CPT code 98928: Osteopathic manipulation, seven to eight regions2026 Medicare rate & RVUs in Alabama
Reports physician-performed osteopathic manipulation when manual treatment addresses somatic dysfunction in seven or eight distinct body regions during the encounter.
In Alabama, Medicare pays $68.50 for 98928 in the office and $48.04 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 98928 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 98928 covers
This service represents osteopathic manipulative treatment directed at somatic dysfunction in seven or eight body regions. A physician, commonly a doctor of osteopathic medicine, uses hands-on techniques to treat the affected regions. The regions counted are the head, cervical, thoracic, lumbar, sacral, pelvic, lower-extremity, upper-extremity, and rib-cage areas. Treatment may occur in an office or facility setting.
Select this level based on the distinct regions actually treated, not simply the regions examined or noted as dysfunctional. The record should identify the treated regions and support that manipulation was performed. CMS assigns a 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-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 Alabama compares for 98928
Across 109 of 109 payment localities, the office rate for 98928 runs from $67.87 in Arkansas to $94.20 in Alaska. Alabama pays $68.50. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$68.50
- Los Angeles, CA · California$80.12+$11.62
- Washington, DC area · District of Columbia$81.52+$13.02
- Miami, FL · Florida$78.36+$9.86
- Chicago, IL · Illinois$76.94+$8.44
- Manhattan, NY · New York$82.51+$14.01
- Alaska · Alaska$94.20+$25.70
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $67.87 | $47.79 |
| ArizonaArizona | $72.16 | $49.51 |
| Bakersfield, CACalifornia | $76.36 | $50.74 |
| Chico, CACalifornia | $76.11 | $50.49 |
| El Centro, CACalifornia | $76.12 | $50.50 |
| Fresno, CACalifornia | $76.11 | $50.49 |
| Hanford, CACalifornia | $76.11 | $50.49 |
| Madera, CACalifornia | $76.11 | $50.49 |
| Merced, CACalifornia | $76.11 | $50.49 |
| Modesto, CACalifornia | $76.11 | $50.49 |
| Napa, CACalifornia | $84.91 | $54.09 |
| Oxnard, CACalifornia | $79.48 | $51.84 |
| Redding, CACalifornia | $76.11 | $50.49 |
| Rest of CaliforniaCalifornia | $76.11 | $50.49 |
| Riverside, CACalifornia | $76.89 | $51.27 |
| Sacramento, CACalifornia | $78.99 | $51.80 |
| Salinas, CACalifornia | $78.66 | $51.57 |
| San Diego, CACalifornia | $79.81 | $51.85 |
| Marin County, CACalifornia | $88.97 | $56.00 |
| San Francisco, CACalifornia | $88.89 | $55.92 |
| San Benito County, CACalifornia | $90.76 | $57.04 |
| Santa Clara County, CACalifornia | $90.43 | $56.72 |
| San Luis Obispo, CACalifornia | $77.48 | $50.85 |
| Santa Cruz, CACalifornia | $80.05 | $51.64 |
| Santa Maria, CACalifornia | $78.77 | $51.51 |
| Santa Rosa, CACalifornia | $80.81 | $52.10 |
| Stockton, CACalifornia | $76.11 | $50.49 |
| Vallejo, CACalifornia | $84.79 | $53.97 |
| Visalia, CACalifornia | $76.11 | $50.49 |
| Yuba City, CACalifornia | $76.11 | $50.49 |
| ColoradoColorado | $75.47 | $50.60 |
| ConnecticutConnecticut | $77.20 | $52.02 |
| DelawareDelaware | $73.06 | $49.96 |
| Fort Lauderdale, FLFlorida | $75.78 | $52.10 |
| Rest of FloridaFlorida | $73.26 | $50.91 |
| Atlanta, GAGeorgia | $74.58 | $50.82 |
| Rest of GeorgiaGeorgia | $70.50 | $49.65 |
| Hawaii, Guam, HIHawaii | $76.84 | $50.26 |
| IowaIowa | $69.38 | $47.98 |
| IdahoIdaho | $69.71 | $48.20 |
| East St. Louis, ILIllinois | $73.31 | $51.80 |
| Rest of IllinoisIllinois | $72.04 | $50.69 |
| Suburban Chicago, ILIllinois | $76.42 | $52.41 |
| IndianaIndiana | $69.96 | $48.29 |
| KansasKansas | $69.28 | $48.14 |
| KentuckyKentucky | $69.76 | $48.98 |
| New Orleans, LALouisiana | $71.93 | $49.93 |
| Rest of LouisianaLouisiana | $69.73 | $49.04 |
| Metropolitan Boston, MAMassachusetts | $81.00 | $53.08 |
| Rest of MassachusettsMassachusetts | $75.32 | $50.70 |
| Baltimore area, MDMaryland | $76.98 | $51.90 |
| Rest of MarylandMaryland | $74.07 | $50.40 |
| Rest of MaineMaine | $70.06 | $48.55 |
| Southern Maine, MEMaine | $72.33 | $49.16 |
| Detroit, MIMichigan | $73.98 | $51.41 |
| Rest of MichiganMichigan | $71.02 | $49.68 |
| MinnesotaMinnesota | $72.76 | $48.70 |
| Metropolitan Kansas City, MOMissouri | $71.49 | $49.54 |
| Metropolitan St. Louis, MOMissouri | $71.96 | $49.71 |
| Rest of MissouriMissouri | $69.04 | $48.89 |
| MississippiMississippi | $68.46 | $48.33 |
| MontanaMontana | $73.48 | $50.10 |
| North CarolinaNorth Carolina | $70.51 | $48.70 |
| North DakotaNorth Dakota | $72.09 | $48.71 |
| NebraskaNebraska | $69.58 | $48.00 |
| New HampshireNew Hampshire | $74.49 | $50.15 |
| Northern New JerseyNew Jersey | $81.20 | $54.08 |
| Rest of New JerseyNew Jersey | $78.20 | $52.67 |
| New MexicoNew Mexico | $71.32 | $49.88 |
| NevadaNevada | $73.12 | $49.72 |
| NYC suburbs and Long Island, NYNew York | $84.01 | $56.21 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $78.76 | $53.16 |
| Queens, NYNew York | $82.81 | $55.18 |
| Rest of New YorkNew York | $71.20 | $48.99 |
| OhioOhio | $70.74 | $49.39 |
| OklahomaOklahoma | $69.57 | $48.69 |
| Portland, OROregon | $77.04 | $51.06 |
| Rest of OregonOregon | $72.66 | $49.37 |
| Metropolitan Philadelphia, PAPennsylvania | $75.94 | $51.60 |
| Rest of PennsylvaniaPennsylvania | $70.75 | $49.29 |
| Puerto RicoPuerto Rico | $73.80 | $50.16 |
| Rhode IslandRhode Island | $75.03 | $50.87 |
| South CarolinaSouth Carolina | $70.72 | $49.12 |
| South DakotaSouth Dakota | $71.93 | $48.55 |
| TennesseeTennessee | $69.51 | $48.26 |
| Austin, TXTexas | $75.13 | $50.40 |
| Beaumont, TXTexas | $70.46 | $49.18 |
| Brazoria, TXTexas | $73.00 | $49.83 |
| Dallas, TXTexas | $73.38 | $50.09 |
| Fort Worth, TXTexas | $73.09 | $50.04 |
| Galveston, TXTexas | $73.17 | $49.96 |
| Houston, TXTexas | $74.45 | $51.24 |
| Rest of TexasTexas | $71.64 | $49.45 |
| UtahUtah | $71.34 | $49.36 |
| VirginiaVirginia | $72.26 | $49.27 |
| Virgin Islands, VIUnited States Virgin Islands | $73.80 | $50.16 |
| VermontVermont | $72.01 | $48.86 |
| Rest of WashingtonWashington | $75.12 | $50.50 |
| King County, WAWashington | $82.23 | $53.54 |
| WisconsinWisconsin | $70.53 | $48.13 |
| West VirginiaWest Virginia | $70.33 | $50.02 |
| WyomingWyoming | $72.87 | $49.49 |
98928 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$67.87
$94.20
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $94.20 | 1 |
| AL | $68.50 | 1 |
| AR | $67.87 | 1 |
| AZ | $72.16 | 1 |
| CA | $76.11–$90.76 | 29 |
| CO | $75.47 | 1 |
| CT | $77.20 | 1 |
| DC | $81.52 | 1 |
| DE | $73.06 | 1 |
| FL | $73.26–$78.36 | 3 |
| GA | $70.50–$74.58 | 2 |
| GU | $76.84 | 1 |
| HI | $76.84 | 1 |
| IA | $69.38 | 1 |
| ID | $69.71 | 1 |
| IL | $72.04–$76.94 | 4 |
| IN | $69.96 | 1 |
| KS | $69.28 | 1 |
| KY | $69.76 | 1 |
| LA | $69.73–$71.93 | 2 |
| MA | $75.32–$81.00 | 2 |
| MD | $74.07–$81.52 | 3 |
| ME | $70.06–$72.33 | 2 |
| MI | $71.02–$73.98 | 2 |
| MN | $72.76 | 1 |
| MO | $69.04–$71.96 | 3 |
| MS | $68.46 | 1 |
| MT | $73.48 | 1 |
| NC | $70.51 | 1 |
| ND | $72.09 | 1 |
| NE | $69.58 | 1 |
| NH | $74.49 | 1 |
| NJ | $78.20–$81.20 | 2 |
| NM | $71.32 | 1 |
| NV | $73.12 | 1 |
| NY | $71.20–$84.01 | 5 |
| OH | $70.74 | 1 |
| OK | $69.57 | 1 |
| OR | $72.66–$77.04 | 2 |
| PA | $70.75–$75.94 | 2 |
| PR | $73.80 | 1 |
| RI | $75.03 | 1 |
| SC | $70.72 | 1 |
| SD | $71.93 | 1 |
| TN | $69.51 | 1 |
| TX | $70.46–$75.13 | 8 |
| UT | $71.34 | 1 |
| VA | $72.26–$81.52 | 2 |
| VI | $73.80 | 1 |
| VT | $72.01 | 1 |
| WA | $75.12–$82.23 | 2 |
| WI | $70.53 | 1 |
| WV | $70.33 | 1 |
| WY | $72.87 | 1 |
How the 98928 rate is calculated
Each of 98928’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 · 98928
RVUs × geographic indexes × conversion factor
Work1.18
1.18 RVUs× 1.000 GPCI
Practice expense0.95
0.95 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
2.2000
Conversion factor
$33.4009
Medicare rate
$73.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,940
- Code
- 98928
- Physician work
- 1.18
- Practice expense
- 0.95
- Malpractice
- 0.07
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.18 | × 1.000 | 1.1800 |
| Practice expense | 0.95 | × 0.875 | 0.8312 |
| Malpractice | 0.07 | × 0.566 | 0.0396 |
| Total RVUs | 2.0509 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$68.50
Office: (1.18 × 1 + 0.95 × 0.875 + 0.07 × 0.566) × $33.4009 = $68.50
Facility: (1.18 × 1 + 0.25 × 0.875 + 0.07 × 0.566) × $33.4009 = $48.04
Payment rules and modifiers for 98928
The CMS indicators that decide how 98928 is paid alongside other services.
CMS payment indicators · 98928
Osteopathic manipulation, seven to eight regions
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 98928 has changed in Alabama
98928 · Office / nonfacility
$68.50
Effective 2026-10-01
The base rate is $3.51 higher than on 2025-10-01, moving from $64.99 to $68.50 (5.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$64.99changed to$68.50
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.21 changed to 1.18
- Practice expense RVU 0.88 changed to 0.95
- Malpractice RVU 0.06 changed to 0.07
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$66.78changed to$64.99
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.87 changed to 0.88
- Malpractice RVU 0.07 changed to 0.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$65.69changed to$66.78
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$67.77changed to$65.69
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.84 changed to 0.87
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$69.30changed to$67.77
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.82 changed to 0.84
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$68.93changed to$69.30
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.81 changed to 0.82
- Malpractice RVU 0.05 changed to 0.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$70.22changed to$68.93
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.78 changed to 0.81
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$69.37changed to$70.22
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.77 changed to 0.78
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$69.93changed to$69.37
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.79 changed to 0.77
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$69.93
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $68.50 | $48.04 | RVU26D |
| 2026-07-01 | $68.50 | $48.04 | RVU26C |
| 2026-04-01 | $68.50 | $48.04 | RVU26B |
| 2026-01-01 | $68.50 | $48.04 | RVU26A |
| 2025-10-01 | $64.99 | $53.19 | RVU25D |
| 2025-07-01 | $64.99 | $53.19 | RVU25C |
| 2025-04-01 | $64.99 | $53.19 | RVU25B |
| 2025-01-01 | $64.99 | $53.19 | RVU25A |
| 2024-10-01 | $66.78 | $54.63 | RVU24D |
| 2024-07-01 | $66.78 | $54.63 | RVU24C |
| 2024-04-01 | $66.78 | $54.63 | RVU24B |
| 2024-03-09 | $66.78 | $54.63 | RVU24AR |
| 2024-01-01 | $65.69 | $53.74 | RVU24A |
| 2023-10-01 | $67.77 | $55.87 | RVU23D |
| 2023-07-01 | $67.77 | $55.87 | RVU23C |
| 2023-04-01 | $67.77 | $55.87 | RVU23B |
| 2023-01-01 | $67.77 | $55.87 | RVU23A |
| 2022-10-01 | $69.30 | $57.63 | RVU22D |
| 2022-07-01 | $69.30 | $57.63 | RVU22C |
| 2022-04-01 | $69.30 | $57.63 | RVU22B |
| 2022-01-01 | $69.30 | $57.63 | RVU22A |
| 2021-10-01 | $68.93 | $57.46 | RVU21D |
| 2021-07-01 | $68.93 | $57.46 | RVU21C |
| 2021-04-01 | $68.93 | $57.46 | RVU21B |
| 2021-01-01 | $68.93 | $57.46 | RVU21A |
| 2020-10-01 | $70.22 | $58.67 | RVU20D |
| 2020-07-01 | $70.22 | $58.67 | RVU20C |
| 2020-04-01 | $70.22 | $58.67 | RVU20B |
| 2020-01-01 | $70.22 | $58.67 | RVU20A |
| 2019-10-01 | $69.37 | $58.14 | RVU19D |
| 2019-07-01 | $69.37 | $58.14 | RVU19C |
| 2019-04-01 | $69.37 | $58.14 | RVU19B |
| 2019-01-01 | $69.37 | $58.14 | RVU19A |
| 2018-10-01 | $69.93 | $58.08 | RVU18D |
| 2018-07-01 | $69.93 | $58.08 | RVU18C |
| 2018-04-01 | $69.93 | $58.08 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
98928 billing questions
How do I choose this code instead of 98927 or 98929?
Count the distinct body regions that received osteopathic manipulation. Use 98928 for seven or eight treated regions; 98927 represents five or six, and 98929 represents nine or ten.
Do regions that were only examined count toward the level?
No. The level is based on regions treated with manipulation, so documentation should distinguish those regions from areas that were only evaluated.
Can I append modifier 50 for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What is included in the 0-day global period?
Same-day preoperative and postoperative care is included in the service under CMS's 0-day global-period rule.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment is limited to cases with documented medical necessity. Co-surgeons and team surgery are not permitted.
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
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