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CPT code 98941: Chiropractic adjustment, spinal, 3-4 regions2026 Medicare rate & RVUs in Vermont

Report chiropractic manipulation of three or four spinal regions when a chiropractor treats documented subluxations in those regions during one visit.

CMS RVU26DEffective Oct 1, 2026One payment locality12.8M Medicare services in 2024

In Vermont, Medicare pays $38.10 for 98941 in the office and $27.84 when it’s performed in a hospital or facility.

$38.10Office (non-facility)
$27.84Hospital or facility
−0.8%vs the national office rate ($38.41)

Check a contract rate as a % of Medicare · 98941 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 98941 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 98941 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 98941 covers

A chiropractor manipulates three or four of the five spinal regions: cervical, thoracic, lumbar, sacral, and pelvic. Treatment usually occurs in an office and may use hands-on, instrument-assisted, or drop-table techniques. A visit treating documented subluxations in the cervical, thoracic, and lumbar regions is an example. Count regions treated, not individual vertebrae adjusted or sides of the spine.

Document the subluxation, supporting findings, and manipulation for each counted region. Medicare covers a chiropractor’s manual spinal manipulation to correct subluxation when the subluxation is established by X-ray or physical examination. A physical examination must document at least two PART findings, including asymmetry or restricted range of motion. Use modifier AT for active or corrective treatment; Medicare treats claims without AT as maintenance care and denies them. The 0-day global period includes routine same-day preoperative and postoperative care. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of 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 Vermont compares for 98941

Across 109 of 109 payment localities, the office rate for 98941 runs from $36.13 in Arkansas to $50.76 in Alaska. Vermont pays $38.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

98941 in Vermont vs other payment areas
  1. Vermont · this page$38.10
  2. Los Angeles, CA · California$41.99+$3.89
  3. Washington, DC area · District of Columbia$42.37+$4.27
  4. Miami, FL · Florida$39.54+$1.44
  5. Chicago, IL · Illinois$39.08+$0.98
  6. Manhattan, NY · New York$42.52+$4.42
  7. Alaska · Alaska$50.76+$12.66

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

Every other payment area

98941 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$36.39$27.33
ArkansasArkansas$36.13$27.24
ArizonaArizona$37.90$27.86
Bakersfield, CACalifornia$40.16$28.81
Chico, CACalifornia$40.09$28.74
El Centro, CACalifornia$40.09$28.74
Fresno, CACalifornia$40.09$28.74
Hanford, CACalifornia$40.09$28.74

98941 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.

$36.13

$50.76

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
98941 office rate range by state
State / territoryOffice rate rangeLocalities
AK$50.761
AL$36.391
AR$36.131
AZ$37.901
CA$40.09–$47.4329
CO$39.581
CT$40.101
DC$42.371
DE$38.311
FL$37.92–$39.543
GA$36.85–$38.792
GU$40.331
HI$40.331
IA$36.931
ID$37.031
IL$37.29–$39.244
IN$37.141
KS$36.801
KY$36.711
LA$36.67–$37.572
MA$39.51–$42.242
MD$38.79–$42.373
ME$37.08–$38.152
MI$37.15–$38.112
MN$38.611
MO$36.33–$37.693
MS$36.231
MT$38.411
NC$37.281
ND$38.211
NE$37.051
NH$38.991
NJ$40.75–$42.292
NM$37.231
NV$38.371
NY$37.56–$43.015
OH$37.111
OK$36.731
OR$38.25–$40.362
PA$37.16–$39.512
PR$38.571
RI$39.311
SC$37.221
SD$38.191
TN$36.891
TX$37.03–$39.298
UT$37.481
VA$38.06–$42.372
VI$38.571
VT$38.101
WA$39.43–$42.912
WI$37.551
WV$36.591
WY$38.321

See 98941 in every payment locality

How the 98941 rate is calculated

Each of 98941’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 · 98941

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.69

0.69 RVUs× 1.000 GPCI

Practice expense0.45

0.45 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.1500

Conversion factor

$33.4009

Medicare rate

$38.41

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,943

Code
98941
Physician work
0.69
Practice expense
0.45
Malpractice
0.01

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 98941 in Vermont
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0000.6900
Practice expense0.45× 0.9900.4455
Malpractice0.01× 0.5060.0051
Total RVUs1.1406
Conversion factor× 33.4009

Office rate, Vermont$38.10

Office: (0.69 × 1 + 0.45 × 0.99 + 0.01 × 0.506) × $33.4009 = $38.10

Facility: (0.69 × 1 + 0.14 × 0.99 + 0.01 × 0.506) × $33.4009 = $27.84

Open 98941 in the RVU calculator

Payment rules and modifiers for 98941

The CMS indicators that decide how 98941 is paid alongside other services.

CMS payment indicators · 98941

Chiropractic adjustment, spinal, 3-4 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 98941

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 98941
CodeHow it relatesOffice range, Vermont
Same family
98940Chiropractic adjustment, spinal, 1–2 regionsSpinal chiropractic manipulation of one or two regions.$26.44
98942Chiropractic adjustment, spinal, five regionsSpinal chiropractic manipulation of all five spinal regions.$49.42
Often billed with
98943Extraspinal manipulation, one or more regionsExtraspinal manipulation may accompany spinal CMT for other insurers; Medicare does not cover it.No office rate
Used instead
98926Osteopathic manipulation, three to four regionsOsteopathic manipulation of three or four body regions uses a different treatment and region framework.$45.22

How 98941 has changed in Vermont

98941 · Office / nonfacility

$38.10

Effective 2026-10-01

The base rate is $0.13 lower than on 2025-10-01, moving from $38.23 to $38.10 (0.3%).

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

    $38.23changed to$38.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.71 changed to 0.69
    • Practice expense RVU 0.47 changed to 0.45
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $39.01changed to$38.23

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.46 changed to 0.47

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $38.37changed to$39.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $39.79changed to$38.37

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $40.01changed to$39.79

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.44 changed to 0.46
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $40.34changed to$40.01

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $41.48changed to$40.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.43 changed to 0.44
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $41.75changed to$41.48

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.02 changed to 0.01
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $41.70changed to$41.75

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $41.16changed to$41.70

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.42 changed to 0.43
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $41.01changed to$41.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $41.16changed to$41.01

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $40.95changed to$41.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $41.23changed to$40.95

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. July 1, 2014

    RVU14C

    No ratechanged to$41.23

    Held through RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$38.10$27.84RVU26D
2026-07-01$38.10$27.84RVU26C
2026-04-01$38.10$27.84RVU26B
2026-01-01$38.10$27.84RVU26A
2025-10-01$38.23$32.45RVU25D
2025-07-01$38.23$32.45RVU25C
2025-04-01$38.23$32.45RVU25B
2025-01-01$38.23$32.45RVU25A
2024-10-01$39.01$33.06RVU24D
2024-07-01$39.01$33.06RVU24C
2024-04-01$39.01$33.06RVU24B
2024-03-09$39.01$33.06RVU24AR
2024-01-01$38.37$32.52RVU24A
2023-10-01$39.79$33.70RVU23D
2023-07-01$39.79$33.70RVU23C
2023-04-01$39.79$33.70RVU23B
2023-01-01$39.79$33.70RVU23A
2022-10-01$40.01$34.12RVU22D
2022-07-01$40.01$34.12RVU22C
2022-04-01$40.01$34.12RVU22B
2022-01-01$40.01$34.12RVU22A
2021-10-01$40.34$34.05RVU21D
2021-07-01$40.34$34.05RVU21C
2021-04-01$40.34$34.05RVU21B
2021-01-01$40.34$34.05RVU21A
2020-10-01$41.48$35.29RVU20D
2020-07-01$41.48$35.29RVU20C
2020-04-01$41.48$35.29RVU20B
2020-01-01$41.48$35.29RVU20A
2019-10-01$41.75$35.16RVU19D
2019-07-01$41.75$35.16RVU19C
2019-04-01$41.75$35.16RVU19B
2019-01-01$41.75$35.16RVU19A
2018-10-01$41.70$35.12RVU18D
2018-07-01$41.70$35.12RVU18C
2018-04-01$41.70$35.12RVU18B
2018-01-01$41.70$35.12RVU18AR1
2017-10-01$41.16$35.00RVU17D
2017-07-01$41.16$35.00RVU17C
2017-04-01$41.16$35.00RVU17B
2017-01-01$41.16$35.00RVU17A
2016-10-01$41.01$34.90RVU16D
2016-07-01$41.01$34.90RVU16C
2016-04-01$41.01$34.90RVU16B
2016-01-01$41.01$34.90RVU16A
2015-10-01$41.16$35.02RVU15D
2015-07-01$41.16$35.02RVU15C
2015-04-01$40.95$34.85RVU15B
2015-01-01$40.95$34.85RVU15A
2014-10-01$41.23$35.11RVU14D
2014-07-01$41.23$35.11RVU14C
2014-04-01Additional calculation requiredAdditional calculation requiredRVU14B
2014-01-01Additional calculation requiredAdditional calculation requiredRVU14A
2013-10-01Additional calculation requiredAdditional calculation requiredRVU13D
2013-07-01Additional calculation requiredAdditional calculation requiredRVU13C
2013-04-01Additional calculation requiredAdditional calculation requiredRVU13B
2013-01-01Additional calculation requiredAdditional calculation requiredRVU13AR

Price 98941 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

98941 billing questions

How do I choose between 98940, 98941, and 98942?

Count the distinct spinal regions manipulated and supported by documented subluxations. Use 98940 for one or two regions, 98941 for three or four, and 98942 for all five.

Is the AT modifier required on 98941 for Medicare?

Use AT when the manipulation is active or corrective treatment. Medicare treats a chiropractic manipulation claim without AT as maintenance care and denies it.

Can an E/M visit be billed on the same day as 98941?

Medicare does not cover E/M services furnished by chiropractors, even with modifier 25. For a payer that covers the E/M service, a significant, separately identifiable visit may be reported with modifier 25 on the E/M code; routine assessment around the manipulation is included.

What documentation supports each region counted?

Identify the subluxation and supporting findings for each region, and record the manipulation performed there. For Medicare, a physical examination used to establish subluxation must include at least two PART findings, one of which is asymmetry or restricted motion.

Does Medicare pay for extraspinal manipulation done at the same visit?

Medicare does not cover extraspinal chiropractic manipulation under 98943. Another insurer may cover 98943 alongside 98941 when both spinal and extraspinal regions are treated.

Should modifier 50 be used if both sides of the spine are adjusted?

No. Select 98941 by the number of spinal regions manipulated, not by laterality; modifier 50 is inappropriate.

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 98941PPRRVU2026_Oct_nonQPP.csv, line 12,943 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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