CPT code 98929: Osteopathic manipulation, nine to ten regions2026 Medicare rate & RVUs in North Dakota
Reports physician-performed osteopathic manipulative treatment when hands-on treatment addresses nine or ten documented body regions during the encounter.
In North Dakota, Medicare pays $84.45 for 98929 in the office and $58.06 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 North Dakota 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. North Dakota pays $84.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$84.45
- Los Angeles, CA · California$93.60+$9.15
- Washington, DC area · District of Columbia$95.09+$10.64
- Miami, FL · Florida$90.89+$6.44
- Chicago, IL · Illinois$89.38+$4.93
- Manhattan, NY · New York$96.09+$11.64
- Alaska · Alaska$110.85+$26.40
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $89.02 | $60.10 |
| Merced, CACalifornia | $89.02 | $60.10 |
| Modesto, CACalifornia | $89.02 | $60.10 |
| Napa, CACalifornia | $99.15 | $64.37 |
| Oxnard, CACalifornia | $92.85 | $61.66 |
| Redding, CACalifornia | $89.02 | $60.10 |
| Rest of CaliforniaCalifornia | $89.02 | $60.10 |
| Riverside, CACalifornia | $89.81 | $60.89 |
| Sacramento, CACalifornia | $92.34 | $61.66 |
| Salinas, CACalifornia | $91.96 | $61.38 |
| San Diego, CACalifornia | $93.26 | $61.70 |
| Marin County, CACalifornia | $103.87 | $66.67 |
| San Francisco, CACalifornia | $103.79 | $66.59 |
| San Benito County, CACalifornia | $105.92 | $67.87 |
| Santa Clara County, CACalifornia | $105.59 | $67.54 |
| San Luis Obispo, CACalifornia | $90.58 | $60.52 |
| Santa Cruz, CACalifornia | $93.51 | $61.45 |
| Santa Maria, CACalifornia | $92.07 | $61.30 |
| Santa Rosa, CACalifornia | $94.40 | $62.00 |
| Stockton, CACalifornia | $89.02 | $60.10 |
| Vallejo, CACalifornia | $99.03 | $64.26 |
| Visalia, CACalifornia | $89.02 | $60.10 |
| Yuba City, CACalifornia | $89.02 | $60.10 |
| ColoradoColorado | $88.21 | $60.13 |
| ConnecticutConnecticut | $90.06 | $61.64 |
| DelawareDelaware | $85.41 | $59.34 |
| Fort Lauderdale, FLFlorida | $88.20 | $61.47 |
| Rest of FloridaFlorida | $85.43 | $60.20 |
| Atlanta, GAGeorgia | $87.03 | $60.22 |
| Rest of GeorgiaGeorgia | $82.39 | $58.86 |
| Hawaii, Guam, HIHawaii | $89.80 | $59.80 |
| IowaIowa | $81.36 | $57.22 |
| IdahoIdaho | $81.72 | $57.45 |
| East St. Louis, ILIllinois | $85.33 | $61.05 |
| Rest of IllinoisIllinois | $84.02 | $59.93 |
| Suburban Chicago, ILIllinois | $88.95 | $61.85 |
| IndianaIndiana | $82.01 | $57.54 |
| KansasKansas | $81.22 | $57.36 |
| KentuckyKentucky | $81.64 | $58.18 |
| New Orleans, LALouisiana | $84.03 | $59.20 |
| Rest of LouisianaLouisiana | $81.59 | $58.24 |
| Metropolitan Boston, MAMassachusetts | $94.53 | $63.02 |
| Rest of MassachusettsMassachusetts | $88.04 | $60.25 |
| Baltimore area, MDMaryland | $89.79 | $61.47 |
| Rest of MarylandMaryland | $86.56 | $59.85 |
| Rest of MaineMaine | $82.07 | $57.79 |
| Southern Maine, MEMaine | $84.65 | $58.50 |
| Detroit, MIMichigan | $86.18 | $60.72 |
| Rest of MichiganMichigan | $83.00 | $58.91 |
| MinnesotaMinnesota | $85.24 | $58.09 |
| Metropolitan Kansas City, MOMissouri | $83.59 | $58.81 |
| Metropolitan St. Louis, MOMissouri | $84.11 | $58.99 |
| Rest of MissouriMissouri | $80.80 | $58.06 |
| MississippiMississippi | $80.22 | $57.50 |
| MontanaMontana | $85.84 | $59.45 |
| North CarolinaNorth Carolina | $82.58 | $57.96 |
| NebraskaNebraska | $81.61 | $57.25 |
| New HampshireNew Hampshire | $87.03 | $59.56 |
| Northern New JerseyNew Jersey | $94.76 | $64.15 |
| Rest of New JerseyNew Jersey | $91.28 | $62.47 |
| New MexicoNew Mexico | $83.32 | $59.12 |
| NevadaNevada | $85.49 | $59.07 |
| NYC suburbs and Long Island, NYNew York | $97.70 | $66.32 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $91.89 | $63.00 |
| Queens, NYNew York | $96.47 | $65.29 |
| Rest of New YorkNew York | $83.34 | $58.27 |
| OhioOhio | $82.72 | $58.63 |
| OklahomaOklahoma | $81.46 | $57.90 |
| Portland, OROregon | $90.00 | $60.69 |
| Rest of OregonOregon | $85.00 | $58.72 |
| Metropolitan Philadelphia, PAPennsylvania | $88.62 | $61.16 |
| Rest of PennsylvaniaPennsylvania | $82.75 | $58.53 |
| Puerto RicoPuerto Rico | $86.20 | $59.53 |
| Rhode IslandRhode Island | $87.68 | $60.42 |
| South CarolinaSouth Carolina | $82.75 | $58.37 |
| South DakotaSouth Dakota | $84.29 | $57.90 |
| TennesseeTennessee | $81.48 | $57.49 |
| Austin, TXTexas | $87.76 | $59.84 |
| Beaumont, TXTexas | $82.43 | $58.42 |
| Brazoria, TXTexas | $85.38 | $59.23 |
| Dallas, TXTexas | $85.79 | $59.51 |
| Fort Worth, TXTexas | $85.46 | $59.44 |
| Galveston, TXTexas | $85.57 | $59.36 |
| Houston, TXTexas | $86.85 | $60.64 |
| Rest of TexasTexas | $83.77 | $58.73 |
| UtahUtah | $83.44 | $58.63 |
| VirginiaVirginia | $84.54 | $58.60 |
| Virgin Islands, VIUnited States Virgin Islands | $86.20 | $59.53 |
| VermontVermont | $84.32 | $58.20 |
| Rest of WashingtonWashington | $87.81 | $60.02 |
| King County, WAWashington | $95.97 | $63.60 |
| WisconsinWisconsin | $82.71 | $57.43 |
| West VirginiaWest Virginia | $82.12 | $59.19 |
| WyomingWyoming | $85.23 | $58.85 |
98929 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.
$79.62
$110.85
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 | $110.85 | 1 |
| AL | $80.32 | 1 |
| AR | $79.62 | 1 |
| AZ | $84.39 | 1 |
| CA | $89.02–$105.92 | 29 |
| CO | $88.21 | 1 |
| CT | $90.06 | 1 |
| DC | $95.09 | 1 |
| DE | $85.41 | 1 |
| FL | $85.43–$90.89 | 3 |
| GA | $82.39–$87.03 | 2 |
| GU | $89.80 | 1 |
| HI | $89.80 | 1 |
| IA | $81.36 | 1 |
| ID | $81.72 | 1 |
| IL | $84.02–$89.38 | 4 |
| IN | $82.01 | 1 |
| KS | $81.22 | 1 |
| KY | $81.64 | 1 |
| LA | $81.59–$84.03 | 2 |
| MA | $88.04–$94.53 | 2 |
| MD | $86.56–$95.09 | 3 |
| ME | $82.07–$84.65 | 2 |
| MI | $83.00–$86.18 | 2 |
| MN | $85.24 | 1 |
| MO | $80.80–$84.11 | 3 |
| MS | $80.22 | 1 |
| MT | $85.84 | 1 |
| NC | $82.58 | 1 |
| ND | $84.45 | 1 |
| NE | $81.61 | 1 |
| NH | $87.03 | 1 |
| NJ | $91.28–$94.76 | 2 |
| NM | $83.32 | 1 |
| NV | $85.49 | 1 |
| NY | $83.34–$97.70 | 5 |
| OH | $82.72 | 1 |
| OK | $81.46 | 1 |
| OR | $85.00–$90.00 | 2 |
| PA | $82.75–$88.62 | 2 |
| PR | $86.20 | 1 |
| RI | $87.68 | 1 |
| SC | $82.75 | 1 |
| SD | $84.29 | 1 |
| TN | $81.48 | 1 |
| TX | $82.43–$87.76 | 8 |
| UT | $83.44 | 1 |
| VA | $84.54–$95.09 | 2 |
| VI | $86.20 | 1 |
| VT | $84.32 | 1 |
| WA | $87.81–$95.97 | 2 |
| WI | $82.71 | 1 |
| WV | $82.12 | 1 |
| WY | $85.23 | 1 |
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
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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.42 | × 1.000 | 1.4200 |
| Practice expense | 1.08 | × 1.000 | 1.0800 |
| Malpractice | 0.07 | × 0.406 | 0.0284 |
| Total RVUs | 2.5284 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$84.45
Office: (1.42 × 1 + 1.08 × 1 + 0.07 × 0.406) × $33.4009 = $84.45
Facility: (1.42 × 1 + 0.29 × 1 + 0.07 × 0.406) × $33.4009 = $58.06
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
| 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 98929 has changed in North Dakota
98929 · Office / nonfacility
$84.45
Effective 2026-10-01
The base rate is $3.71 higher than on 2025-10-01, moving from $80.74 to $84.45 (4.6%).
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
$80.74changed to$84.45
- 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
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$82.93changed to$80.74
- 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.
March 9, 2024
RVU24AR
$81.58changed to$82.93
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$82.95changed to$81.58
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.95 changed to 0.99
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$84.40changed to$82.95
- 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
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$85.10changed to$84.40
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$86.75changed to$85.10
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.90 changed to 0.94
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$86.77changed to$86.75
- 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
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$87.40changed to$86.77
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.93 changed to 0.91
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$87.15changed to$87.40
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$86.60changed to$87.15
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.92 changed to 0.93
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$87.08changed to$86.60
- 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.
July 1, 2015
RVU15C
$86.64changed to$87.08
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$86.63changed to$86.64
- 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
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$84.60changed to$86.63
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.98 changed to 0.91
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $84.60
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $84.45 | $58.06 | RVU26D |
| 2026-07-01 | $84.45 | $58.06 | RVU26C |
| 2026-04-01 | $84.45 | $58.06 | RVU26B |
| 2026-01-01 | $84.45 | $58.06 | RVU26A |
| 2025-10-01 | $80.74 | $65.54 | RVU25D |
| 2025-07-01 | $80.74 | $65.54 | RVU25C |
| 2025-04-01 | $80.74 | $65.54 | RVU25B |
| 2025-01-01 | $80.74 | $65.54 | RVU25A |
| 2024-10-01 | $82.93 | $67.62 | RVU24D |
| 2024-07-01 | $82.93 | $67.62 | RVU24C |
| 2024-04-01 | $82.93 | $67.62 | RVU24B |
| 2024-03-09 | $82.93 | $67.62 | RVU24AR |
| 2024-01-01 | $81.58 | $66.52 | RVU24A |
| 2023-10-01 | $82.95 | $68.38 | RVU23D |
| 2023-07-01 | $82.95 | $68.38 | RVU23C |
| 2023-04-01 | $82.95 | $68.38 | RVU23B |
| 2023-01-01 | $82.95 | $68.38 | RVU23A |
| 2022-10-01 | $84.40 | $69.86 | RVU22D |
| 2022-07-01 | $84.40 | $69.86 | RVU22C |
| 2022-04-01 | $84.40 | $69.86 | RVU22B |
| 2022-01-01 | $84.40 | $69.86 | RVU22A |
| 2021-10-01 | $85.10 | $70.79 | RVU21D |
| 2021-07-01 | $85.10 | $70.79 | RVU21C |
| 2021-04-01 | $85.10 | $70.79 | RVU21B |
| 2021-01-01 | $85.10 | $70.79 | RVU21A |
| 2020-10-01 | $86.75 | $73.03 | RVU20D |
| 2020-07-01 | $86.75 | $73.03 | RVU20C |
| 2020-04-01 | $86.75 | $73.03 | RVU20B |
| 2020-01-01 | $86.75 | $73.03 | RVU20A |
| 2019-10-01 | $86.77 | $72.72 | RVU19D |
| 2019-07-01 | $86.77 | $72.72 | RVU19C |
| 2019-04-01 | $86.77 | $72.72 | RVU19B |
| 2019-01-01 | $86.77 | $72.72 | RVU19A |
| 2018-10-01 | $87.40 | $72.64 | RVU18D |
| 2018-07-01 | $87.40 | $72.64 | RVU18C |
| 2018-04-01 | $87.40 | $72.64 | RVU18B |
| 2018-01-01 | $87.40 | $72.64 | RVU18AR1 |
| 2017-10-01 | $87.15 | $72.43 | RVU17D |
| 2017-07-01 | $87.15 | $72.43 | RVU17C |
| 2017-04-01 | $87.15 | $72.43 | RVU17B |
| 2017-01-01 | $87.15 | $72.43 | RVU17A |
| 2016-10-01 | $86.60 | $71.56 | RVU16D |
| 2016-07-01 | $86.60 | $71.56 | RVU16C |
| 2016-04-01 | $86.60 | $71.56 | RVU16B |
| 2016-01-01 | $86.60 | $71.56 | RVU16A |
| 2015-10-01 | $87.08 | $71.98 | RVU15D |
| 2015-07-01 | $87.08 | $71.98 | RVU15C |
| 2015-04-01 | $86.64 | $71.63 | RVU15B |
| 2015-01-01 | $86.64 | $71.63 | RVU15A |
| 2014-10-01 | $86.63 | $71.58 | RVU14D |
| 2014-07-01 | $86.63 | $71.58 | RVU14C |
| 2014-04-01 | $86.63 | $71.58 | RVU14B |
| 2014-01-01 | $86.63 | $71.58 | RVU14A |
| 2013-10-01 | $84.60 | $68.95 | RVU13D |
| 2013-07-01 | $84.60 | $68.95 | RVU13C |
| 2013-04-01 | $84.60 | $68.95 | RVU13B |
| 2013-01-01 | $84.60 | $68.95 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
Fee sheets
Put 98929 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet