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CPT code 98928: Osteopathic manipulation, seven to eight regions2026 Medicare rate & RVUs in Virginia

Reports physician-performed osteopathic manipulation when manual treatment addresses somatic dysfunction in seven or eight distinct body regions during the encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality84K Medicare services in 2024

In Virginia, Medicare pays $72.26 for 98928 in the office and $49.27 when it’s performed in a hospital or facility.

$72.26Office (non-facility)
$49.27Hospital or facility
−1.7%vs the national office rate ($73.48)

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.

We’ll open 98928 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 98928 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 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 Virginia 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. Virginia pays $72.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

98928 in Virginia vs other payment areas
  1. Virginia · this page$72.26
  2. Los Angeles, CA · California$80.12+$7.86
  3. Washington, DC area · District of Columbia$81.52+$9.26
  4. Miami, FL · Florida$78.36+$6.10
  5. Chicago, IL · Illinois$76.94+$4.68
  6. Manhattan, NY · New York$82.51+$10.25
  7. Alaska · Alaska$94.20+$21.94

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

Every other payment area

98928 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$68.50$48.04
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

98928 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.

$67.87

$94.20

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

View every state and territory as a table
98928 office rate range by state
State / territoryOffice rate rangeLocalities
AK$94.201
AL$68.501
AR$67.871
AZ$72.161
CA$76.11–$90.7629
CO$75.471
CT$77.201
DC$81.521
DE$73.061
FL$73.26–$78.363
GA$70.50–$74.582
GU$76.841
HI$76.841
IA$69.381
ID$69.711
IL$72.04–$76.944
IN$69.961
KS$69.281
KY$69.761
LA$69.73–$71.932
MA$75.32–$81.002
MD$74.07–$81.523
ME$70.06–$72.332
MI$71.02–$73.982
MN$72.761
MO$69.04–$71.963
MS$68.461
MT$73.481
NC$70.511
ND$72.091
NE$69.581
NH$74.491
NJ$78.20–$81.202
NM$71.321
NV$73.121
NY$71.20–$84.015
OH$70.741
OK$69.571
OR$72.66–$77.042
PA$70.75–$75.942
PR$73.801
RI$75.031
SC$70.721
SD$71.931
TN$69.511
TX$70.46–$75.138
UT$71.341
VA$72.26–$81.522
VI$73.801
VT$72.011
WA$75.12–$82.232
WI$70.531
WV$70.331
WY$72.871

See 98928 in every payment locality

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

Office or facility?

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 98928 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.18× 1.0001.1800
Practice expense0.95× 0.9830.9338
Malpractice0.07× 0.7060.0494
Total RVUs2.1633
Conversion factor× 33.4009

Office rate, Virginia$72.26

Office: (1.18 × 1 + 0.95 × 0.983 + 0.07 × 0.706) × $33.4009 = $72.26

Facility: (1.18 × 1 + 0.25 × 0.983 + 0.07 × 0.706) × $33.4009 = $49.27

Open 98928 in the RVU calculator

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

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 98928

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

Codes related to 98928
CodeHow it relatesOffice range, Virginia
Same family
98925Osteopathic manipulation, one or two regionsSame osteopathic manipulation family; selected for one or two treated regions.$31.83
98926Osteopathic manipulation, three to four regionsSame osteopathic manipulation family; selected for three or four treated regions.$45.33
98927Osteopathic manipulation, five to six regionsSame osteopathic manipulation family; selected for five or six treated regions.$59.73
98929Osteopathic manipulation, nine to ten regionsSame osteopathic manipulation family; selected for nine or ten treated regions.$84.54

How 98928 has changed in Virginia

98928 · Office / nonfacility

$72.26

Effective 2026-10-01

The base rate is $3.57 higher than on 2025-10-01, moving from $68.69 to $72.26 (5.2%).

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

    $68.69changed to$72.26

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $70.61changed to$68.69

    • 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.

  3. March 9, 2024

    RVU24AR

    $69.46changed to$70.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $71.14changed to$69.46

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.84 changed to 0.87
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $72.28changed to$71.14

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.82 changed to 0.84
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $71.91changed to$72.28

    • 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.

  7. January 1, 2021

    RVU21A

    $73.52changed to$71.91

    • 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 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $72.93changed to$73.52

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.77 changed to 0.78
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $73.56changed to$72.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.79 changed to 0.77

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $73.22changed to$73.56

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $72.55changed to$73.22

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.78 changed to 0.79
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $72.86changed to$72.55

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.79 changed to 0.78
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $72.50changed to$72.86

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $72.40changed to$72.50

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.78 changed to 0.79
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $70.91changed to$72.40

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.85 changed to 0.78
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $70.91

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$72.26$49.27RVU26D
2026-07-01$72.26$49.27RVU26C
2026-04-01$72.26$49.27RVU26B
2026-01-01$72.26$49.27RVU26A
2025-10-01$68.69$55.32RVU25D
2025-07-01$68.69$55.32RVU25C
2025-04-01$68.69$55.32RVU25B
2025-01-01$68.69$55.32RVU25A
2024-10-01$70.61$56.86RVU24D
2024-07-01$70.61$56.86RVU24C
2024-04-01$70.61$56.86RVU24B
2024-03-09$70.61$56.86RVU24AR
2024-01-01$69.46$55.93RVU24A
2023-10-01$71.14$57.72RVU23D
2023-07-01$71.14$57.72RVU23C
2023-04-01$71.14$57.72RVU23B
2023-01-01$71.14$57.72RVU23A
2022-10-01$72.28$59.20RVU22D
2022-07-01$72.28$59.20RVU22C
2022-04-01$72.28$59.20RVU22B
2022-01-01$72.28$59.20RVU22A
2021-10-01$71.91$59.06RVU21D
2021-07-01$71.91$59.06RVU21C
2021-04-01$71.91$59.06RVU21B
2021-01-01$71.91$59.06RVU21A
2020-10-01$73.52$60.64RVU20D
2020-07-01$73.52$60.64RVU20C
2020-04-01$73.52$60.64RVU20B
2020-01-01$73.52$60.64RVU20A
2019-10-01$72.93$60.50RVU19D
2019-07-01$72.93$60.50RVU19C
2019-04-01$72.93$60.50RVU19B
2019-01-01$72.93$60.50RVU19A
2018-10-01$73.56$60.43RVU18D
2018-07-01$73.56$60.43RVU18C
2018-04-01$73.56$60.43RVU18B
2018-01-01$73.56$60.43RVU18AR1
2017-10-01$73.22$60.14RVU17D
2017-07-01$73.22$60.14RVU17C
2017-04-01$73.22$60.14RVU17B
2017-01-01$73.22$60.14RVU17A
2016-10-01$72.55$59.88RVU16D
2016-07-01$72.55$59.88RVU16C
2016-04-01$72.55$59.88RVU16B
2016-01-01$72.55$59.88RVU16A
2015-10-01$72.86$60.15RVU15D
2015-07-01$72.86$60.15RVU15C
2015-04-01$72.50$59.85RVU15B
2015-01-01$72.50$59.85RVU15A
2014-10-01$72.40$60.11RVU14D
2014-07-01$72.40$60.11RVU14C
2014-04-01$72.40$60.11RVU14B
2014-01-01$72.40$60.11RVU14A
2013-10-01$70.91$57.95RVU13D
2013-07-01$70.91$57.95RVU13C
2013-04-01$70.91$57.95RVU13B
2013-01-01$70.91$57.95RVU13AR

Price 98928 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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
RVUs for 98928PPRRVU2026_Oct_nonQPP.csv, line 12,940 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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