVU18AR1 |
| 2017-10-01 | $32.40 | $24.87 | RVU17D |
| 2017-07-01 | $32.40 | $24.87 | RVU17C |
| 2017-04-01 | $32.40 | $24.87 | RVU17B |
| 2017-01-01 | $32.40 | $24.87 | RVU17A |
| 2016-10-01 | $32.11 | $24.23 | RVU16D |
| 2016-07-01 | $32.11 | $24.23 | RVU16C |
| 2016-04-01 | $32.11 | $24.23 | RVU16B |
| 2016-01-01 | $32.11 | $24.23 | RVU16A |
| 2015-10-01 | $31.78 | $24.24 | RVU15D |
| 2015-07-01 | $31.78 | $24.24 | RVU15C |
| 2015-04-01 | $31.63 | $24.12 | RVU15B |
| 2015-01-01 | $31.63 | $24.12 | RVU15A |
| 2014-10-01 | $31.70 | $24.18 | RVU14D |
| 2014-07-01 | $31.70 | $24.18 | RVU14C |
| 2014-04-01 | $31.70 | $24.18 | RVU14B |
| 2014-01-01 | $31.70 | $24.18 | RVU14A |
| 2013-10-01 | $31.41 | $23.24 | RVU13D |
| 2013-07-01 | $31.41 | $23.24 | RVU13C |
| 2013-04-01 | $31.41 | $23.24 | RVU13B |
| 2013-01-01 | $31.41 | $23.24 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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
Fee sheets
Put 98925 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet