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

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 Puerto Rico, Medicare pays $86.20 for 98929 in the office and $59.53 when it’s performed in a hospital or facility.

$86.20Office (non-facility)
$59.53Hospital or facility
+0.4%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $86.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

98929 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$86.20
  2. Los Angeles, CA · California$93.60+$7.40
  3. Washington, DC area · District of Columbia$95.09+$8.89
  4. Miami, FL · Florida$90.89+$4.69
  5. Chicago, IL · Illinois$89.38+$3.18
  6. Manhattan, NY · New York$96.09+$9.89
  7. Alaska · Alaska$110.85+$24.65

Other areas in Puerto Rico 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 98929 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0001.4200
Practice expense1.08× 1.0111.0919
Malpractice0.07× 0.9850.0690
Total RVUs2.5808
Conversion factor× 33.4009

Office rate, Puerto Rico$86.20

Office: (1.42 × 1 + 1.08 × 1.011 + 0.07 × 0.985) × $33.4009 = $86.20

Facility: (1.42 × 1 + 0.29 × 1.011 + 0.07 × 0.985) × $33.4009 = $59.53

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, Puerto Rico
Same family
98928Osteopathic manipulation, seven to eight regionsOsteopathic manipulative treatment for seven or eight regions.$73.80
98927Osteopathic manipulation, five to six regionsOsteopathic manipulative treatment for five or six regions.$61.06
98925Osteopathic manipulation, one or two regionsOsteopathic manipulative treatment for one or two regions.$32.56
Used instead
98940Chiropractic adjustment, spinal, 1–2 regionsChiropractic manipulation for one or two spinal regions; a distinct service.$26.84
98942Chiropractic adjustment, spinal, five regionsChiropractic manipulation for five spinal regions; not an osteopathic region-count level.$49.96

How 98929 has changed in Puerto Rico

98929 · Office / nonfacility

$86.20

Effective 2026-10-01

The base rate is $4.18 higher than on 2025-10-01, moving from $82.02 to $86.20 (5.1%).

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

    $82.02changed to$86.20

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $84.40changed to$82.02

    • 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

    $83.02changed to$84.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $84.59changed to$83.02

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.95 changed to 0.99
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $84.38changed to$84.59

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $86.39changed to$84.38

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $87.10changed to$86.39

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $88.64changed to$87.10

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.90 changed to 0.94
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $88.14changed to$88.64

    • 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 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $88.77changed to$88.14

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $82.58changed to$88.77

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $76.23changed to$82.58

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.92 changed to 0.93
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $76.65changed to$76.23

    • 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.

  14. July 1, 2015

    RVU15C

    $76.27changed to$76.65

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $75.73changed to$76.27

    • 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 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $73.04changed to$75.73

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.98 changed to 0.91
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $73.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$86.20$59.53RVU26D
2026-07-01$86.20$59.53RVU26C
2026-04-01$86.20$59.53RVU26B
2026-01-01$86.20$59.53RVU26A
2025-10-01$82.02$66.71RVU25D
2025-07-01$82.02$66.71RVU25C
2025-04-01$82.02$66.71RVU25B
2025-01-01$82.02$66.71RVU25A
2024-10-01$84.40$68.98RVU24D
2024-07-01$84.40$68.98RVU24C
2024-04-01$84.40$68.98RVU24B
2024-03-09$84.40$68.98RVU24AR
2024-01-01$83.02$67.85RVU24A
2023-10-01$84.59$69.91RVU23D
2023-07-01$84.38$69.81RVU23C
2023-04-01$84.38$69.81RVU23B
2023-01-01$84.38$69.81RVU23A
2022-10-01$86.39$71.74RVU22D
2022-07-01$86.39$71.74RVU22C
2022-04-01$86.39$71.74RVU22B
2022-01-01$86.39$71.74RVU22A
2021-10-01$87.10$72.68RVU21D
2021-07-01$87.10$72.68RVU21C
2021-04-01$87.10$72.68RVU21B
2021-01-01$87.10$72.68RVU21A
2020-10-01$88.64$74.82RVU20D
2020-07-01$88.64$74.82RVU20C
2020-04-01$88.64$74.82RVU20B
2020-01-01$88.64$74.82RVU20A
2019-10-01$88.14$73.99RVU19D
2019-07-01$88.14$73.99RVU19C
2019-04-01$88.14$73.99RVU19B
2019-01-01$88.14$73.99RVU19A
2018-10-01$88.77$73.91RVU18D
2018-07-01$88.77$73.91RVU18C
2018-04-01$88.77$73.91RVU18B
2018-01-01$88.77$73.91RVU18AR1
2017-10-01$82.58$69.99RVU17D
2017-07-01$82.58$69.99RVU17C
2017-04-01$82.58$69.99RVU17B
2017-01-01$82.58$69.99RVU17A
2016-10-01$76.23$65.63RVU16D
2016-07-01$76.23$65.63RVU16C
2016-04-01$76.23$65.63RVU16B
2016-01-01$76.23$65.63RVU16A
2015-10-01$76.65$66.01RVU15D
2015-07-01$76.65$66.01RVU15C
2015-04-01$76.27$65.69RVU15B
2015-01-01$76.27$65.69RVU15A
2014-10-01$75.73$65.32RVU14D
2014-07-01$75.73$65.32RVU14C
2014-04-01$75.73$65.32RVU14B
2014-01-01$75.73$65.32RVU14A
2013-10-01$73.04$62.43RVU13D
2013-07-01$73.04$62.43RVU13C
2013-04-01$73.04$62.43RVU13B
2013-01-01$73.04$62.43RVU13AR

Price 98929 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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