CPT code 98927: Osteopathic manipulation2026 Medicare rate & RVUs
Report this OMT service when a clinician manually treats somatic dysfunction in five or six defined body regions during one encounter.
Medicare pays $60.79 for 98927 nationally in the office and $40.08 in a hospital or facility. Local office rates run $55.96–$77.37.
Medicare rate · 98927
Osteopathic manipulation
- Work RVUs
- 0.94
- Total RVUs
- 1.82
- Global days
- 000
National rate · 2026
$60.79
Office setting, before claim adjustments.
See every locality for 98927 →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.
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On this page 10 sections
What 98927 covers
This service represents osteopathic manipulative treatment directed to somatic dysfunction in five or six body regions. An osteopathic physician, commonly a DO, may use manual techniques such as soft-tissue mobilization, muscle energy, or articulatory treatment in an office or outpatient setting. The defined regions include areas such as the cervical, thoracic, lumbar, sacral, pelvic, rib cage, and extremity regions; count the regions treated, not the number of techniques or individual structures addressed.
Select the code from the number of distinct regions actually treated, and document the dysfunction findings and treatment for those regions. The 0-day global period includes same-day preoperative and postoperative care. 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 98927 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$55.96 to $77.37
109 of 109 payment localities
98927 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.
$55.96
$77.37
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $77.37 | 1 |
| AL | $56.50 | 1 |
| AR | $55.96 | 1 |
| AZ | $59.65 | 1 |
| CA | $63.02–$75.42 | 29 |
| CO | $62.48 | 1 |
| CT | $63.95 | 1 |
| DC | $67.59 | 1 |
| DE | $60.42 | 1 |
| FL | $60.59–$64.98 | 3 |
| GA | $58.22–$61.72 | 2 |
| GU | $63.70 | 1 |
| HI | $63.70 | 1 |
| IA | $57.25 | 1 |
| ID | $57.54 | 1 |
| IL | $59.54–$63.74 | 4 |
| IN | $57.76 | 1 |
| KS | $57.17 | 1 |
| KY | $57.58 | 1 |
| LA | $57.56–$59.45 | 2 |
| MA | $62.34–$67.17 | 2 |
| MD | $61.27–$67.59 | 3 |
| ME | $57.84–$59.80 | 2 |
| MI | $58.67–$61.21 | 2 |
| MN | $60.17 | 1 |
| MO | $56.96–$59.48 | 3 |
| MS | $56.46 | 1 |
| MT | $60.79 | 1 |
| NC | $58.23 | 1 |
| ND | $59.60 | 1 |
| NE | $57.43 | 1 |
| NH | $61.66 | 1 |
| NJ | $64.76–$67.29 | 2 |
| NM | $58.92 | 1 |
| NV | $60.48 | 1 |
| NY | $58.82–$69.69 | 5 |
| OH | $58.42 | 1 |
| OK | $57.41 | 1 |
| OR | $60.08–$63.82 | 2 |
| PA | $58.43–$62.86 | 2 |
| PR | $61.06 | 1 |
| RI | $62.07 | 1 |
| SC | $58.41 | 1 |
| SD | $59.46 | 1 |
| TN | $57.37 | 1 |
| TX | $58.18–$62.21 | 8 |
| UT | $58.94 | 1 |
| VA | $59.73–$67.59 | 2 |
| VI | $61.06 | 1 |
| VT | $59.53 | 1 |
| WA | $62.17–$68.21 | 2 |
| WI | $58.25 | 1 |
| WV | $58.07 | 1 |
| WY | $60.27 | 1 |
How the 98927 rate is calculated
Each of 98927’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 · 98927
RVUs × geographic indexes × conversion factor
Work0.94
0.94 RVUs× 1.000 GPCI
Practice expense0.82
0.82 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
1.8200
Conversion factor
$33.4009
Medicare rate
$60.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 98927
The CMS indicators that decide how 98927 is paid alongside other services.
CMS payment indicators · 98927
Osteopathic manipulation
| 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. |
98927 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 98926Osteopathic manipulation
- Use 98926 when OMT treats three or four distinct body regions; use this code when five or six are treated.
- 98928Osteopathic manipulation
- Use 98928 when OMT treats seven or eight distinct body regions; this code is for five or six.
- 98942Chiropractic adjustment
- 98942 describes chiropractic spinal manipulation involving five spinal regions. This code counts five or six defined regions treated with OMT.
98927 billing questions
How does this code differ from 98926 or 98928?
Choose among these OMT codes by the number of distinct body regions treated: 98926 covers three or four, this code covers five or six, and 98928 covers seven or eight.
What should the note document?
Record the somatic dysfunction findings and the specific body regions treated, with enough detail to support that five or six distinct regions received OMT.
Can modifier 50 be used when both sides are treated?
No. Bilateral adjustment is not appropriate for this code, even when treatment involves paired structures.
Is same-day evaluation or follow-up care included?
The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant, co-surgeon, or surgical team be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
Does the region count refer to techniques or body areas?
It refers to distinct defined body regions treated, not the number of manual techniques or individual structures addressed.
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
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