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CMS RVU26D · Effective 2026-10-01

98927 in Austin

Office / nonfacility

$62.21

Base rate per service

Facility setting

$40.30

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Osteopathic treatment

About 98927: Osteopathic manipulation, five to six regions

Report this OMT service when a clinician manually treats somatic dysfunction in five or six defined body regions during one encounter.

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.

CMS billing rules for 98927

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.94 · 52%
  • Practice expense (office) RVU0.82 · 45%
  • Malpractice RVU0.06 · 3%

80.9K

Medicare services in 2024 · #627 by national volume

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.

98927 compared with similar codes

Office rates for Austin, from the same CMS release.

98926

Osteopathic manipulation

Three to four regions

$47.25

Use 98926 when OMT treats three or four distinct body regions; use this code when five or six are treated.

98928

Osteopathic manipulation

Seven to eight regions

$75.13

Use 98928 when OMT treats seven or eight distinct body regions; this code is for five or six.

98942

Chiropractic adjustment

Spinal, five regions

$50.84

98942 describes chiropractic spinal manipulation involving five spinal regions. This code counts five or six defined regions treated with OMT.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 98927 is $58.18—$4.03 lower than the $62.21 rate in Austin. Both use the same code, release and participation basis.

98927 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $62.21

  2. Beaumont

    $58.18

    $4.03 lower than Austin

  3. Brazoria

    $60.35

    $1.86 lower than Austin

  4. Dallas

    $60.68

    $1.53 lower than Austin

  5. Fort Worth

    $60.43

    $1.78 lower than Austin

  6. Galveston

    $60.50

    $1.71 lower than Austin

  7. Houston

    $61.60

    $0.61 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 98927 ranges from $55.96 in Arkansas to $77.37 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 98927

    Office

    $59.20

    Facility

    $39.55

    $3.01 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 98927

    Office

    $66.42

    Facility

    $41.92

    $4.21 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 98927

    Office

    $67.59

    Facility

    $43.19

    $5.38 higher than Austin for the office setting.

  • Miami

    Florida · 98927

    Office

    $64.98

    Facility

    $43.42

    $2.77 higher than Austin for the office setting.

  • Chicago

    Illinois · 98927

    Office

    $63.74

    Facility

    $42.93

    $1.53 higher than Austin for the office setting.

  • Manhattan

    New York · 98927

    Office

    $68.41

    Facility

    $44.35

    $6.20 higher than Austin for the office setting.

  • Alaska*

    Alaska · 98927

    Office

    $77.37

    Facility

    $55.31

    $15.16 higher than Austin for the office setting.

  • Alabama

    Alabama · 98927

    Office

    $56.50

    Facility

    $38.38

    $5.71 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 98927

    Office

    $55.96

    Facility

    $38.17

    $6.25 lower than Austin for the office setting.

  • Arizona

    Arizona · 98927

    Office

    $59.65

    Facility

    $39.59

    $2.56 lower than Austin for the office setting.

  • Bakersfield

    California · 98927

    Office

    $63.23

    Facility

    $40.54

    $1.02 higher than Austin for the office setting.

  • Chico

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • El Centro

    California · 98927

    Office

    $63.03

    Facility

    $40.34

    $0.82 higher than Austin for the office setting.

  • Fresno

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Madera

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Merced

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Modesto

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Napa

    California · 98927

    Office

    $70.49

    Facility

    $43.20

    $8.28 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 98927

    Office

    $65.90

    Facility

    $41.42

    $3.69 higher than Austin for the office setting.

  • Redding

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Rest Of California

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 98927

    Office

    $63.69

    Facility

    $40.99

    $1.48 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 98927

    Office

    $65.45

    Facility

    $41.37

    $3.24 higher than Austin for the office setting.

  • Salinas

    California · 98927

    Office

    $65.19

    Facility

    $41.19

    $2.98 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 98927

    Office

    $66.18

    Facility

    $41.41

    $3.97 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 98927

    Office

    $73.92

    Facility

    $44.72

    $11.71 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 98927

    Office

    $73.85

    Facility

    $44.65

    $11.64 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 98927

    Office

    $75.42

    Facility

    $45.56

    $13.21 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 98927

    Office

    $75.14

    Facility

    $45.28

    $12.93 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 98927

    Office

    $64.20

    Facility

    $40.61

    $1.99 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 98927

    Office

    $66.41

    Facility

    $41.25

    $4.20 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 98927

    Office

    $65.29

    Facility

    $41.14

    $3.08 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 98927

    Office

    $67.05

    Facility

    $41.62

    $4.84 higher than Austin for the office setting.

  • Stockton

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Vallejo

    California · 98927

    Office

    $70.39

    Facility

    $43.10

    $8.18 higher than Austin for the office setting.

  • Visalia

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Yuba City

    California · 98927

    Office

    $63.02

    Facility

    $40.33

    $0.81 higher than Austin for the office setting.

  • Colorado

    Colorado · 98927

    Office

    $62.48

    Facility

    $40.45

    $0.27 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 98927

    Office

    $63.95

    Facility

    $41.64

    $1.74 higher than Austin for the office setting.

  • Delaware

    Delaware · 98927

    Office

    $60.42

    Facility

    $39.96

    $1.79 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 98927

    Office

    $62.76

    Facility

    $41.79

    $0.55 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 98927

    Office

    $60.59

    Facility

    $40.80

    $1.62 lower than Austin for the office setting.

  • Atlanta

    Georgia · 98927

    Office

    $61.72

    Facility

    $40.68

    $0.49 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 98927

    Office

    $58.22

    Facility

    $39.74

    $3.99 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 98927

    Office

    $63.70

    Facility

    $40.15

    $1.49 higher than Austin for the office setting.

  • Iowa

    Iowa · 98927

    Office

    $57.25

    Facility

    $38.30

    $4.96 lower than Austin for the office setting.

  • Idaho

    Idaho · 98927

    Office

    $57.54

    Facility

    $38.49

    $4.67 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 98927

    Office

    $60.63

    Facility

    $41.58

    $1.58 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 98927

    Office

    $59.54

    Facility

    $40.63

    $2.67 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 98927

    Office

    $63.30

    Facility

    $42.03

    $1.09 higher than Austin for the office setting.

  • Indiana

    Indiana · 98927

    Office

    $57.76

    Facility

    $38.56

    $4.45 lower than Austin for the office setting.

  • Kansas

    Kansas · 98927

    Office

    $57.17

    Facility

    $38.45

    $5.04 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 98927

    Office

    $57.58

    Facility

    $39.17

    $4.63 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 98927

    Office

    $59.45

    Facility

    $39.96

    $2.76 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 98927

    Office

    $57.56

    Facility

    $39.23

    $4.65 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 98927

    Office

    $67.17

    Facility

    $42.44

    $4.96 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 98927

    Office

    $62.34

    Facility

    $40.53

    $0.13 higher than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 98927

    Office

    $63.77

    Facility

    $41.55

    $1.56 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 98927

    Office

    $61.27

    Facility

    $40.31

    $0.94 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 98927

    Office

    $57.84

    Facility

    $38.79

    $4.37 lower than Austin for the office setting.

  • Southern Maine

    Maine · 98927

    Office

    $59.80

    Facility

    $39.28

    $2.41 lower than Austin for the office setting.

  • Detroit

    Michigan · 98927

    Office

    $61.21

    Facility

    $41.22

    $1.00 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 98927

    Office

    $58.67

    Facility

    $39.76

    $3.54 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 98927

    Office

    $60.17

    Facility

    $38.86

    $2.04 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 98927

    Office

    $59.07

    Facility

    $39.63

    $3.14 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 98927

    Office

    $59.48

    Facility

    $39.76

    $2.73 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 98927

    Office

    $56.96

    Facility

    $39.11

    $5.25 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 98927

    Office

    $56.46

    Facility

    $38.63

    $5.75 lower than Austin for the office setting.

  • Montana**

    Montana · 98927

    Office

    $60.79

    Facility

    $40.08

    $1.42 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 98927

    Office

    $58.23

    Facility

    $38.91

    $3.98 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 98927

    Office

    $59.60

    Facility

    $38.89

    $2.61 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 98927

    Office

    $57.43

    Facility

    $38.32

    $4.78 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 98927

    Office

    $61.66

    Facility

    $40.10

    $0.55 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 98927

    Office

    $67.29

    Facility

    $43.26

    $5.08 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 98927

    Office

    $64.76

    Facility

    $42.15

    $2.55 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 98927

    Office

    $58.92

    Facility

    $39.93

    $3.29 lower than Austin for the office setting.

  • Nevada**

    Nevada · 98927

    Office

    $60.48

    Facility

    $39.75

    $1.73 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 98927

    Office

    $69.69

    Facility

    $45.07

    $7.48 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 98927

    Office

    $65.23

    Facility

    $42.55

    $3.02 higher than Austin for the office setting.

  • Queens

    New York · 98927

    Office

    $68.67

    Facility

    $44.19

    $6.46 higher than Austin for the office setting.

  • Rest Of New York

    New York · 98927

    Office

    $58.82

    Facility

    $39.15

    $3.39 lower than Austin for the office setting.

  • Ohio

    Ohio · 98927

    Office

    $58.42

    Facility

    $39.52

    $3.79 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 98927

    Office

    $57.41

    Facility

    $38.92

    $4.80 lower than Austin for the office setting.

  • Portland

    Oregon · 98927

    Office

    $63.82

    Facility

    $40.81

    $1.61 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 98927

    Office

    $60.08

    Facility

    $39.46

    $2.13 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 98927

    Office

    $62.86

    Facility

    $41.31

    $0.65 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 98927

    Office

    $58.43

    Facility

    $39.42

    $3.78 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 98927

    Office

    $61.06

    Facility

    $40.12

    $1.15 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 98927

    Office

    $62.07

    Facility

    $40.68

    $0.14 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 98927

    Office

    $58.41

    Facility

    $39.27

    $3.80 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 98927

    Office

    $59.46

    Facility

    $38.75

    $2.75 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 98927

    Office

    $57.37

    Facility

    $38.55

    $4.84 lower than Austin for the office setting.

  • Utah

    Utah · 98927

    Office

    $58.94

    Facility

    $39.48

    $3.27 lower than Austin for the office setting.

  • Virginia

    Virginia · 98927

    Office

    $59.73

    Facility

    $39.38

    $2.48 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 98927

    Office

    $61.06

    Facility

    $40.12

    $1.15 lower than Austin for the office setting.

  • Vermont

    Vermont · 98927

    Office

    $59.53

    Facility

    $39.02

    $2.68 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 98927

    Office

    $62.17

    Facility

    $40.36

    $0.04 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 98927

    Office

    $68.21

    Facility

    $42.80

    $6.00 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 98927

    Office

    $58.25

    Facility

    $38.41

    $3.96 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 98927

    Office

    $58.07

    Facility

    $40.07

    $4.14 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 98927

    Office

    $60.27

    Facility

    $39.56

    $1.94 lower than Austin for the office setting.

See how rates vary across the country

98927 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$55.96

$77.37

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$77.371
AL$56.501
AR$55.961
AZ$59.651
CA$63.02–$75.4229
CO$62.481
CT$63.951
DC$67.591
DE$60.421
FL$60.59–$64.983
GA$58.22–$61.722
GU$63.701
HI$63.701
IA$57.251
ID$57.541
IL$59.54–$63.744
IN$57.761
KS$57.171
KY$57.581
LA$57.56–$59.452
MA$62.34–$67.172
MD$61.27–$67.593
ME$57.84–$59.802
MI$58.67–$61.212
MN$60.171
MO$56.96–$59.483
MS$56.461
MT$60.791
NC$58.231
ND$59.601
NE$57.431
NH$61.661
NJ$64.76–$67.292
NM$58.921
NV$60.481
NY$58.82–$69.695
OH$58.421
OK$57.411
OR$60.08–$63.822
PA$58.43–$62.862
PR$61.061
RI$62.071
SC$58.411
SD$59.461
TN$57.371
TX$58.18–$62.218
UT$58.941
VA$59.73–$67.592
VI$61.061
VT$59.531
WA$62.17–$68.212
WI$58.251
WV$58.071
WY$60.271

Explore 98927 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 98927 in Austin, the physician’s office rate is $62.21 and the facility-setting rate is $40.30: a difference of $21.91.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 98927 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$68.43

$62.21 × 110% = $68.43

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 98927 in Austin.

PPRRVU2026_Oct_nonQPP.csv

12,939

Code
98927
Physician work
0.94
Practice expense
0.82
Malpractice
0.06

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 98927 in Austin
ComponentRVULocality factorAdjusted
Physician work0.94× 1.0020.9419
Practice expense0.82× 1.0580.8676
Malpractice0.06× 0.8860.0532
Total RVUs1.8626
Conversion factor× 33.4009

Office / nonfacility rate, Austin$62.21

Open 98927 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.941.002
Practice expense0.821.058
Malpractice0.060.886

(0.94 × 1.002 + 0.82 × 1.058 + 0.06 × 0.886) × $33.4009 = $62.21

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.941.002
Practice expense0.21.058
Malpractice0.060.886

(0.94 × 1.002 + 0.2 × 1.058 + 0.06 × 0.886) × $33.4009 = $40.30

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

98927 · Office / nonfacility

$62.21

Effective 2026-10-01

The base rate is $3.96 higher than on 2025-10-01, moving from $58.25 to $62.21 (6.8%).

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

    $58.25changed to$62.21

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.96 changed to 0.94
    • Practice expense RVU 0.76 changed to 0.82
    • Malpractice RVU 0.05 changed to 0.06
    • 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

    Earliest loaded release: $58.25

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$62.21$40.30RVU26D
2026-07-01$62.21$40.30RVU26C
2026-04-01$62.21$40.30RVU26B
2026-01-01$62.21$40.30RVU26A
2025-10-01$58.25$44.71RVU25D
2025-07-01$58.25$44.71RVU25C
2025-04-01$58.25$44.71RVU25B
2025-01-01$58.25$44.71RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 98927PPRRVU2026_Oct_nonQPP.csv, line 12,939 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet