$57.25
Use 98927 when manipulation treats five or six body regions. Use 98928 when it treats seven or eight.
On this page
CMS RVU26D · Effective 2026-10-01
98928 Osteopathic manipulation Medicare reimbursement rates in Iowa
Reports physician-performed osteopathic manipulation when manual treatment addresses somatic dysfunction in seven or eight distinct body regions during the encounter. Compare 98928 office and facility rates across CMS payment localities in Iowa.
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 98928 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$69.38
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$47.98
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
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.
Osteopathic manipulative treatment
About 98928: Osteopathic manipulation, seven to eight regions
Reports physician-performed osteopathic manipulation when manual treatment addresses somatic dysfunction in seven or eight distinct body regions during the encounter.
This service represents osteopathic manipulative treatment directed at somatic dysfunction in seven or eight body regions. A physician, commonly a doctor of osteopathic medicine, uses hands-on techniques to treat the affected regions. The regions counted are the head, cervical, thoracic, lumbar, sacral, pelvic, lower-extremity, upper-extremity, and rib-cage areas. Treatment may occur in an office or facility setting.
Select this level based on the distinct regions actually treated, not simply the regions examined or noted as dysfunctional. The record should identify the treated regions and support that manipulation was performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for bilateral adjustment. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 98928
- 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 RVU1.18 · 54%
- Practice expense (office) RVU0.95 · 43%
- Malpractice RVU0.07 · 3%
84K
Medicare services in 2024 · #614 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.
98928 compared with similar codes
Office rates for Iowa, from the same CMS release.
$81.36
Use 98929 for manipulation of nine or ten body regions; 98928 covers seven or eight.
$36.93
98941 is a chiropractic manipulative treatment code for three or four spinal regions. This code represents osteopathic manipulative treatment counted by body regions.
Compare 98928 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.
1 of 1 payment localities
Iowa →
Office / nonfacility
$69.38
Facility
$47.98
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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 98928 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
12,940
- Code
- 98928
- Physician work
- 1.18
- Practice expense
- 0.95
- Malpractice
- 0.07
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.18 | × 1.000 | 1.1800 |
| Practice expense | 0.95 | × 0.915 | 0.8692 |
| Malpractice | 0.07 | × 0.397 | 0.0278 |
| Total RVUs | 2.0770 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$69.38
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.18 | 1 |
| Practice expense | 0.95 | 0.915 |
| Malpractice | 0.07 | 0.397 |
(1.18 × 1 + 0.95 × 0.915 + 0.07 × 0.397) × $33.4009 = $69.38
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.18 | 1 |
| Practice expense | 0.25 | 0.915 |
| Malpractice | 0.07 | 0.397 |
(1.18 × 1 + 0.25 × 0.915 + 0.07 × 0.397) × $33.4009 = $47.98
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.
98928 billing questions
How do I choose this code instead of 98927 or 98929?
Count the distinct body regions that received osteopathic manipulation. Use 98928 for seven or eight treated regions; 98927 represents five or six, and 98929 represents nine or ten.
Do regions that were only examined count toward the level?
No. The level is based on regions treated with manipulation, so documentation should distinguish those regions from areas that were only evaluated.
Can I append modifier 50 for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What is included in the 0-day global period?
Same-day preoperative and postoperative care is included in the service under CMS's 0-day global-period rule.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment is limited to cases with documented medical necessity. Co-surgeons and team surgery are not permitted under the CMS rules supplied for this code.
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.
12,93798925,,Osteopath manj 1-2 regions,A,,0.45,0.49,,0.11,,0.03,0.97,0.59,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,93898926,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136