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

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 Ohio, Medicare pays $82.72 for 98929 in the office and $58.63 when it’s performed in a hospital or facility.

$82.72Office (non-facility)
$58.63Hospital or facility
−3.6%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 Ohio
  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 Ohio 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. Ohio pays $82.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

98929 in Ohio vs other payment areas
  1. Ohio · this page$82.72
  2. Los Angeles, CA · California$93.60+$10.88
  3. Washington, DC area · District of Columbia$95.09+$12.37
  4. Miami, FL · Florida$90.89+$8.17
  5. Chicago, IL · Illinois$89.38+$6.66
  6. Manhattan, NY · New York$96.09+$13.37
  7. Alaska · Alaska$110.85+$28.13

Other areas in Ohio 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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 98929 in Ohio
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0001.4200
Practice expense1.08× 0.9130.9860
Malpractice0.07× 1.0080.0706
Total RVUs2.4766
Conversion factor× 33.4009

Office rate, Ohio$82.72

Office: (1.42 × 1 + 1.08 × 0.913 + 0.07 × 1.008) × $33.4009 = $82.72

Facility: (1.42 × 1 + 0.29 × 0.913 + 0.07 × 1.008) × $33.4009 = $58.63

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, Ohio
Same family
98928Osteopathic manipulation, seven to eight regionsOsteopathic manipulative treatment for seven or eight regions.$70.74
98927Osteopathic manipulation, five to six regionsOsteopathic manipulative treatment for five or six regions.$58.42
98925Osteopathic manipulation, one or two regionsOsteopathic manipulative treatment for one or two regions.$30.98
Used instead
98940Chiropractic adjustment, spinal, 1–2 regionsChiropractic manipulation for one or two spinal regions; a distinct service.$25.74
98942Chiropractic adjustment, spinal, five regionsChiropractic manipulation for five spinal regions; not an osteopathic region-count level.$48.20

How 98929 has changed in Ohio

98929 · Office / nonfacility

$82.72

Effective 2026-10-01

The base rate is $3.69 higher than on 2025-10-01, moving from $79.03 to $82.72 (4.7%).

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

    $79.03changed to$82.72

    • 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
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $81.37changed to$79.03

    • 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

    $80.04changed to$81.37

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $81.72changed to$80.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.95 changed to 0.99
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $83.63changed to$81.72

    • 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
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $84.33changed to$83.63

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $85.82changed to$84.33

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.90 changed to 0.94
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $85.23changed to$85.82

    • 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
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $85.79changed to$85.23

    • 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

    $85.55changed to$85.79

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $85.00changed to$85.55

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.92 changed to 0.93
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $85.28changed to$85.00

    • 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

    $84.86changed to$85.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $85.99changed to$84.86

    • 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 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $84.38changed to$85.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.98 changed to 0.91
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $84.38

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$82.72$58.63RVU26D
2026-07-01$82.72$58.63RVU26C
2026-04-01$82.72$58.63RVU26B
2026-01-01$82.72$58.63RVU26A
2025-10-01$79.03$65.18RVU25D
2025-07-01$79.03$65.18RVU25C
2025-04-01$79.03$65.18RVU25B
2025-01-01$79.03$65.18RVU25A
2024-10-01$81.37$67.42RVU24D
2024-07-01$81.37$67.42RVU24C
2024-04-01$81.37$67.42RVU24B
2024-03-09$81.37$67.42RVU24AR
2024-01-01$80.04$66.32RVU24A
2023-10-01$81.72$68.43RVU23D
2023-07-01$81.72$68.43RVU23C
2023-04-01$81.72$68.43RVU23B
2023-01-01$81.72$68.43RVU23A
2022-10-01$83.63$70.36RVU22D
2022-07-01$83.63$70.36RVU22C
2022-04-01$83.63$70.36RVU22B
2022-01-01$83.63$70.36RVU22A
2021-10-01$84.33$71.26RVU21D
2021-07-01$84.33$71.26RVU21C
2021-04-01$84.33$71.26RVU21B
2021-01-01$84.33$71.26RVU21A
2020-10-01$85.82$73.27RVU20D
2020-07-01$85.82$73.27RVU20C
2020-04-01$85.82$73.27RVU20B
2020-01-01$85.82$73.27RVU20A
2019-10-01$85.23$72.34RVU19D
2019-07-01$85.23$72.34RVU19C
2019-04-01$85.23$72.34RVU19B
2019-01-01$85.23$72.34RVU19A
2018-10-01$85.79$72.26RVU18D
2018-07-01$85.79$72.26RVU18C
2018-04-01$85.79$72.26RVU18B
2018-01-01$85.79$72.26RVU18AR1
2017-10-01$85.55$72.04RVU17D
2017-07-01$85.55$72.04RVU17C
2017-04-01$85.55$72.04RVU17B
2017-01-01$85.55$72.04RVU17A
2016-10-01$85.00$71.20RVU16D
2016-07-01$85.00$71.20RVU16C
2016-04-01$85.00$71.20RVU16B
2016-01-01$85.00$71.20RVU16A
2015-10-01$85.28$71.43RVU15D
2015-07-01$85.28$71.43RVU15C
2015-04-01$84.86$71.07RVU15B
2015-01-01$84.86$71.07RVU15A
2014-10-01$85.99$72.10RVU14D
2014-07-01$85.99$72.10RVU14C
2014-04-01$85.99$72.10RVU14B
2014-01-01$85.99$72.10RVU14A
2013-10-01$84.38$69.87RVU13D
2013-07-01$84.38$69.87RVU13C
2013-04-01$84.38$69.87RVU13B
2013-01-01$84.38$69.87RVU13AR

Price 98929 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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 OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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