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

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 Vermont, Medicare pays $45.22 for 98926 in the office and $29.01 when it’s performed in a hospital or facility.

$45.22Office (non-facility)
$29.01Hospital or facility
−1.9%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 Vermont
  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 Vermont 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. Vermont pays $45.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

98926 in Vermont vs other payment areas
  1. Vermont · this page$45.22
  2. Los Angeles, CA · California$50.56+$5.34
  3. Washington, DC area · District of Columbia$51.35+$6.13
  4. Miami, FL · Florida$49.03+$3.81
  5. Chicago, IL · Illinois$48.09+$2.87
  6. Manhattan, NY · New York$51.87+$6.65
  7. Alaska · Alaska$58.43+$13.21

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

Every other payment area

98926 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$42.80$28.48
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

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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 98926 in Vermont
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0000.6900
Practice expense0.65× 0.9900.6435
Malpractice0.04× 0.5060.0202
Total RVUs1.3537
Conversion factor× 33.4009

Office rate, Vermont$45.22

Office: (0.69 × 1 + 0.65 × 0.99 + 0.04 × 0.506) × $33.4009 = $45.22

Facility: (0.69 × 1 + 0.16 × 0.99 + 0.04 × 0.506) × $33.4009 = $29.01

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, Vermont
Same family
98925Osteopathic manipulation, one or two regionsOMT for one or two regions; select it when fewer regions are treated.$31.74
98927Osteopathic manipulation, five to six regionsOMT for five or six regions; select it when more regions are treated.$59.53
98928Osteopathic manipulation, seven to eight regionsOMT for seven or eight regions.$72.01
98929Osteopathic manipulation, nine to ten regionsOMT for nine or ten regions.$84.32

How 98926 has changed in Vermont

98926 · Office / nonfacility

$45.22

Effective 2026-10-01

The base rate is $1.99 higher than on 2025-10-01, moving from $43.23 to $45.22 (4.6%).

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

    $43.23changed to$45.22

    • 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
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $44.16changed to$43.23

    • 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

    $43.44changed to$44.16

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $44.39changed to$43.44

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.58 changed to 0.60
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $44.76changed to$44.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.56 changed to 0.58
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $44.78changed to$44.76

    • 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

    $45.95changed to$44.78

    • 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
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $45.83changed to$45.95

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $46.51changed to$45.83

    • 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

    $45.97changed to$46.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.54 changed to 0.55
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $45.81changed to$45.97

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $45.73changed to$45.81

    • 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

    $45.50changed to$45.73

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $45.20changed to$45.50

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.53 changed to 0.54
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$45.20

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$45.22$29.01RVU26D
2026-07-01$45.22$29.01RVU26C
2026-04-01$45.22$29.01RVU26B
2026-01-01$45.22$29.01RVU26A
2025-10-01$43.23$32.63RVU25D
2025-07-01$43.23$32.63RVU25C
2025-04-01$43.23$32.63RVU25B
2025-01-01$43.23$32.63RVU25A
2024-10-01$44.16$33.58RVU24D
2024-07-01$44.16$33.58RVU24C
2024-04-01$44.16$33.58RVU24B
2024-03-09$44.16$33.58RVU24AR
2024-01-01$43.44$33.03RVU24A
2023-10-01$44.39$34.26RVU23D
2023-07-01$44.39$34.26RVU23C
2023-04-01$44.39$34.26RVU23B
2023-01-01$44.39$34.26RVU23A
2022-10-01$44.76$35.06RVU22D
2022-07-01$44.76$35.06RVU22C
2022-04-01$44.76$35.06RVU22B
2022-01-01$44.76$35.06RVU22A
2021-10-01$44.78$35.35RVU21D
2021-07-01$44.78$35.35RVU21C
2021-04-01$44.78$35.35RVU21B
2021-01-01$44.78$35.35RVU21A
2020-10-01$45.95$36.50RVU20D
2020-07-01$45.95$36.50RVU20C
2020-04-01$45.95$36.50RVU20B
2020-01-01$45.95$36.50RVU20A
2019-10-01$45.83$36.32RVU19D
2019-07-01$45.83$36.32RVU19C
2019-04-01$45.83$36.32RVU19B
2019-01-01$45.83$36.32RVU19A
2018-10-01$46.51$36.28RVU18D
2018-07-01$46.51$36.28RVU18C
2018-04-01$46.51$36.28RVU18B
2018-01-01$46.51$36.28RVU18AR1
2017-10-01$45.97$36.19RVU17D
2017-07-01$45.97$36.19RVU17C
2017-04-01$45.97$36.19RVU17B
2017-01-01$45.97$36.19RVU17A
2016-10-01$45.81$36.10RVU16D
2016-07-01$45.81$36.10RVU16C
2016-04-01$45.81$36.10RVU16B
2016-01-01$45.81$36.10RVU16A
2015-10-01$45.73$35.99RVU15D
2015-07-01$45.73$35.99RVU15C
2015-04-01$45.50$35.81RVU15B
2015-01-01$45.50$35.81RVU15A
2014-10-01$45.20$35.83RVU14D
2014-07-01$45.20$35.83RVU14C
2014-04-01$45.20$35.83RVU14B
2014-01-01$45.20$35.83RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 98926 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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 VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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