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CPT code 98929: Osteopathic manipulation, nine to ten regions2026 Medicare rate & RVUs in Delaware

Reports physician-performed osteopathic manipulative treatment when hands-on treatment addresses nine or ten documented body regions during the encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality92.9K Medicare services in 2024

In Delaware, Medicare pays $85.41 for 98929 in the office and $59.34 when it’s performed in a hospital or facility.

$85.41Office (non-facility)
$59.34Hospital or facility
−0.5%vs the national office rate ($85.84)

Check a contract rate as a % of Medicare · 98929 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 98929 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 98929 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 98929 covers

An osteopathic physician reports this service when performing hands-on manipulative treatment in nine or ten body regions. The regions are head, cervical, thoracic, lumbar, sacral, pelvic, upper extremity, lower extremity, rib, and abdomen. Treatment may use manual approaches such as soft-tissue techniques or muscle energy, and is commonly performed in an office or outpatient setting. Count regions actually treated, not the number of techniques used or regions merely examined.

Choose this level based on the total number of treated regions; document the specific regions and the treatment performed in each. The service has a 0-day global period, so related same-day preoperative and postoperative care is included. 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 Delaware compares for 98929

Across 109 of 109 payment localities, the office rate for 98929 runs from $79.62 in Arkansas to $110.85 in Alaska. Delaware pays $85.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

98929 in Delaware vs other payment areas
  1. Delaware · this page$85.41
  2. Los Angeles, CA · California$93.60+$8.19
  3. Washington, DC area · District of Columbia$95.09+$9.68
  4. Miami, FL · Florida$90.89+$5.48
  5. Chicago, IL · Illinois$89.38+$3.97
  6. Manhattan, NY · New York$96.09+$10.68
  7. Alaska · Alaska$110.85+$25.44

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

Every other payment area

98929 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$80.32$57.23
ArkansasArkansas$79.62$56.95
ArizonaArizona$84.39$58.82
Bakersfield, CACalifornia$89.29$60.37
Chico, CACalifornia$89.02$60.10
El Centro, CACalifornia$89.04$60.12
Fresno, CACalifornia$89.02$60.10
Hanford, CACalifornia$89.02$60.10

98929 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.

$79.62

$110.85

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

View every state and territory as a table
98929 office rate range by state
State / territoryOffice rate rangeLocalities
AK$110.851
AL$80.321
AR$79.621
AZ$84.391
CA$89.02–$105.9229
CO$88.211
CT$90.061
DC$95.091
DE$85.411
FL$85.43–$90.893
GA$82.39–$87.032
GU$89.801
HI$89.801
IA$81.361
ID$81.721
IL$84.02–$89.384
IN$82.011
KS$81.221
KY$81.641
LA$81.59–$84.032
MA$88.04–$94.532
MD$86.56–$95.093
ME$82.07–$84.652
MI$83.00–$86.182
MN$85.241
MO$80.80–$84.113
MS$80.221
MT$85.841
NC$82.581
ND$84.451
NE$81.611
NH$87.031
NJ$91.28–$94.762
NM$83.321
NV$85.491
NY$83.34–$97.705
OH$82.721
OK$81.461
OR$85.00–$90.002
PA$82.75–$88.622
PR$86.201
RI$87.681
SC$82.751
SD$84.291
TN$81.481
TX$82.43–$87.768
UT$83.441
VA$84.54–$95.092
VI$86.201
VT$84.321
WA$87.81–$95.972
WI$82.711
WV$82.121
WY$85.231

See 98929 in every payment locality

How the 98929 rate is calculated

Each of 98929’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 · 98929

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.42

1.42 RVUs× 1.000 GPCI

Practice expense1.08

1.08 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

2.5700

Conversion factor

$33.4009

Medicare rate

$85.84

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,941

Code
98929
Physician work
1.42
Practice expense
1.08
Malpractice
0.07

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 98929 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0051.4271
Practice expense1.08× 0.9881.0670
Malpractice0.07× 0.8990.0629
Total RVUs2.5571
Conversion factor× 33.4009

Office rate, Delaware$85.41

Office: (1.42 × 1.005 + 1.08 × 0.988 + 0.07 × 0.899) × $33.4009 = $85.41

Facility: (1.42 × 1.005 + 0.29 × 0.988 + 0.07 × 0.899) × $33.4009 = $59.34

Open 98929 in the RVU calculator

Payment rules and modifiers for 98929

The CMS indicators that decide how 98929 is paid alongside other services.

CMS payment indicators · 98929

Osteopathic manipulation, nine to ten 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 98929

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

Codes related to 98929
CodeHow it relatesOffice range, Delaware
Same family
98928Osteopathic manipulation, seven to eight regionsOsteopathic manipulative treatment for seven or eight regions.$73.06
98927Osteopathic manipulation, five to six regionsOsteopathic manipulative treatment for five or six regions.$60.42
98925Osteopathic manipulation, one or two regionsOsteopathic manipulative treatment for one or two regions.$32.18
Used instead
98940Chiropractic adjustment, spinal, 1–2 regionsChiropractic manipulation for one or two spinal regions; a distinct service.$26.63
98942Chiropractic adjustment, spinal, five regionsChiropractic manipulation for five spinal regions; not an osteopathic region-count level.$49.67

How 98929 has changed in Delaware

98929 · Office / nonfacility

$85.41

Effective 2026-10-01

The base rate is $3.52 higher than on 2025-10-01, moving from $81.89 to $85.41 (4.3%).

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

    $81.89changed to$85.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.46 changed to 1.42
    • Practice expense RVU 1.00 changed to 1.08
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $84.26changed to$81.89

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.99 changed to 1.00
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $82.88changed to$84.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $84.78changed to$82.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.95 changed to 0.99
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $86.91changed to$84.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.94 changed to 0.95
    • Malpractice RVU 0.09 changed to 0.08
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $87.63changed to$86.91

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $89.49changed to$87.63

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.90 changed to 0.94
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $89.23changed to$89.49

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.91 changed to 0.90
    • Malpractice RVU 0.07 changed to 0.09
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $89.86changed to$89.23

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.93 changed to 0.91

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $89.90changed to$89.86

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $89.58changed to$89.90

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.92 changed to 0.93
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $89.88changed to$89.58

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.93 changed to 0.92
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $89.43changed to$89.88

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $89.60changed to$89.43

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.91 changed to 0.93
    • Malpractice RVU 0.09 changed to 0.06
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $87.14changed to$89.60

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.98 changed to 0.91
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $87.14

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$85.41$59.34RVU26D
2026-07-01$85.41$59.34RVU26C
2026-04-01$85.41$59.34RVU26B
2026-01-01$85.41$59.34RVU26A
2025-10-01$81.89$66.81RVU25D
2025-07-01$81.89$66.81RVU25C
2025-04-01$81.89$66.81RVU25B
2025-01-01$81.89$66.81RVU25A
2024-10-01$84.26$69.07RVU24D
2024-07-01$84.26$69.07RVU24C
2024-04-01$84.26$69.07RVU24B
2024-03-09$84.26$69.07RVU24AR
2024-01-01$82.88$67.94RVU24A
2023-10-01$84.78$70.11RVU23D
2023-07-01$84.78$70.11RVU23C
2023-04-01$84.78$70.11RVU23B
2023-01-01$84.78$70.11RVU23A
2022-10-01$86.91$72.06RVU22D
2022-07-01$86.91$72.06RVU22C
2022-04-01$86.91$72.06RVU22B
2022-01-01$86.91$72.06RVU22A
2021-10-01$87.63$73.01RVU21D
2021-07-01$87.63$73.01RVU21C
2021-04-01$87.63$73.01RVU21B
2021-01-01$87.63$73.01RVU21A
2020-10-01$89.49$75.49RVU20D
2020-07-01$89.49$75.49RVU20C
2020-04-01$89.49$75.49RVU20B
2020-01-01$89.49$75.49RVU20A
2019-10-01$89.23$74.90RVU19D
2019-07-01$89.23$74.90RVU19C
2019-04-01$89.23$74.90RVU19B
2019-01-01$89.23$74.90RVU19A
2018-10-01$89.86$74.82RVU18D
2018-07-01$89.86$74.82RVU18C
2018-04-01$89.86$74.82RVU18B
2018-01-01$89.86$74.82RVU18AR1
2017-10-01$89.90$74.82RVU17D
2017-07-01$89.90$74.82RVU17C
2017-04-01$89.90$74.82RVU17B
2017-01-01$89.90$74.82RVU17A
2016-10-01$89.58$74.07RVU16D
2016-07-01$89.58$74.07RVU16C
2016-04-01$89.58$74.07RVU16B
2016-01-01$89.58$74.07RVU16A
2015-10-01$89.88$74.32RVU15D
2015-07-01$89.88$74.32RVU15C
2015-04-01$89.43$73.95RVU15B
2015-01-01$89.43$73.95RVU15A
2014-10-01$89.60$73.98RVU14D
2014-07-01$89.60$73.98RVU14C
2014-04-01$89.60$73.98RVU14B
2014-01-01$89.60$73.98RVU14A
2013-10-01$87.14$70.80RVU13D
2013-07-01$87.14$70.80RVU13C
2013-04-01$87.14$70.80RVU13B
2013-01-01$87.14$70.80RVU13AR

Price 98929 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

98929 billing questions

How do I choose 98929 instead of 98928?

Use 98929 when treatment covers nine or ten body regions. Use 98928 when seven or eight regions are treated.

Do I count regions examined or treated?

Count the body regions receiving manipulative treatment, not regions that were only evaluated. Documentation should identify the treated regions and the treatment performed.

Can modifier 50 be used when both sides are treated?

No. Bilateral adjustment does not make modifier 50 appropriate for this code.

Is same-day related preoperative or postoperative care separately reported?

The 0-day global period includes same-day preoperative and postoperative care related to the service.

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

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery billing 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 98929PPRRVU2026_Oct_nonQPP.csv, line 12,941 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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