$76.11–$90.76
Both describe osteopathic manipulative treatment; select 98929 for nine or ten treated regions and 98928 for seven or eight.
On this page
CMS RVU26D · Effective 2026-10-01
98929 Osteopathic manipulation Medicare reimbursement rates in California
Reports physician-performed osteopathic manipulative treatment when hands-on treatment addresses nine or ten documented body regions during the encounter. Compare 98929 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 98929 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$89.02–$105.92
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $16.90 per service.
Facility setting
$60.10–$67.87
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $7.77 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 98929 pays more and less in California
29 payment localities
$89.02 to $105.92
Osteopathic manipulative treatment
About 98929: Osteopathic manipulation, nine to ten regions
Reports physician-performed osteopathic manipulative treatment when hands-on treatment addresses nine or ten documented body regions during the encounter.
An osteopathic physician reports this service when performing hands-on manipulative treatment in nine or ten body regions. The regions are head, cervical, thoracic, lumbar, sacral, pelvic, upper extremity, lower extremity, rib, and abdomen. Treatment may use manual approaches such as soft-tissue techniques or muscle energy, and is commonly performed in an office or outpatient setting. Count regions actually treated, not the number of techniques used or regions merely examined.
Choose this level based on the total number of treated regions; document the specific regions and the treatment performed in each. The service has a 0-day global period, so related same-day preoperative and postoperative care is included. 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 98929
- 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 RVU1.42 · 55%
- Practice expense (office) RVU1.08 · 42%
- Malpractice RVU0.07 · 3%
92.9K
Medicare services in 2024 · #584 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.
98929 compared with similar codes
Office rates for California, from the same CMS release.
$63.02–$75.42
Use 98927 when five or six regions receive treatment, rather than the nine- or ten-region scope reported with 98929.
$51.88–$61.04
98942 describes chiropractic manipulation of five spinal regions. It is a different service, not a lower region-count level of osteopathic treatment.
Compare 98929 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $89.29 | Facility $60.37 |
| Chico | Office $89.02 | Facility $60.10 |
| El Centro | Office $89.04 | Facility $60.12 |
| Fresno | Office $89.02 | Facility $60.10 |
| Hanford-Corcoran | Office $89.02 | Facility $60.10 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $93.60 | Facility $62.39 |
| Madera | Office $89.02 | Facility $60.10 |
| Merced | Office $89.02 | Facility $60.10 |
| Modesto | Office $89.02 | Facility $60.10 |
| Napa | Office $99.15 | Facility $64.37 |
| Oxnard-Thousand Oaks-Ventura | Office $92.85 | Facility $61.66 |
| Redding | Office $89.02 | Facility $60.10 |
| Rest Of California | Office $89.02 | Facility $60.10 |
| Riverside-San Bernardino-Ontario | Office $89.81 | Facility $60.89 |
| Sacramento-Roseville-Folsom | Office $92.34 | Facility $61.66 |
| Salinas | Office $91.96 | Facility $61.38 |
| San Diego-Chula Vista-Carlsbad | Office $93.26 | Facility $61.70 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $103.87 | Facility $66.67 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $103.79 | Facility $66.59 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $105.92 | Facility $67.87 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $105.59 | Facility $67.54 |
| San Luis Obispo-Paso Robles | Office $90.58 | Facility $60.52 |
| Santa Cruz-Watsonville | Office $93.51 | Facility $61.45 |
| Santa Maria-Santa Barbara | Office $92.07 | Facility $61.30 |
| Santa Rosa-Petaluma | Office $94.40 | Facility $62.00 |
| Stockton | Office $89.02 | Facility $60.10 |
| Vallejo | Office $99.03 | Facility $64.26 |
| Visalia | Office $89.02 | Facility $60.10 |
| Yuba City | Office $89.02 | Facility $60.10 |
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98929 billing questions
How do I choose 98929 instead of 98928?
Use 98929 when treatment covers nine or ten body regions. Use 98928 when seven or eight regions are treated.
Do I count regions examined or treated?
Count the body regions receiving manipulative treatment, not regions that were only evaluated. Documentation should identify the treated regions and the treatment performed.
Can modifier 50 be used when both sides are treated?
No. Bilateral adjustment does not make modifier 50 appropriate for this code.
Is same-day related preoperative or postoperative care separately reported?
The 0-day global period includes same-day preoperative and postoperative care related to the service.
Can an assistant, co-surgeon, or surgical team be paid?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery billing are not permitted.
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.
12,93898926,,Osteopath manj 3-4 regions,A,,0.69,0.65,,0.16,,0.04,1.38,0.89,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,93998927,,Osteopath manj 5-6 regions,A,,0.94,0.82,,0.20,,0.06,1.82,1.20,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,94098928,,Osteopath manj 7-8 regions,A,,1.18,0.95,,0.25,,0.07,2.20,1.50,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,94198929,,Osteopath manj 9-10 regions,A,,1.42,1.08,,0.29,,0.07,2.57,1.78,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,94298940,,Chiropract manj 1-2 regions,A,,0.45,0.34,,0.09,,0.01,0.80,0.55,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,94398941,,Chiropract manj 3-4 regions,A,,0.69,0.45,,0.14,,0.01,1.15,0.84,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,94498942,,Chiropractic manj 5 regions,A,,0.94,0.54,,0.19,,0.01,1.49,1.14,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00