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CPT code 98927: Osteopathic manipulation, five to six regions2026 Medicare rate & RVUs in Arkansas

Report this OMT service when a clinician manually treats somatic dysfunction in five or six defined body regions during one encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality80.9K Medicare services in 2024

In Arkansas, Medicare pays $55.96 for 98927 in the office and $38.17 when it’s performed in a hospital or facility.

$55.96Office (non-facility)
$38.17Hospital or facility
−7.9%vs the national office rate ($60.79)

Check a contract rate as a % of Medicare · 98927 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 98927 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 98927 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 98927 covers

This service represents osteopathic manipulative treatment directed to somatic dysfunction in five or six body regions. An osteopathic physician, commonly a DO, may use manual techniques such as soft-tissue mobilization, muscle energy, or articulatory treatment in an office or outpatient setting. The defined regions include areas such as the cervical, thoracic, lumbar, sacral, pelvic, rib cage, and extremity regions; count the regions treated, not the number of techniques or individual structures addressed.

Select the code from the number of distinct regions actually treated, and document the dysfunction findings and treatment for those regions. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate for bilateral adjustment. Assistant-at-surgery payment requires documented medical necessity; 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 Arkansas compares for 98927

Across 109 of 109 payment localities, the office rate for 98927 runs from $55.96 in Arkansas to $77.37 in Alaska. Arkansas pays $55.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

98927 in Arkansas vs other payment areas
  1. Arkansas · this page$55.96
  2. Los Angeles, CA · California$66.42+$10.46
  3. Washington, DC area · District of Columbia$67.59+$11.63
  4. Miami, FL · Florida$64.98+$9.02
  5. Chicago, IL · Illinois$63.74+$7.78
  6. Manhattan, NY · New York$68.41+$12.45
  7. Alaska · Alaska$77.37+$21.41

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

Every other payment area

98927 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$56.50$38.38
ArizonaArizona$59.65$39.59
Bakersfield, CACalifornia$63.23$40.54
Chico, CACalifornia$63.02$40.33
El Centro, CACalifornia$63.03$40.34
Fresno, CACalifornia$63.02$40.33
Hanford, CACalifornia$63.02$40.33
Madera, CACalifornia$63.02$40.33

98927 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.

$55.96

$77.37

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

View every state and territory as a table
98927 office rate range by state
State / territoryOffice rate rangeLocalities
AK$77.371
AL$56.501
AR$55.961
AZ$59.651
CA$63.02–$75.4229
CO$62.481
CT$63.951
DC$67.591
DE$60.421
FL$60.59–$64.983
GA$58.22–$61.722
GU$63.701
HI$63.701
IA$57.251
ID$57.541
IL$59.54–$63.744
IN$57.761
KS$57.171
KY$57.581
LA$57.56–$59.452
MA$62.34–$67.172
MD$61.27–$67.593
ME$57.84–$59.802
MI$58.67–$61.212
MN$60.171
MO$56.96–$59.483
MS$56.461
MT$60.791
NC$58.231
ND$59.601
NE$57.431
NH$61.661
NJ$64.76–$67.292
NM$58.921
NV$60.481
NY$58.82–$69.695
OH$58.421
OK$57.411
OR$60.08–$63.822
PA$58.43–$62.862
PR$61.061
RI$62.071
SC$58.411
SD$59.461
TN$57.371
TX$58.18–$62.218
UT$58.941
VA$59.73–$67.592
VI$61.061
VT$59.531
WA$62.17–$68.212
WI$58.251
WV$58.071
WY$60.271

See 98927 in every payment locality

How the 98927 rate is calculated

Each of 98927’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 · 98927

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.94

0.94 RVUs× 1.000 GPCI

Practice expense0.82

0.82 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

1.8200

Conversion factor

$33.4009

Medicare rate

$60.79

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,939

Code
98927
Physician work
0.94
Practice expense
0.82
Malpractice
0.06

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 98927 in Arkansas
ComponentRVULocality factorAdjusted
Physician work0.94× 1.0000.9400
Practice expense0.82× 0.8590.7044
Malpractice0.06× 0.5150.0309
Total RVUs1.6753
Conversion factor× 33.4009

Office rate, Arkansas$55.96

Office: (0.94 × 1 + 0.82 × 0.859 + 0.06 × 0.515) × $33.4009 = $55.96

Facility: (0.94 × 1 + 0.2 × 0.859 + 0.06 × 0.515) × $33.4009 = $38.17

Open 98927 in the RVU calculator

Payment rules and modifiers for 98927

The CMS indicators that decide how 98927 is paid alongside other services.

CMS payment indicators · 98927

Osteopathic manipulation, five to six 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 98927

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

Codes related to 98927
CodeHow it relatesOffice range, Arkansas
Same family
98925Osteopathic manipulation, one or two regionsOMT sibling for treatment of one or two body regions.$29.61
98926Osteopathic manipulation, three to four regionsOMT sibling for treatment of three or four body regions.$42.38
98928Osteopathic manipulation, seven to eight regionsOMT sibling for treatment of seven or eight body regions.$67.87
98929Osteopathic manipulation, nine to ten regionsOMT sibling for treatment of nine or ten body regions.$79.62
Used instead
98941Chiropractic adjustment, spinal, 3-4 regionsChiropractic spinal manipulation code for three or four spinal regions, a distinct service.$36.13

How 98927 has changed in Arkansas

98927 · Office / nonfacility

$55.96

Effective 2026-10-01

The base rate is $2.93 higher than on 2025-10-01, moving from $53.03 to $55.96 (5.5%).

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

    $53.03changed to$55.96

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.96 changed to 0.94
    • Practice expense RVU 0.76 changed to 0.82
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $54.29changed to$53.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.75 changed to 0.76

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $53.40changed to$54.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $54.01changed to$53.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.72 changed to 0.75
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518

  5. January 1, 2023

    RVU23A

    $54.54changed to$54.01

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.70 changed to 0.72
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $54.70changed to$54.54

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.69 changed to 0.70

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $56.36changed to$54.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.67 changed to 0.69
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $56.69changed to$56.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $57.26changed to$56.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.69 changed to 0.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $56.68changed to$57.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.68 changed to 0.69
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $55.82changed to$56.68

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.66 changed to 0.68
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $56.14changed to$55.82

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.67 changed to 0.66
    • Malpractice RVU 0.04 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $55.86changed to$56.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $55.57changed to$55.86

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.66 changed to 0.67
    • Practice expense GPCI 0.866 changed to 0.867
    • Malpractice GPCI 0.492 changed to 0.534

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $54.46changed to$55.57

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.72 changed to 0.66
    • Practice expense GPCI 0.865 changed to 0.866
    • Malpractice GPCI 0.450 changed to 0.492

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $54.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$55.96$38.17RVU26D
2026-07-01$55.96$38.17RVU26C
2026-04-01$55.96$38.17RVU26B
2026-01-01$55.96$38.17RVU26A
2025-10-01$53.03$41.90RVU25D
2025-07-01$53.03$41.90RVU25C
2025-04-01$53.03$41.90RVU25B
2025-01-01$53.03$41.90RVU25A
2024-10-01$54.29$43.12RVU24D
2024-07-01$54.29$43.12RVU24C
2024-04-01$54.29$43.12RVU24B
2024-03-09$54.29$43.12RVU24AR
2024-01-01$53.40$42.42RVU24A
2023-10-01$54.01$43.32RVU23D
2023-07-01$54.01$43.32RVU23C
2023-04-01$54.01$43.32RVU23B
2023-01-01$54.01$43.32RVU23A
2022-10-01$54.54$44.29RVU22D
2022-07-01$54.54$44.29RVU22C
2022-04-01$54.54$44.29RVU22B
2022-01-01$54.54$44.29RVU22A
2021-10-01$54.70$44.65RVU21D
2021-07-01$54.70$44.65RVU21C
2021-04-01$54.70$44.65RVU21B
2021-01-01$54.70$44.65RVU21A
2020-10-01$56.36$46.13RVU20D
2020-07-01$56.36$46.13RVU20C
2020-04-01$56.36$46.13RVU20B
2020-01-01$56.36$46.13RVU20A
2019-10-01$56.69$46.32RVU19D
2019-07-01$56.69$46.32RVU19C
2019-04-01$56.69$46.32RVU19B
2019-01-01$56.69$46.32RVU19A
2018-10-01$57.26$46.27RVU18D
2018-07-01$57.26$46.27RVU18C
2018-04-01$57.26$46.27RVU18B
2018-01-01$57.26$46.27RVU18AR1
2017-10-01$56.68$46.06RVU17D
2017-07-01$56.68$46.06RVU17C
2017-04-01$56.68$46.06RVU17B
2017-01-01$56.68$46.06RVU17A
2016-10-01$55.82$45.57RVU16D
2016-07-01$55.82$45.57RVU16C
2016-04-01$55.82$45.57RVU16B
2016-01-01$55.82$45.57RVU16A
2015-10-01$56.14$45.86RVU15D
2015-07-01$56.14$45.86RVU15C
2015-04-01$55.86$45.63RVU15B
2015-01-01$55.86$45.63RVU15A
2014-10-01$55.57$45.33RVU14D
2014-07-01$55.57$45.33RVU14C
2014-04-01$55.57$45.33RVU14B
2014-01-01$55.57$45.33RVU14A
2013-10-01$54.46$43.87RVU13D
2013-07-01$54.46$43.87RVU13C
2013-04-01$54.46$43.87RVU13B
2013-01-01$54.46$43.87RVU13AR

Price 98927 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

98927 billing questions

How does this code differ from 98926 or 98928?

Choose among these OMT codes by the number of distinct body regions treated: 98926 covers three or four, this code covers five or six, and 98928 covers seven or eight.

What should the note document?

Record the somatic dysfunction findings and the specific body regions treated, with enough detail to support that five or six distinct regions received OMT.

Can modifier 50 be used when both sides are treated?

No. Bilateral adjustment is not appropriate for this code, even when treatment involves paired structures.

Is same-day evaluation or follow-up care included?

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

Can an assistant, co-surgeon, or surgical team be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

Does the region count refer to techniques or body areas?

It refers to distinct defined body regions treated, not the number of manual techniques or individual structures addressed.

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 98927PPRRVU2026_Oct_nonQPP.csv, line 12,939 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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