$43.47
Use 98925 when one or two body regions are treated. Use 98926 when three or four are treated.
On this page
CMS RVU26D · Effective 2026-10-01
98925 Osteopathic manipulation Medicare reimbursement rates in Oklahoma
Osteopathic manipulative treatment for somatic dysfunction in one or two body regions, selected by the regions treated rather than the number of techniques used. Compare 98925 office and facility rates across CMS payment localities in Oklahoma.
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 98925 in Oklahoma?
Oklahoma 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
$30.42
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$19.09
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 98925: Osteopathic manipulation, one or two regions
Osteopathic manipulative treatment for somatic dysfunction in one or two body regions, selected by the regions treated rather than the number of techniques used.
98925 represents osteopathic manipulative treatment directed to somatic dysfunction in one or two of the seven body regions: head, cervical, thoracic, lumbar, sacral, pelvic, or extremity. An osteopathic physician typically performs hands-on techniques such as muscle energy or myofascial release in an office or outpatient setting. Select the code based on the distinct regions treated, not the number of techniques or findings within a region. Document the treated regions and clinical findings supporting the manipulation.
CMS assigns a minor-procedure 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-surgeon and team-surgery billing are not permitted. A separately identifiable E/M service may be reported when its work is distinct from the manipulation and is documented accordingly.
CMS billing rules for 98925
- 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 RVU0.45 · 46%
- Practice expense (office) RVU0.49 · 51%
- Malpractice RVU0.03 · 3%
44.3K
Medicare services in 2024 · #827 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.
98925 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$57.41
98927 covers osteopathic manipulation of five or six body regions; 98925 covers one or two.
$25.43
98940 describes chiropractic manipulative treatment for one or two spinal regions. Choose according to the service performed, not simply the body-region count.
Compare 98925 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
Oklahoma →
Office / nonfacility
$30.42
Facility
$19.09
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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 98925 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
12,937
- Code
- 98925
- Physician work
- 0.45
- Practice expense
- 0.49
- Malpractice
- 0.03
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.45 | × 1.000 | 0.4500 |
| Practice expense | 0.49 | × 0.893 | 0.4376 |
| Malpractice | 0.03 | × 0.777 | 0.0233 |
| Total RVUs | 0.9109 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$30.42
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.45 | 1 |
| Practice expense | 0.49 | 0.893 |
| Malpractice | 0.03 | 0.777 |
(0.45 × 1 + 0.49 × 0.893 + 0.03 × 0.777) × $33.4009 = $30.42
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.45 | 1 |
| Practice expense | 0.11 | 0.893 |
| Malpractice | 0.03 | 0.777 |
(0.45 × 1 + 0.11 × 0.893 + 0.03 × 0.777) × $33.4009 = $19.09
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.
98925 billing questions
How is 98925 distinguished from 98926?
Count the distinct body regions treated. Report 98925 for one or two regions; 98926 is for three or four.
Does the number of techniques or findings change the region count?
No. Select the code by the number of distinct body regions treated, not by the number of techniques or individual findings in a region.
Can an E/M service be reported on the same date?
A separately identifiable E/M service may be reported when it involves distinct work beyond the manipulation. Document that work and use modifier 25 when appropriate.
Should modifier 50 be used when both sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code; report the treated regions without modifier 50.
What documentation supports 98925?
Document the somatic dysfunction findings, the one or two regions treated, and the manipulation performed.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the service under the 0-day global period.
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.
12,93498014,,Synch audio-only est mod 30,I,+,1.75,1.00,,0.38,,0.11,2.86,2.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,93598015,,Synch audio-only est high 40,I,+,2.60,1.40,,0.57,,0.16,4.16,3.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,93698016,,Brief comunicaj tech-bsd svc,A,,0.30,0.20,,0.07,,0.02,0.52,0.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193