CPT code 98929: Osteopathic manipulation, nine to ten regions2026 Medicare rate & RVUs in Texas
Reports physician-performed osteopathic manipulative treatment when hands-on treatment addresses nine or ten documented body regions during the encounter.
Medicare pays $82.43–$87.76 for 98929 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 98929 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$82.43 to $87.76
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $87.76 | $59.84 |
| Beaumont, TX | $82.43 | $58.42 |
| Brazoria, TX | $85.38 | $59.23 |
| Dallas, TX | $85.79 | $59.51 |
| Fort Worth, TX | $85.46 | $59.44 |
| Galveston, TX | $85.57 | $59.36 |
| Houston, TX | $86.85 | $60.64 |
| Rest of Texas | $83.77 | $58.73 |
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.
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. |
98929 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 98928Osteopathic manipulationSeven to eight regions
- Both describe osteopathic manipulative treatment; select 98929 for nine or ten treated regions and 98928 for seven or eight.
- 98927Osteopathic manipulationFive to six regions
- Use 98927 when five or six regions receive treatment, rather than the nine- or ten-region scope reported with 98929.
- 98942Chiropractic adjustmentSpinal, five regions
- 98942 describes chiropractic manipulation of five spinal regions. It is a different service, not a lower region-count level of osteopathic treatment.
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
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