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CPT code 98943: Extraspinal manipulation, one or more regions2026 Medicare rate & RVUs

Chiropractors report this code for manipulative treatment of one or more peripheral, nonspinal regions, such as an extremity joint.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 98943

Extraspinal manipulation, one or more regions

Office or facility?

Work RVUs
0.45
Total RVUs
0.58
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 98943 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 98943 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 98943 covers

Chiropractors use this code for manipulative treatment of one or more body regions outside the spine. Extraspinal treatment may involve peripheral areas such as the shoulder, elbow, wrist, hand, hip, knee, ankle, or foot. The code is distinguished from 98940–98942 by treatment site: those codes describe chiropractic manipulation of spinal regions, with the code selected by spinal region count. The clinical record should identify the extraspinal area treated and the manipulation performed.

CMS lists physician fee schedule status N, meaning Medicare does not cover this service. One or more extraspinal regions fall under 98943; the code is not split into separate region-count levels. For spinal chiropractic manipulation, 98940, 98941, or 98942 is selected according to the number of spinal regions treated.

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 98943 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

98943 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

98943 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.

View every state and territory as a table
98943 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 98943 rate is calculated

Each of 98943’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 · 98943

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.45

0.45 RVUs× 1.000 GPCI

Practice expense0.31

0.31 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

0.7900

Conversion factor

$33.4009

Medicare rate

$26.39

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

Payment rules and modifiers for 98943

98943 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 98943

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

98943 isn’t priced in this setting.

98943 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 98943

    Extraspinal manipulation, one or more regions0.45 wRVU

    Not priced

  • 98940

    Chiropractic adjustment, spinal, 1–2 regions0.45 wRVU

    $26.72

  • 98941

    Chiropractic adjustment, spinal, 3-4 regions0.69 wRVU

    $38.41

  • 98942

    Chiropractic adjustment, spinal, five regions0.94 wRVU

    $49.77

  • 98925

    Osteopathic manipulation, one or two regions0.45 wRVU

    $32.40

How to choose

98940Chiropractic adjustmentSpinal, 1–2 regions
98940 is for chiropractic manipulation of one or two spinal regions. Use 98943 for treatment directed outside the spine.
98941Chiropractic adjustmentSpinal, 3-4 regions
98941 identifies chiropractic manipulation of three or four spinal regions; 98943 identifies extraspinal treatment, regardless of the number of areas treated.
98942Chiropractic adjustmentSpinal, five regions
98942 is for chiropractic manipulation of five spinal regions. It does not identify manipulation of peripheral joints or other extraspinal areas.
98925Osteopathic manipulationOne or two regions
98925 is osteopathic manipulative treatment involving one or two body regions. Code 98943 identifies chiropractic extraspinal manipulation.

Codes related to 98943

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

Codes related to 98943
CodeHow it relatesNational office range
Same family
98940Chiropractic adjustment, spinal, 1–2 regionsChiropractic manipulation of one or two spinal regions.$24.96–$34.82
98941Chiropractic adjustment, spinal, 3-4 regionsChiropractic manipulation of three or four spinal regions.$36.13–$50.76
98942Chiropractic adjustment, spinal, five regionsChiropractic manipulation of five spinal regions.$47.06–$66.49
Used instead
98925Osteopathic manipulation, one or two regionsOsteopathic manipulative treatment involving one or two body regions.$29.61–$40.82

98943 billing questions

Which areas belong under this code?

Use it for chiropractic manipulation outside the spine, commonly involving peripheral areas such as the shoulder, knee, or ankle. Spinal treatment is identified by codes 98940–98942.

Does each treated extraspinal region count as a separate unit?

The code covers one or more extraspinal regions; it is not divided into separate codes according to the number of regions treated.

How does this code differ from 98940–98942?

Code 98943 identifies extraspinal treatment. Codes 98940–98942 identify spinal manipulation and distinguish the service by the number of spinal regions treated.

What does Medicare status N mean for this code?

CMS lists physician fee schedule status N, meaning Medicare does not cover the service.

What should the record identify?

Document the extraspinal body area treated and the manipulative treatment performed to distinguish the service from spinal manipulation.

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

Open CMS sourceHow we calculate rates

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