98927 Osteopath manj 5-6 regions
What 98927 is
CMS fee schedule short descriptor: Osteopath manj 5-6 regions.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 98927 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.94 | 0.82 | 0.06 | 1.82 | $60.79 |
| Facility (hospital, ASC) | 0.94 | 0.20 | 0.06 | 1.20 | $40.08 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).
Medically Unlikely Edit (MUE)
Medicare caps 98927 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 98927? These codes are bundled into it
98927 is a Column 1 code in 131 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
00640 | Anes spine manipulation | 0 - no modifier bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
64461 | Pvb thoracic single inj site | 0 - no modifier bypass | Check pair |
64462 | Pvb thoracic 2nd+ inj site | 0 - no modifier bypass | Check pair |
64463 | Pvb thoracic cont infusion | 0 - no modifier bypass | Check pair |
64466 | Thrc fascial pln blk uni njx | 0 - no modifier bypass | Check pair |
64467 | Thrc fascial pln blk uni nfs | 0 - no modifier bypass | Check pair |
64468 | Thrc fascial pln blk bi njx | 1 - modifier may bypass | Check pair |
64469 | Thrc fascial pln blk bi nfs | 1 - modifier may bypass | Check pair |
64473 | Lwr xtr fscl pln blk uni njx | 1 - modifier may bypass | Check pair |
64474 | Lwr xtr fscl pln blk uni nfs | 1 - modifier may bypass | Check pair |
64486 | Tap block unil by injection | 0 - no modifier bypass | Check pair |
64487 | Tap block uni by infusion | 0 - no modifier bypass | Check pair |
64488 | Tap block bi injection | 0 - no modifier bypass | Check pair |
64489 | Tap block bi by infusion | 0 - no modifier bypass | Check pair |
92012 | Intrm oph exam est patient | 1 - modifier may bypass | Check pair |
92014 | Compre oph exam est pt 1/> | 1 - modifier may bypass | Check pair |
96361 | Hydrate iv infusion add-on | 1 - modifier may bypass | Check pair |
96366 | Ther/proph/diag iv inf addon | 1 - modifier may bypass | Check pair |
96367 | Tx/proph/dg addl seq iv inf | 1 - modifier may bypass | Check pair |
96368 | Ther/diag concurrent inf | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97140 | Manual therapy 1/> regions | 0 - no modifier bypass | Check pair |
98925 | Osteopath manj 1-2 regions | 0 - no modifier bypass | Check pair |
98926 | Osteopath manj 3-4 regions | 0 - no modifier bypass | Check pair |
98942 | Chiropractic manj 5 regions | 0 - no modifier bypass | Check pair |
99202 | Office o/p new sf 15 min | 1 - modifier may bypass | Check pair |
99203 | Office o/p new low 30 min | 1 - modifier may bypass | Check pair |
99204 | Office o/p new mod 45 min | 1 - modifier may bypass | Check pair |
Showing 30 of 131 column 2 codes. Use the pair checker for any specific combination.
98927 is bundled into these codes
98927 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, 98927 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
21073 | Mnpj of tmj w/anesth | 1 | Check pair |
22505 | Manipulation of spine | 0 | Check pair |
98928 | Osteopath manj 7-8 regions | 0 | Check pair |
98929 | Osteopath manj 9-10 regions | 0 | Check pair |
98940 | Chiropract manj 1-2 regions | 0 | Check pair |
98941 | Chiropract manj 3-4 regions | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.