FeeBase
Log inGet started
Menu

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

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 Washington, DC area, Medicare pays $67.59 for 98927 in the office and $43.19 when it’s performed in a hospital or facility.

$67.59Office (non-facility)
$43.19Hospital or facility
+11.2%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $67.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

98927 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$67.59
  2. Los Angeles, CA · California$66.42−$1.17
  3. Miami, FL · Florida$64.98−$2.61
  4. Chicago, IL · Illinois$63.74−$3.85
  5. Manhattan, NY · New York$68.41+$0.82
  6. Alaska · Alaska$77.37+$9.78
  7. Alabama · Alabama$56.50−$11.09

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

Every other payment area

98927 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$55.96$38.17
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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 98927 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.94× 1.0540.9908
Practice expense0.82× 1.1780.9660
Malpractice0.06× 1.1130.0668
Total RVUs2.0235
Conversion factor× 33.4009

Office rate, Washington, DC area$67.59

Office: (0.94 × 1.054 + 0.82 × 1.178 + 0.06 × 1.113) × $33.4009 = $67.59

Facility: (0.94 × 1.054 + 0.2 × 1.178 + 0.06 × 1.113) × $33.4009 = $43.19

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, Washington, DC area
Same family
98925Osteopathic manipulation, one or two regionsOMT sibling for treatment of one or two body regions.$36.24
98926Osteopathic manipulation, three to four regionsOMT sibling for treatment of three or four body regions.$51.35
98928Osteopathic manipulation, seven to eight regionsOMT sibling for treatment of seven or eight body regions.$81.52
98929Osteopathic manipulation, nine to ten regionsOMT sibling for treatment of nine or ten body regions.$95.09
Used instead
98941Chiropractic adjustment, spinal, 3-4 regionsChiropractic spinal manipulation code for three or four spinal regions, a distinct service.$42.37

How 98927 has changed in Washington, DC area

98927 · Office / nonfacility

$67.59

Effective 2026-10-01

The base rate is $3.57 higher than on 2025-10-01, moving from $64.02 to $67.59 (5.6%).

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

    $64.02changed to$67.59

    • 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
    • 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

    $65.48changed to$64.02

    • 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

    $64.41changed to$65.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $65.64changed to$64.41

    • 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
    • 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

    $67.20changed to$65.64

    • 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
    • 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

    $67.32changed to$67.20

    • 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

    $68.17changed to$67.32

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.67 changed to 0.69
    • 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

    $67.52changed to$68.17

    • Conversion factor 36.0391 changed to 36.0896
    • 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

    $68.32changed to$67.52

    • 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

    $67.79changed to$68.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.68 changed to 0.69
    • 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

    $66.89changed to$67.79

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.66 changed to 0.68
    • 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

    $67.11changed to$66.89

    • 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

    $66.77changed to$67.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $66.25changed to$66.77

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.66 changed to 0.67
    • 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

    $65.15changed to$66.25

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.72 changed to 0.66
    • 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: $65.15

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$67.59$43.19RVU26D
2026-07-01$67.59$43.19RVU26C
2026-04-01$67.59$43.19RVU26B
2026-01-01$67.59$43.19RVU26A
2025-10-01$64.02$48.59RVU25D
2025-07-01$64.02$48.59RVU25C
2025-04-01$64.02$48.59RVU25B
2025-01-01$64.02$48.59RVU25A
2024-10-01$65.48$50.01RVU24D
2024-07-01$65.48$50.01RVU24C
2024-04-01$65.48$50.01RVU24B
2024-03-09$65.48$50.01RVU24AR
2024-01-01$64.41$49.19RVU24A
2023-10-01$65.64$50.42RVU23D
2023-07-01$65.64$50.42RVU23C
2023-04-01$65.64$50.42RVU23B
2023-01-01$65.64$50.42RVU23A
2022-10-01$67.20$52.23RVU22D
2022-07-01$67.20$52.23RVU22C
2022-04-01$67.20$52.23RVU22B
2022-01-01$67.20$52.23RVU22A
2021-10-01$67.32$52.66RVU21D
2021-07-01$67.32$52.66RVU21C
2021-04-01$67.32$52.66RVU21B
2021-01-01$67.32$52.66RVU21A
2020-10-01$68.17$53.63RVU20D
2020-07-01$68.17$53.63RVU20C
2020-04-01$68.17$53.63RVU20B
2020-01-01$68.17$53.63RVU20A
2019-10-01$67.52$53.19RVU19D
2019-07-01$67.52$53.19RVU19C
2019-04-01$67.52$53.19RVU19B
2019-01-01$67.52$53.19RVU19A
2018-10-01$68.32$53.13RVU18D
2018-07-01$68.32$53.13RVU18C
2018-04-01$68.32$53.13RVU18B
2018-01-01$68.32$53.13RVU18AR1
2017-10-01$67.79$53.09RVU17D
2017-07-01$67.79$53.09RVU17C
2017-04-01$67.79$53.09RVU17B
2017-01-01$67.79$53.09RVU17A
2016-10-01$66.89$52.65RVU16D
2016-07-01$66.89$52.65RVU16C
2016-04-01$66.89$52.65RVU16B
2016-01-01$66.89$52.65RVU16A
2015-10-01$67.11$52.82RVU15D
2015-07-01$67.11$52.82RVU15C
2015-04-01$66.77$52.55RVU15B
2015-01-01$66.77$52.55RVU15A
2014-10-01$66.25$52.05RVU14D
2014-07-01$66.25$52.05RVU14C
2014-04-01$66.25$52.05RVU14B
2014-01-01$66.25$52.05RVU14A
2013-10-01$65.15$50.47RVU13D
2013-07-01$65.15$50.47RVU13C
2013-04-01$65.15$50.47RVU13B
2013-01-01$65.15$50.47RVU13AR

Price 98927 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

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 98927 pays in Washington, DC area?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 98927 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet