CPT code 98943: Extraspinal manipulation, one or more regions2026 Medicare rate & RVUs in Guam
Chiropractors report this code for manipulative treatment of one or more peripheral, nonspinal regions, such as an extremity joint.
CMS doesn’t publish an office rate for 98943 in Guam.
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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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.
98943 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | Unavailable | Unavailable |
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
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
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98943 isn’t priced in this setting.
98943 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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