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CPT code 98926: Osteopathic manipulation, three to four regions2026 Medicare rate & RVUs in Washington, DC area

Report this service when a physician performs osteopathic manipulative treatment on three or four distinct body regions for documented somatic dysfunction.

CMS RVU26DEffective Oct 1, 2026One payment locality86.1K Medicare services in 2024

In Washington, DC area, Medicare pays $51.35 for 98926 in the office and $32.07 when it’s performed in a hospital or facility.

$51.35Office (non-facility)
$32.07Hospital or facility
+11.4%vs the national office rate ($46.09)

Check a contract rate as a % of Medicare · 98926 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 98926 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 98926 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 98926 covers

A physician, commonly an osteopathic physician, uses manual techniques to treat somatic dysfunction in three or four body regions during an office visit or other clinical encounter. The regions may include the head, neck, thoracic or lumbar areas, sacrum, pelvis, ribs, abdomen, or upper or lower extremities. The code reflects the number of distinct regions treated, not the number of techniques used or the number of findings documented.

Document the regions treated and the clinical findings supporting treatment there. Report one service for treatment of three or four regions. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for bilateral treatment. CMS pays an assistant at surgery only when medical necessity is documented; co-surgeons and team surgery are not permitted.

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 Washington, DC area compares for 98926

Across 109 of 109 payment localities, the office rate for 98926 runs from $42.38 in Arkansas to $58.43 in Alaska. Washington, DC area pays $51.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

98926 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$51.35
  2. Los Angeles, CA · California$50.56−$0.79
  3. Miami, FL · Florida$49.03−$2.32
  4. Chicago, IL · Illinois$48.09−$3.26
  5. Manhattan, NY · New York$51.87+$0.52
  6. Alaska · Alaska$58.43+$7.08
  7. Alabama · Alabama$42.80−$8.55

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

98926 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$42.38$28.33
ArizonaArizona$45.23$29.37
Bakersfield, CACalifornia$48.09$30.16
Chico, CACalifornia$47.95$30.01
El Centro, CACalifornia$47.96$30.02
Fresno, CACalifornia$47.95$30.01
Hanford, CACalifornia$47.95$30.01
Madera, CACalifornia$47.95$30.01

98926 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.

$42.38

$58.43

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

View every state and territory as a table
98926 office rate range by state
State / territoryOffice rate rangeLocalities
AK$58.431
AL$42.801
AR$42.381
AZ$45.231
CA$47.95–$57.6029
CO$47.471
CT$48.511
DC$51.351
DE$45.811
FL$45.81–$49.033
GA$44.01–$46.782
GU$48.511
HI$48.511
IA$43.441
ID$43.651
IL$44.96–$48.094
IN$43.821
KS$43.351
KY$43.571
LA$43.54–$44.992
MA$47.34–$51.102
MD$46.47–$51.353
ME$43.85–$45.402
MI$44.38–$46.252
MN$45.781
MO$43.06–$45.053
MS$42.731
MT$46.091
NC$44.161
ND$45.301
NE$43.591
NH$46.821
NJ$49.14–$51.112
NM$44.561
NV$45.891
NY$44.61–$52.825
OH$44.221
OK$43.471
OR$45.61–$48.532
PA$44.24–$47.662
PR$46.311
RI$47.101
SC$44.241
SD$45.211
TN$43.501
TX$44.04–$47.258
UT$44.651
VA$45.33–$51.352
VI$46.311
VT$45.221
WA$47.22–$51.932
WI$44.261
WV$43.821
WY$45.751

See 98926 in every payment locality

How the 98926 rate is calculated

Each of 98926’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 · 98926

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.69

0.69 RVUs× 1.000 GPCI

Practice expense0.65

0.65 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

1.3800

Conversion factor

$33.4009

Medicare rate

$46.09

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,938

Code
98926
Physician work
0.69
Practice expense
0.65
Malpractice
0.04

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 98926 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0540.7273
Practice expense0.65× 1.1780.7657
Malpractice0.04× 1.1130.0445
Total RVUs1.5375
Conversion factor× 33.4009

Office rate, Washington, DC area$51.35

Office: (0.69 × 1.054 + 0.65 × 1.178 + 0.04 × 1.113) × $33.4009 = $51.35

Facility: (0.69 × 1.054 + 0.16 × 1.178 + 0.04 × 1.113) × $33.4009 = $32.07

Open 98926 in the RVU calculator

Payment rules and modifiers for 98926

The CMS indicators that decide how 98926 is paid alongside other services.

CMS payment indicators · 98926

Osteopathic manipulation, three to four 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 98926

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

Codes related to 98926
CodeHow it relatesOffice range, Washington, DC area
Same family
98925Osteopathic manipulation, one or two regionsOMT for one or two regions; select it when fewer regions are treated.$36.24
98927Osteopathic manipulation, five to six regionsOMT for five or six regions; select it when more regions are treated.$67.59
98928Osteopathic manipulation, seven to eight regionsOMT for seven or eight regions.$81.52
98929Osteopathic manipulation, nine to ten regionsOMT for nine or ten regions.$95.09

How 98926 has changed in Washington, DC area

98926 · Office / nonfacility

$51.35

Effective 2026-10-01

The base rate is $2.04 higher than on 2025-10-01, moving from $49.31 to $51.35 (4.1%).

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

    $49.31changed to$51.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.71 changed to 0.69
    • Practice expense RVU 0.61 changed to 0.65
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $50.34changed to$49.31

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.60 changed to 0.61

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $49.52changed to$50.34

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $50.94changed to$49.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.58 changed to 0.60
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $51.64changed to$50.94

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.56 changed to 0.58
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $51.64changed to$51.64

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.55 changed to 0.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $52.54changed to$51.64

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.53 changed to 0.55
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $51.57changed to$52.54

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $52.38changed to$51.57

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.55 changed to 0.53

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $51.88changed to$52.38

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.54 changed to 0.55
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $51.85changed to$51.88

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $51.58changed to$51.85

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $51.32changed to$51.58

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $50.82changed to$51.32

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.53 changed to 0.54
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $49.73changed to$50.82

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.57 changed to 0.53
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $49.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$51.35$32.07RVU26D
2026-07-01$51.35$32.07RVU26C
2026-04-01$51.35$32.07RVU26B
2026-01-01$51.35$32.07RVU26A
2025-10-01$49.31$36.58RVU25D
2025-07-01$49.31$36.58RVU25C
2025-04-01$49.31$36.58RVU25B
2025-01-01$49.31$36.58RVU25A
2024-10-01$50.34$37.65RVU24D
2024-07-01$50.34$37.65RVU24C
2024-04-01$50.34$37.65RVU24B
2024-03-09$50.34$37.65RVU24AR
2024-01-01$49.52$37.03RVU24A
2023-10-01$50.94$38.59RVU23D
2023-07-01$50.94$38.59RVU23C
2023-04-01$50.94$38.59RVU23B
2023-01-01$50.94$38.59RVU23A
2022-10-01$51.64$39.66RVU22D
2022-07-01$51.64$39.66RVU22C
2022-04-01$51.64$39.66RVU22B
2022-01-01$51.64$39.66RVU22A
2021-10-01$51.64$39.99RVU21D
2021-07-01$51.64$39.99RVU21C
2021-04-01$51.64$39.99RVU21B
2021-01-01$51.64$39.99RVU21A
2020-10-01$52.54$41.08RVU20D
2020-07-01$52.54$41.08RVU20C
2020-04-01$52.54$41.08RVU20B
2020-01-01$52.54$41.08RVU20A
2019-10-01$51.57$40.28RVU19D
2019-07-01$51.57$40.28RVU19C
2019-04-01$51.57$40.28RVU19B
2019-01-01$51.57$40.28RVU19A
2018-10-01$52.38$40.24RVU18D
2018-07-01$52.38$40.24RVU18C
2018-04-01$52.38$40.24RVU18B
2018-01-01$52.38$40.24RVU18AR1
2017-10-01$51.88$40.21RVU17D
2017-07-01$51.88$40.21RVU17C
2017-04-01$51.88$40.21RVU17B
2017-01-01$51.88$40.21RVU17A
2016-10-01$51.85$40.20RVU16D
2016-07-01$51.85$40.20RVU16C
2016-04-01$51.85$40.20RVU16B
2016-01-01$51.85$40.20RVU16A
2015-10-01$51.58$39.88RVU15D
2015-07-01$51.58$39.88RVU15C
2015-04-01$51.32$39.69RVU15B
2015-01-01$51.32$39.69RVU15A
2014-10-01$50.82$39.63RVU14D
2014-07-01$50.82$39.63RVU14C
2014-04-01$50.82$39.63RVU14B
2014-01-01$50.82$39.63RVU14A
2013-10-01$49.73$37.91RVU13D
2013-07-01$49.73$37.91RVU13C
2013-04-01$49.73$37.91RVU13B
2013-01-01$49.73$37.91RVU13AR

Price 98926 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

98926 billing questions

How do I choose between 98925, 98926, and 98927?

Count the distinct body regions treated: 98925 covers one or two, 98926 covers three or four, and 98927 covers five or six.

Do I count each technique or each side as a separate region?

No. Count distinct treated body regions, not the number of manual techniques or sides treated within a region.

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

A significant, separately identifiable E/M service may be reported with modifier 25. The documentation should distinguish that evaluation and management work from the OMT service.

Should modifier 50 be appended when both sides are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code; treatment on both sides does not make it a bilateral service.

What documentation supports reporting 98926?

Record the somatic dysfunction findings and identify the three or four distinct regions actually treated.

What is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care.

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 98926PPRRVU2026_Oct_nonQPP.csv, line 12,938 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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