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

In South Dakota, Medicare pays $31.73 for 98925 in the office and $19.04 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.

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 South Dakota 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. South Dakota pays $31.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

98925 rates by state

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

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.

Payment rules and modifiers for 98925

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

Codes related to 98925

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

How 98925 has changed in South Dakota

Price 98925 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates