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98928 Osteopath manj 7-8 regions

What 98928 is

CMS fee schedule short descriptor: Osteopath manj 7-8 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 98928 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.180.950.072.20$73.48
Facility (hospital, ASC)1.180.250.071.50$50.10

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).

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Medically Unlikely Edit (MUE)

Medicare caps 98928 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 98928? These codes are bundled into it

98928 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 codeShort descriptionModifier indicator
00640Anes spine manipulation0 - no modifier bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
64461Pvb thoracic single inj site0 - no modifier bypassCheck pair
64462Pvb thoracic 2nd+ inj site0 - no modifier bypassCheck pair
64463Pvb thoracic cont infusion0 - no modifier bypassCheck pair
64466Thrc fascial pln blk uni njx0 - no modifier bypassCheck pair
64467Thrc fascial pln blk uni nfs0 - no modifier bypassCheck pair
64468Thrc fascial pln blk bi njx1 - modifier may bypassCheck pair
64469Thrc fascial pln blk bi nfs1 - modifier may bypassCheck pair
64473Lwr xtr fscl pln blk uni njx1 - modifier may bypassCheck pair
64474Lwr xtr fscl pln blk uni nfs1 - modifier may bypassCheck pair
64486Tap block unil by injection0 - no modifier bypassCheck pair
64487Tap block uni by infusion0 - no modifier bypassCheck pair
64488Tap block bi injection0 - no modifier bypassCheck pair
64489Tap block bi by infusion0 - no modifier bypassCheck pair
92012Intrm oph exam est patient1 - modifier may bypassCheck pair
92014Compre oph exam est pt 1/>1 - modifier may bypassCheck pair
96361Hydrate iv infusion add-on1 - modifier may bypassCheck pair
96366Ther/proph/diag iv inf addon1 - modifier may bypassCheck pair
96367Tx/proph/dg addl seq iv inf1 - modifier may bypassCheck pair
96368Ther/diag concurrent inf1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair
97140Manual therapy 1/> regions0 - no modifier bypassCheck pair
98925Osteopath manj 1-2 regions0 - no modifier bypassCheck pair
98926Osteopath manj 3-4 regions0 - no modifier bypassCheck pair
98927Osteopath manj 5-6 regions0 - no modifier bypassCheck pair
99202Office o/p new sf 15 min1 - modifier may bypassCheck pair
99203Office o/p new low 30 min1 - modifier may bypassCheck pair
99204Office o/p new mod 45 min1 - modifier may bypassCheck pair

Showing 30 of 131 column 2 codes. Use the pair checker for any specific combination.

98928 is bundled into these codes

98928 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, 98928 is the code that denies.

Column 1 codeShort descriptionModifier indicator
21073Mnpj of tmj w/anesth1Check pair
22505Manipulation of spine0Check pair
98929Osteopath manj 9-10 regions0Check pair
98940Chiropract manj 1-2 regions0Check pair
98941Chiropract manj 3-4 regions0Check pair
98942Chiropractic manj 5 regions0Check 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.