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

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 Austin, TX, Medicare pays $87.76 for 98929 in the office and $59.84 when it’s performed in a hospital or facility.

$87.76Office (non-facility)
$59.84Hospital or facility
+2.2%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 Austin, TX
  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 Austin, TX 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. Austin, TX pays $87.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

98929 in Austin, TX vs other payment areas
  1. Austin, TX · this page$87.76
  2. Beaumont, TX · Texas$82.43−$5.33
  3. Brazoria, TX · Texas$85.38−$2.38
  4. Dallas, TX · Texas$85.79−$1.97
  5. Fort Worth, TX · Texas$85.46−$2.30
  6. Galveston, TX · Texas$85.57−$2.19
  7. Houston, TX · Texas$86.85−$0.91

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

Every other payment area

98929 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$83.77$58.73
Los Angeles, CACalifornia$93.60$62.39
Washington, DC areaDistrict of Columbia$95.09$64.00
Miami, FLFlorida$90.89$63.43
Chicago, ILIllinois$89.38$62.86
Manhattan, NYNew York$96.09$65.43
AlaskaAlaska$110.85$82.75
AlabamaAlabama$80.32$57.23

98929 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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 Austin, TX 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

96

Locality
Austin, TX
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office calculation for 98929 in Austin, TX
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0021.4228
Practice expense1.08× 1.0581.1426
Malpractice0.07× 0.8860.0620
Total RVUs2.6275
Conversion factor× 33.4009

Office rate, Austin, TX$87.76

Office: (1.42 × 1.002 + 1.08 × 1.058 + 0.07 × 0.886) × $33.4009 = $87.76

Facility: (1.42 × 1.002 + 0.29 × 1.058 + 0.07 × 0.886) × $33.4009 = $59.84

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.

How 98929 has changed in Austin, TX

98929 · Office / nonfacility

$87.76

Effective 2026-10-01

The base rate is $4.63 higher than on 2025-10-01, moving from $83.13 to $87.76 (5.6%).

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

    $83.13changed to$87.76

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $85.50changed to$83.13

    • 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

    $84.11changed to$85.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $85.35changed to$84.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.95 changed to 0.99
    • Practice expense GPCI 1.053 changed to 1.046
    • Malpractice GPCI 0.727 changed to 0.914
  5. January 1, 2023

    RVU23A

    $86.65changed to$85.35

    • 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 1.059 changed to 1.053
    • Malpractice GPCI 0.539 changed to 0.727

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $87.37changed to$86.65

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $88.56changed to$87.37

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.90 changed to 0.94
    • Practice expense GPCI 1.040 changed to 1.059
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $87.99changed to$88.56

    • 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 1.021 changed to 1.040
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $88.62changed to$87.99

    • 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

    $88.34changed to$88.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.020 changed to 1.021
    • Malpractice GPCI 0.757 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $87.76changed to$88.34

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.92 changed to 0.93
    • Practice expense GPCI 1.019 changed to 1.020
    • Malpractice GPCI 0.766 changed to 0.757

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $88.17changed to$87.76

    • 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

    $87.73changed to$88.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $87.80changed to$87.73

    • 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 1.014 changed to 1.019
    • Malpractice GPCI 0.759 changed to 0.766

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $85.62changed to$87.80

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.98 changed to 0.91
    • Practice expense GPCI 1.009 changed to 1.014
    • Malpractice GPCI 0.751 changed to 0.759

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $85.62

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$87.76$59.84RVU26D
2026-07-01$87.76$59.84RVU26C
2026-04-01$87.76$59.84RVU26B
2026-01-01$87.76$59.84RVU26A
2025-10-01$83.13$67.23RVU25D
2025-07-01$83.13$67.23RVU25C
2025-04-01$83.13$67.23RVU25B
2025-01-01$83.13$67.23RVU25A
2024-10-01$85.50$69.49RVU24D
2024-07-01$85.50$69.49RVU24C
2024-04-01$85.50$69.49RVU24B
2024-03-09$85.50$69.49RVU24AR
2024-01-01$84.11$68.35RVU24A
2023-10-01$85.35$70.00RVU23D
2023-07-01$85.35$70.00RVU23C
2023-04-01$85.35$70.00RVU23B
2023-01-01$85.35$70.00RVU23A
2022-10-01$86.65$71.26RVU22D
2022-07-01$86.65$71.26RVU22C
2022-04-01$86.65$71.26RVU22B
2022-01-01$86.65$71.26RVU22A
2021-10-01$87.37$72.22RVU21D
2021-07-01$87.37$72.22RVU21C
2021-04-01$87.37$72.22RVU21B
2021-01-01$87.37$72.22RVU21A
2020-10-01$88.56$74.30RVU20D
2020-07-01$88.56$74.30RVU20C
2020-04-01$88.56$74.30RVU20B
2020-01-01$88.56$74.30RVU20A
2019-10-01$87.99$73.64RVU19D
2019-07-01$87.99$73.64RVU19C
2019-04-01$87.99$73.64RVU19B
2019-01-01$87.99$73.64RVU19A
2018-10-01$88.62$73.55RVU18D
2018-07-01$88.62$73.55RVU18C
2018-04-01$88.62$73.55RVU18B
2018-01-01$88.62$73.55RVU18AR1
2017-10-01$88.34$73.33RVU17D
2017-07-01$88.34$73.33RVU17C
2017-04-01$88.34$73.33RVU17B
2017-01-01$88.34$73.33RVU17A
2016-10-01$87.76$72.44RVU16D
2016-07-01$87.76$72.44RVU16C
2016-04-01$87.76$72.44RVU16B
2016-01-01$87.76$72.44RVU16A
2015-10-01$88.17$72.79RVU15D
2015-07-01$88.17$72.79RVU15C
2015-04-01$87.73$72.43RVU15B
2015-01-01$87.73$72.43RVU15A
2014-10-01$87.80$72.55RVU14D
2014-07-01$87.80$72.55RVU14C
2014-04-01$87.80$72.55RVU14B
2014-01-01$87.80$72.55RVU14A
2013-10-01$85.62$69.82RVU13D
2013-07-01$85.62$69.82RVU13C
2013-04-01$85.62$69.82RVU13B
2013-01-01$85.62$69.82RVU13AR

Price 98929 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

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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 Austin, TXGPCI2026.csv, line 96 (RVU26D)

Open CMS sourceHow we calculate rates

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