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CMS RVU26D · Effective 2026-10-01

98929 Osteopathic manipulation Medicare reimbursement rates in Wisconsin

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 Wisconsin.

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 Wisconsin?

Wisconsin 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

$82.71

1 of 1 localities have a supported rate.

Payment area: Wisconsin

One mapped payment locality.

Facility setting

$57.43

1 of 1 localities have a supported rate.

Payment area: Wisconsin

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.

Find 98929 in your payment locality →

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 Wisconsin, from the same CMS release.

98928

Osteopathic manipulation

Seven to eight regions

$70.53

Both describe osteopathic manipulative treatment; select 98929 for nine or ten treated regions and 98928 for seven or eight.

98927

Osteopathic manipulation

Five to six regions

$58.25

Use 98927 when five or six regions receive treatment, rather than the nine- or ten-region scope reported with 98929.

98942

Chiropractic adjustment

Spinal, five regions

$48.78

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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 98929 in Wisconsin.

PPRRVU2026_Oct_nonQPP.csv

12,941

Code
98929
Physician work
1.42
Practice expense
1.08
Malpractice
0.07

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office / nonfacility calculation for 98929 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0001.4200
Practice expense1.08× 0.9581.0346
Malpractice0.07× 0.3080.0216
Total RVUs2.4762
Conversion factor× 33.4009

Office / nonfacility rate, Wisconsin$82.71

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.421
Practice expense1.080.958
Malpractice0.070.308

(1.42 × 1 + 1.08 × 0.958 + 0.07 × 0.308) × $33.4009 = $82.71

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.421
Practice expense0.290.958
Malpractice0.070.308

(1.42 × 1 + 0.29 × 0.958 + 0.07 × 0.308) × $33.4009 = $57.43

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.

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.

RVUs for 98929PPRRVU2026_Oct_nonQPP.csv, line 12,941 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)