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CMS RVU26D · Effective 2026-10-01

98926 in Wyoming**

Office / nonfacility

$45.75

Base rate per service

Facility setting

$29.38

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 98926: Osteopathic manipulative treatment, 3-4 regions

Report this service when a physician performs osteopathic manipulative treatment on three or four distinct body regions for documented somatic dysfunction.

A physician, commonly an osteopathic physician, uses manual techniques to treat somatic dysfunction in three or four body regions during an office visit or other clinical encounter. The regions may include the head, neck, thoracic or lumbar areas, sacrum, pelvis, ribs, abdomen, or upper or lower extremities. The code reflects the number of distinct regions treated, not the number of techniques used or the number of findings documented.

Document the regions treated and the clinical findings supporting treatment there. Report one service for treatment of three or four regions. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for bilateral treatment. CMS pays an assistant at surgery only when medical necessity is documented; co-surgeons and team surgery are not permitted.

CMS billing rules for 98926

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 · 50%
  • Practice expense (office) RVU0.65 · 47%
  • Malpractice RVU0.04 · 3%

86.1K

Medicare services in 2024 · #606 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.

98926 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

98925

Osteopathic manipulation

One or two regions

$32.14

Use 98925 when OMT treats one or two distinct regions. Use 98926 when it treats three or four.

98927

Osteopathic manipulation

Five to six regions

$60.27

Use 98927 when OMT treats five or six distinct regions; 98926 is for three or four.

98941

Chiropractic adjustment

Spinal, 3-4 regions

$38.32

98941 describes chiropractic manipulative treatment of three or four spinal regions. 98926 is osteopathic manipulative treatment counted across the broader set of body regions.

The same code, a different location

How does Wyoming** compare?

98926 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $45.75

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $50.56

    $4.81 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $51.35

    $5.60 higher than Wyoming**

  4. Miami

    $49.03

    $3.28 higher than Wyoming**

  5. Chicago

    $48.09

    $2.34 higher than Wyoming**

  6. Manhattan

    $51.87

    $6.12 higher than Wyoming**

  7. Alaska*

    $58.43

    $12.68 higher than Wyoming**

Other payment areas listed in Wyoming 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, 98926 ranges from $42.38 in Arkansas to $58.43 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

  • Alabama

    Alabama · 98926

    Office

    $42.80

    Facility

    $28.48

    $2.95 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 98926

    Office

    $42.38

    Facility

    $28.33

    $3.37 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 98926

    Office

    $45.23

    Facility

    $29.37

    $0.52 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 98926

    Office

    $48.09

    Facility

    $30.16

    $2.34 higher than Wyoming** for the office setting.

  • Chico

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • El Centro

    California · 98926

    Office

    $47.96

    Facility

    $30.02

    $2.21 higher than Wyoming** for the office setting.

  • Fresno

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Madera

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Merced

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Modesto

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Napa

    California · 98926

    Office

    $53.79

    Facility

    $32.22

    $8.04 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 98926

    Office

    $50.19

    Facility

    $30.84

    $4.44 higher than Wyoming** for the office setting.

  • Redding

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 98926

    Office

    $48.40

    Facility

    $30.46

    $2.65 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 98926

    Office

    $49.84

    Facility

    $30.81

    $4.09 higher than Wyoming** for the office setting.

  • Salinas

    California · 98926

    Office

    $49.64

    Facility

    $30.67

    $3.89 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 98926

    Office

    $50.43

    Facility

    $30.85

    $4.68 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 98926

    Office

    $56.46

    Facility

    $33.38

    $10.71 higher than Wyoming** for the office setting.

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

    California · 98926

    Office

    $56.42

    Facility

    $33.34

    $10.67 higher than Wyoming** for the office setting.

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

    California · 98926

    Office

    $57.60

    Facility

    $34.00

    $11.85 higher than Wyoming** for the office setting.

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

    California · 98926

    Office

    $57.42

    Facility

    $33.82

    $11.67 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 98926

    Office

    $48.88

    Facility

    $30.24

    $3.13 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 98926

    Office

    $50.63

    Facility

    $30.74

    $4.88 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 98926

    Office

    $49.72

    Facility

    $30.64

    $3.97 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 98926

    Office

    $51.11

    Facility

    $31.02

    $5.36 higher than Wyoming** for the office setting.

  • Stockton

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Vallejo

    California · 98926

    Office

    $53.73

    Facility

    $32.16

    $7.98 higher than Wyoming** for the office setting.

  • Visalia

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Yuba City

    California · 98926

    Office

    $47.95

    Facility

    $30.01

    $2.20 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 98926

    Office

    $47.47

    Facility

    $30.05

    $1.72 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 98926

    Office

    $48.51

    Facility

    $30.88

    $2.76 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 98926

    Office

    $45.81

    Facility

    $29.64

    $0.06 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 98926

    Office

    $47.45

    Facility

    $30.88

    $1.70 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 98926

    Office

    $45.81

    Facility

    $30.16

    $0.06 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 98926

    Office

    $46.78

    Facility

    $30.15

    $1.03 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 98926

    Office

    $44.01

    Facility

    $29.41

    $1.74 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 98926

    Office

    $48.51

    Facility

    $29.90

    $2.76 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 98926

    Office

    $43.44

    Facility

    $28.47

    $2.31 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 98926

    Office

    $43.65

    Facility

    $28.60

    $2.10 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 98926

    Office

    $45.71

    Facility

    $30.65

    $0.04 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 98926

    Office

    $44.96

    Facility

    $30.01

    $0.79 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 98926

    Office

    $47.87

    Facility

    $31.06

    $2.12 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 98926

    Office

    $43.82

    Facility

    $28.65

    $1.93 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 98926

    Office

    $43.35

    Facility

    $28.55

    $2.40 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 98926

    Office

    $43.57

    Facility

    $29.02

    $2.18 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 98926

    Office

    $44.99

    Facility

    $29.59

    $0.76 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 98926

    Office

    $43.54

    Facility

    $29.06

    $2.21 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 98926

    Office

    $51.10

    Facility

    $31.56

    $5.35 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 98926

    Office

    $47.34

    Facility

    $30.11

    $1.59 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 98926

    Office

    $48.36

    Facility

    $30.80

    $2.61 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 98926

    Office

    $46.47

    Facility

    $29.91

    $0.72 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 98926

    Office

    $43.85

    Facility

    $28.79

    $1.90 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 98926

    Office

    $45.40

    Facility

    $29.19

    $0.35 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 98926

    Office

    $46.25

    Facility

    $30.46

    $0.50 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 98926

    Office

    $44.38

    Facility

    $29.43

    $1.37 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 98926

    Office

    $45.78

    Facility

    $28.94

    $0.03 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 98926

    Office

    $44.74

    Facility

    $29.37

    $1.01 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 98926

    Office

    $45.05

    Facility

    $29.47

    $0.70 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 98926

    Office

    $43.06

    Facility

    $28.95

    $2.69 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 98926

    Office

    $42.73

    Facility

    $28.64

    $3.02 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 98926

    Office

    $46.09

    Facility

    $29.72

    $0.34 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 98926

    Office

    $44.16

    Facility

    $28.89

    $1.59 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 98926

    Office

    $45.30

    Facility

    $28.93

    $0.45 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 98926

    Office

    $43.59

    Facility

    $28.48

    $2.16 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 98926

    Office

    $46.82

    Facility

    $29.78

    $1.07 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 98926

    Office

    $51.11

    Facility

    $32.12

    $5.36 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 98926

    Office

    $49.14

    Facility

    $31.27

    $3.39 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 98926

    Office

    $44.56

    Facility

    $29.55

    $1.19 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 98926

    Office

    $45.89

    Facility

    $29.51

    $0.14 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 98926

    Office

    $52.82

    Facility

    $33.36

    $7.07 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 98926

    Office

    $49.47

    Facility

    $31.55

    $3.72 higher than Wyoming** for the office setting.

  • Queens

    New York · 98926

    Office

    $52.11

    Facility

    $32.76

    $6.36 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 98926

    Office

    $44.61

    Facility

    $29.06

    $1.14 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 98926

    Office

    $44.22

    Facility

    $29.27

    $1.53 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 98926

    Office

    $43.47

    Facility

    $28.86

    $2.28 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 98926

    Office

    $48.53

    Facility

    $30.35

    $2.78 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 98926

    Office

    $45.61

    Facility

    $29.31

    $0.14 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 98926

    Office

    $47.66

    Facility

    $30.62

    $1.91 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 98926

    Office

    $44.24

    Facility

    $29.22

    $1.51 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 98926

    Office

    $46.31

    Facility

    $29.77

    $0.56 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 98926

    Office

    $47.10

    Facility

    $30.20

    $1.35 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 98926

    Office

    $44.24

    Facility

    $29.12

    $1.51 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 98926

    Office

    $45.21

    Facility

    $28.84

    $0.54 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 98926

    Office

    $43.50

    Facility

    $28.62

    $2.25 lower than Wyoming** for the office setting.

  • Austin

    Texas · 98926

    Office

    $47.25

    Facility

    $29.93

    $1.50 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 98926

    Office

    $44.04

    Facility

    $29.15

    $1.71 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 98926

    Office

    $45.79

    Facility

    $29.57

    $0.04 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 98926

    Office

    $46.02

    Facility

    $29.72

    $0.27 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 98926

    Office

    $45.82

    Facility

    $29.69

    $0.07 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 98926

    Office

    $45.90

    Facility

    $29.64

    $0.15 higher than Wyoming** for the office setting.

  • Houston

    Texas · 98926

    Office

    $46.63

    Facility

    $30.38

    $0.88 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 98926

    Office

    $44.86

    Facility

    $29.32

    $0.89 lower than Wyoming** for the office setting.

  • Utah

    Utah · 98926

    Office

    $44.65

    Facility

    $29.27

    $1.10 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 98926

    Office

    $45.33

    Facility

    $29.24

    $0.42 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 98926

    Office

    $46.31

    Facility

    $29.77

    $0.56 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 98926

    Office

    $45.22

    Facility

    $29.01

    $0.53 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 98926

    Office

    $47.22

    Facility

    $29.99

    $1.47 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 98926

    Office

    $51.93

    Facility

    $31.85

    $6.18 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 98926

    Office

    $44.26

    Facility

    $28.58

    $1.49 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 98926

    Office

    $43.82

    Facility

    $29.60

    $1.93 lower than Wyoming** for the office setting.

See how rates vary across the country

98926 · 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.

$42.38

$58.43

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$58.431
AL$42.801
AR$42.381
AZ$45.231
CA$47.95–$57.6029
CO$47.471
CT$48.511
DC$51.351
DE$45.811
FL$45.81–$49.033
GA$44.01–$46.782
GU$48.511
HI$48.511
IA$43.441
ID$43.651
IL$44.96–$48.094
IN$43.821
KS$43.351
KY$43.571
LA$43.54–$44.992
MA$47.34–$51.102
MD$46.47–$51.353
ME$43.85–$45.402
MI$44.38–$46.252
MN$45.781
MO$43.06–$45.053
MS$42.731
MT$46.091
NC$44.161
ND$45.301
NE$43.591
NH$46.821
NJ$49.14–$51.112
NM$44.561
NV$45.891
NY$44.61–$52.825
OH$44.221
OK$43.471
OR$45.61–$48.532
PA$44.24–$47.662
PR$46.311
RI$47.101
SC$44.241
SD$45.211
TN$43.501
TX$44.04–$47.258
UT$44.651
VA$45.33–$51.352
VI$46.311
VT$45.221
WA$47.22–$51.932
WI$44.261
WV$43.821
WY$45.751

Explore 98926 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 98926 in Wyoming**, the physician’s office rate is $45.75 and the facility-setting rate is $29.38: a difference of $16.37.

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 98926 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$50.33

$45.75 × 110% = $50.33

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.

Compare your contract offer →

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 98926 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

12,938

Code
98926
Physician work
0.69
Practice expense
0.65
Malpractice
0.04

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 98926 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0000.6900
Practice expense0.65× 1.0000.6500
Malpractice0.04× 0.7400.0296
Total RVUs1.3696
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$45.75

Open 98926 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.691
Practice expense0.651
Malpractice0.040.74

(0.69 × 1 + 0.65 × 1 + 0.04 × 0.74) × $33.4009 = $45.75

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.691
Practice expense0.161
Malpractice0.040.74

(0.69 × 1 + 0.16 × 1 + 0.04 × 0.74) × $33.4009 = $29.38

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

98926 · Office / nonfacility

$45.75

Effective 2026-10-01

The base rate is $2.10 higher than on 2025-10-01, moving from $43.65 to $45.75 (4.8%).

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

    $43.65changed to$45.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.71 changed to 0.69
    • Practice expense RVU 0.61 changed to 0.65
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $43.65

    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$45.75$29.38RVU26D
2026-07-01$45.75$29.38RVU26C
2026-04-01$45.75$29.38RVU26B
2026-01-01$45.75$29.38RVU26A
2025-10-01$43.65$32.98RVU25D
2025-07-01$43.65$32.98RVU25C
2025-04-01$43.65$32.98RVU25B
2025-01-01$43.65$32.98RVU25A

98926 billing questions

How do I choose between 98925, 98926, and 98927?

Count the distinct body regions treated: 98925 covers one or two, 98926 covers three or four, and 98927 covers five or six.

Do I count each technique or each side as a separate region?

No. Count distinct treated body regions, not the number of manual techniques or sides treated within a region.

Can an E/M service be reported on the same date?

A significant, separately identifiable E/M service may be reported with modifier 25. The documentation should distinguish that evaluation and management work from the OMT service.

Should modifier 50 be appended when both sides are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code; treatment on both sides does not make it a bilateral service.

What documentation supports reporting 98926?

Record the somatic dysfunction findings and identify the three or four distinct regions actually treated.

What is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care.

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 98926PPRRVU2026_Oct_nonQPP.csv, line 12,938 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet