98940 applies when one or two spinal regions are manipulated. Use 98941 when treatment and documentation support a third or fourth region.
On this page
CMS RVU26D · Effective 2026-10-01
98941 in Beaumont
Office / nonfacility
$37.03
Base rate per service
Facility setting
$27.61
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.
Chiropractic manipulative treatment
About 98941: Chiropractic spinal manipulation, three to four regions
Report chiropractic manipulation of three or four spinal regions when a chiropractor treats documented subluxations in those regions during one visit.
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.
CMS billing rules for 98941
- 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 RVU0.69 · 60%
- Practice expense (office) RVU0.45 · 39%
- Malpractice RVU0.01 · 1%
12.8M
Medicare services in 2024 · #15 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.
98941 compared with similar codes
Office rates for Beaumont, from the same CMS release.
98942 requires manipulation of all five spinal regions. Use 98941 for three or four documented, treated regions; use 98940 for one or two.
98926 describes osteopathic manipulation of three or four body regions, selected from a different set of regions. 98941 describes chiropractic manipulation of three or four spinal regions.
Chiropract manj xtrspinl 1/>
98943 describes manipulation of extraspinal regions, such as an extremity; 98941 counts only spinal regions. The two may be reported together when both services are performed, although Medicare does not cover 98943.
The same code, a different location
How does Beaumont compare?
In Austin, the office rate for 98941 is $39.29—$2.26 higher than the $37.03 rate in Beaumont. Both use the same code, release and participation basis.
98941 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
$37.03
$39.29
$2.26 higher than Beaumont
$38.39
$1.36 higher than Beaumont
$38.51
$1.48 higher than Beaumont
$38.36
$1.33 higher than Beaumont
$38.43
$1.40 higher than Beaumont
$38.62
$1.59 higher than Beaumont
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, 98941 ranges from $36.13 in Arkansas to $50.76 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 · 98941
Office
$37.61
Facility
$27.79
$0.58 higher than Beaumont for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 98941
Office
$41.99
Facility
$29.75
$4.96 higher than Beaumont for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 98941
Office
$42.37
Facility
$30.17
$5.34 higher than Beaumont for the office setting.
Miami
Florida · 98941
Office
$39.54
Facility
$28.76
$2.51 higher than Beaumont for the office setting.
Chicago
Illinois · 98941
Office
$39.08
Facility
$28.67
$2.05 higher than Beaumont for the office setting.
Manhattan
New York · 98941
Office
$42.52
Facility
$30.49
$5.49 higher than Beaumont for the office setting.
Alaska*
Alaska · 98941
Office
$50.76
Facility
$39.73
$13.73 higher than Beaumont for the office setting.
Alabama
Alabama · 98941
Office
$36.39
Facility
$27.33
$0.64 lower than Beaumont for the office setting.
Arkansas
Arkansas · 98941
Office
$36.13
Facility
$27.24
$0.90 lower than Beaumont for the office setting.
Arizona
Arizona · 98941
Office
$37.90
Facility
$27.86
$0.87 higher than Beaumont for the office setting.
Bakersfield
California · 98941
Office
$40.16
Facility
$28.81
$3.13 higher than Beaumont for the office setting.
Chico
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
El Centro
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Fresno
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Hanford-Corcoran
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Madera
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Merced
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Modesto
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Napa
California · 98941
Office
$44.48
Facility
$30.83
$7.45 higher than Beaumont for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 98941
Office
$41.67
Facility
$29.43
$4.64 higher than Beaumont for the office setting.
Redding
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Rest Of California
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Riverside-San Bernardino-Ontario
California · 98941
Office
$40.22
Facility
$28.87
$3.19 higher than Beaumont for the office setting.
Sacramento-Roseville-Folsom
California · 98941
Office
$41.54
Facility
$29.49
$4.51 higher than Beaumont for the office setting.
Salinas
California · 98941
Office
$41.36
Facility
$29.36
$4.33 higher than Beaumont for the office setting.
San Diego-Chula Vista-Carlsbad
California · 98941
Office
$41.90
Facility
$29.51
$4.87 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 98941
Office
$46.58
Facility
$31.98
$9.55 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 98941
Office
$46.57
Facility
$31.97
$9.54 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 98941
Office
$47.43
Facility
$32.50
$10.40 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 98941
Office
$47.39
Facility
$32.46
$10.36 higher than Beaumont for the office setting.
San Luis Obispo-Paso Robles
California · 98941
Office
$40.74
Facility
$28.94
$3.71 higher than Beaumont for the office setting.
Santa Cruz-Watsonville
California · 98941
Office
$41.97
Facility
$29.39
$4.94 higher than Beaumont for the office setting.
Santa Maria-Santa Barbara
California · 98941
Office
$41.40
Facility
$29.32
$4.37 higher than Beaumont for the office setting.
Santa Rosa-Petaluma
California · 98941
Office
$42.37
Facility
$29.66
$5.34 higher than Beaumont for the office setting.
Stockton
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Vallejo
California · 98941
Office
$44.46
Facility
$30.82
$7.43 higher than Beaumont for the office setting.
Visalia
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Yuba City
California · 98941
Office
$40.09
Facility
$28.74
$3.06 higher than Beaumont for the office setting.
Colorado
Colorado · 98941
Office
$39.58
Facility
$28.56
$2.55 higher than Beaumont for the office setting.
Connecticut
Connecticut · 98941
Office
$40.10
Facility
$28.95
$3.07 higher than Beaumont for the office setting.
Delaware
Delaware · 98941
Office
$38.31
Facility
$28.08
$1.28 higher than Beaumont for the office setting.
Fort Lauderdale
Florida · 98941
Office
$38.88
Facility
$28.39
$1.85 higher than Beaumont for the office setting.
Rest Of Florida
Florida · 98941
Office
$37.92
Facility
$28.02
$0.89 higher than Beaumont for the office setting.
Atlanta
Georgia · 98941
Office
$38.79
Facility
$28.27
$1.76 higher than Beaumont for the office setting.
Rest Of Georgia
Georgia · 98941
Office
$36.85
Facility
$27.62
$0.18 lower than Beaumont for the office setting.
Hawaii, Guam
Hawaii · 98941
Office
$40.33
Facility
$28.56
$3.30 higher than Beaumont for the office setting.
Iowa
Iowa · 98941
Office
$36.93
Facility
$27.46
$0.10 lower than Beaumont for the office setting.
Idaho
Idaho · 98941
Office
$37.03
Facility
$27.51
The same base rate than Beaumont for the office setting.
East St. Louis
Illinois · 98941
Office
$37.55
Facility
$28.02
$0.52 higher than Beaumont for the office setting.
Rest Of Illinois
Illinois · 98941
Office
$37.29
Facility
$27.84
$0.26 higher than Beaumont for the office setting.
Suburban Chicago
Illinois · 98941
Office
$39.24
Facility
$28.60
$2.21 higher than Beaumont for the office setting.
Indiana
Indiana · 98941
Office
$37.14
Facility
$27.54
$0.11 higher than Beaumont for the office setting.
Kansas
Kansas · 98941
Office
$36.80
Facility
$27.44
$0.23 lower than Beaumont for the office setting.
Kentucky
Kentucky · 98941
Office
$36.71
Facility
$27.51
$0.32 lower than Beaumont for the office setting.
New Orleans
Louisiana · 98941
Office
$37.57
Facility
$27.83
$0.54 higher than Beaumont for the office setting.
Rest Of Louisiana
Louisiana · 98941
Office
$36.67
Facility
$27.50
$0.36 lower than Beaumont for the office setting.
Metropolitan Boston
Massachusetts · 98941
Office
$42.24
Facility
$29.87
$5.21 higher than Beaumont for the office setting.
Rest Of Massachusetts
Massachusetts · 98941
Office
$39.51
Facility
$28.61
$2.48 higher than Beaumont for the office setting.
Baltimore/Surr. Cntys
Maryland · 98941
Office
$39.96
Facility
$28.85
$2.93 higher than Beaumont for the office setting.
Rest Of Maryland
Maryland · 98941
Office
$38.79
Facility
$28.32
$1.76 higher than Beaumont for the office setting.
Rest Of Maine
Maine · 98941
Office
$37.08
Facility
$27.56
$0.05 higher than Beaumont for the office setting.
Southern Maine
Maine · 98941
Office
$38.15
Facility
$27.89
$1.12 higher than Beaumont for the office setting.
Detroit
Michigan · 98941
Office
$38.11
Facility
$28.12
$1.08 higher than Beaumont for the office setting.
Rest Of Michigan
Michigan · 98941
Office
$37.15
Facility
$27.69
$0.12 higher than Beaumont for the office setting.
Minnesota
Minnesota · 98941
Office
$38.61
Facility
$27.96
$1.58 higher than Beaumont for the office setting.
Metropolitan Kansas City
Missouri · 98941
Office
$37.49
Facility
$27.76
$0.46 higher than Beaumont for the office setting.
Metropolitan St. Louis
Missouri · 98941
Office
$37.69
Facility
$27.83
$0.66 higher than Beaumont for the office setting.
Rest Of Missouri
Missouri · 98941
Office
$36.33
Facility
$27.40
$0.70 lower than Beaumont for the office setting.
Mississippi
Mississippi · 98941
Office
$36.23
Facility
$27.32
$0.80 lower than Beaumont for the office setting.
Montana**
Montana · 98941
Office
$38.41
Facility
$28.06
$1.38 higher than Beaumont for the office setting.
North Carolina
North Carolina · 98941
Office
$37.28
Facility
$27.62
$0.25 higher than Beaumont for the office setting.
North Dakota**
North Dakota · 98941
Office
$38.21
Facility
$27.86
$1.18 higher than Beaumont for the office setting.
Nebraska
Nebraska · 98941
Office
$37.05
Facility
$27.49
$0.02 higher than Beaumont for the office setting.
New Hampshire
New Hampshire · 98941
Office
$38.99
Facility
$28.21
$1.96 higher than Beaumont for the office setting.
Northern Nj
New Jersey · 98941
Office
$42.29
Facility
$30.28
$5.26 higher than Beaumont for the office setting.
Rest Of New Jersey
New Jersey · 98941
Office
$40.75
Facility
$29.44
$3.72 higher than Beaumont for the office setting.
New Mexico
New Mexico · 98941
Office
$37.23
Facility
$27.74
$0.20 higher than Beaumont for the office setting.
Nevada**
Nevada · 98941
Office
$38.37
Facility
$28.01
$1.34 higher than Beaumont for the office setting.
Nyc Suburbs/Long Island
New York · 98941
Office
$43.01
Facility
$30.70
$5.98 higher than Beaumont for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 98941
Office
$40.95
Facility
$29.61
$3.92 higher than Beaumont for the office setting.
Queens
New York · 98941
Office
$42.77
Facility
$30.53
$5.74 higher than Beaumont for the office setting.
Rest Of New York
New York · 98941
Office
$37.56
Facility
$27.72
$0.53 higher than Beaumont for the office setting.
Ohio
Ohio · 98941
Office
$37.11
Facility
$27.65
$0.08 higher than Beaumont for the office setting.
Oklahoma
Oklahoma · 98941
Office
$36.73
Facility
$27.48
$0.30 lower than Beaumont for the office setting.
Portland
Oregon · 98941
Office
$40.36
Facility
$28.86
$3.33 higher than Beaumont for the office setting.
Rest Of Oregon
Oregon · 98941
Office
$38.25
Facility
$27.94
$1.22 higher than Beaumont for the office setting.
Metropolitan Philadelphia
Pennsylvania · 98941
Office
$39.51
Facility
$28.73
$2.48 higher than Beaumont for the office setting.
Rest Of Pennsylvania
Pennsylvania · 98941
Office
$37.16
Facility
$27.65
$0.13 higher than Beaumont for the office setting.
Puerto Rico
Puerto Rico · 98941
Office
$38.57
Facility
$28.10
$1.54 higher than Beaumont for the office setting.
Rhode Island
Rhode Island · 98941
Office
$39.31
Facility
$28.61
$2.28 higher than Beaumont for the office setting.
South Carolina
South Carolina · 98941
Office
$37.22
Facility
$27.65
$0.19 higher than Beaumont for the office setting.
South Dakota**
South Dakota · 98941
Office
$38.19
Facility
$27.83
$1.16 higher than Beaumont for the office setting.
Tennessee
Tennessee · 98941
Office
$36.89
Facility
$27.48
$0.14 lower than Beaumont for the office setting.
Utah
Utah · 98941
Office
$37.48
Facility
$27.74
$0.45 higher than Beaumont for the office setting.
Virginia
Virginia · 98941
Office
$38.06
Facility
$27.88
$1.03 higher than Beaumont for the office setting.
Virgin Islands
United States Virgin Islands · 98941
Office
$38.57
Facility
$28.10
$1.54 higher than Beaumont for the office setting.
Vermont
Vermont · 98941
Office
$38.10
Facility
$27.84
$1.07 higher than Beaumont for the office setting.
Rest Of Washington
Washington · 98941
Office
$39.43
Facility
$28.52
$2.40 higher than Beaumont for the office setting.
Seattle (King Cnty)
Washington · 98941
Office
$42.91
Facility
$30.21
$5.88 higher than Beaumont for the office setting.
Wisconsin
Wisconsin · 98941
Office
$37.55
Facility
$27.63
$0.52 higher than Beaumont for the office setting.
West Virginia
West Virginia · 98941
Office
$36.59
Facility
$27.59
$0.44 lower than Beaumont for the office setting.
Wyoming**
Wyoming · 98941
Office
$38.32
Facility
$27.97
$1.29 higher than Beaumont for the office setting.
See how rates vary across the country
98941 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $50.76 | 1 |
| AL | $36.39 | 1 |
| AR | $36.13 | 1 |
| AZ | $37.90 | 1 |
| CA | $40.09–$47.43 | 29 |
| CO | $39.58 | 1 |
| CT | $40.10 | 1 |
| DC | $42.37 | 1 |
| DE | $38.31 | 1 |
| FL | $37.92–$39.54 | 3 |
| GA | $36.85–$38.79 | 2 |
| GU | $40.33 | 1 |
| HI | $40.33 | 1 |
| IA | $36.93 | 1 |
| ID | $37.03 | 1 |
| IL | $37.29–$39.24 | 4 |
| IN | $37.14 | 1 |
| KS | $36.80 | 1 |
| KY | $36.71 | 1 |
| LA | $36.67–$37.57 | 2 |
| MA | $39.51–$42.24 | 2 |
| MD | $38.79–$42.37 | 3 |
| ME | $37.08–$38.15 | 2 |
| MI | $37.15–$38.11 | 2 |
| MN | $38.61 | 1 |
| MO | $36.33–$37.69 | 3 |
| MS | $36.23 | 1 |
| MT | $38.41 | 1 |
| NC | $37.28 | 1 |
| ND | $38.21 | 1 |
| NE | $37.05 | 1 |
| NH | $38.99 | 1 |
| NJ | $40.75–$42.29 | 2 |
| NM | $37.23 | 1 |
| NV | $38.37 | 1 |
| NY | $37.56–$43.01 | 5 |
| OH | $37.11 | 1 |
| OK | $36.73 | 1 |
| OR | $38.25–$40.36 | 2 |
| PA | $37.16–$39.51 | 2 |
| PR | $38.57 | 1 |
| RI | $39.31 | 1 |
| SC | $37.22 | 1 |
| SD | $38.19 | 1 |
| TN | $36.89 | 1 |
| TX | $37.03–$39.29 | 8 |
| UT | $37.48 | 1 |
| VA | $38.06–$42.37 | 2 |
| VI | $38.57 | 1 |
| VT | $38.10 | 1 |
| WA | $39.43–$42.91 | 2 |
| WI | $37.55 | 1 |
| WV | $36.59 | 1 |
| WY | $38.32 | 1 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.
Why are the office and facility amounts different?
For 98941 in Beaumont, the physician’s office rate is $37.03 and the facility-setting rate is $27.61: a difference of $9.42.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 98941 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$40.73
$37.03 × 110% = $40.73
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.
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 98941 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
12,943
- Code
- 98941
- Physician work
- 0.69
- Practice expense
- 0.45
- Malpractice
- 0.01
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.69 | × 1.000 | 0.6900 |
| Practice expense | 0.45 | × 0.910 | 0.4095 |
| Malpractice | 0.01 | × 0.929 | 0.0093 |
| Total RVUs | 1.1088 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Beaumont$37.03
Open 98941 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.69 | 1 |
| Practice expense | 0.45 | 0.91 |
| Malpractice | 0.01 | 0.929 |
(0.69 × 1 + 0.45 × 0.91 + 0.01 × 0.929) × $33.4009 = $37.03
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.69 | 1 |
| Practice expense | 0.14 | 0.91 |
| Malpractice | 0.01 | 0.929 |
(0.69 × 1 + 0.14 × 0.91 + 0.01 × 0.929) × $33.4009 = $27.61
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
98941 · Office / nonfacility
$37.03
Effective 2026-10-01
The base rate is $0.03 higher than on 2025-10-01, moving from $37.00 to $37.03 (0.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$37.00changed to$37.03
- 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 0.903 changed to 0.910
- Malpractice GPCI 0.947 changed to 0.929
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $37.00
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.
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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 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.
