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See a sample rate comparisonCPT 98925 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) One To Two Bodyregions Involved Osteopathic Manipulative Treatment (Omt) One To Two Body
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Osteopathic Manipulative Treatment Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | GP - Services delivered under an outpatient physical therapy plan of care 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $32.40 national non-facility rate (2026) · View Medicare rates for 98925 |
| Medicaid Fee Schedule | $26.225 median of the 8 states in the free preview · View Medicaid rates for 98925 |
National average reimbursement for CPT 98925 by major payers:
$31.62
$39.18
$35.84
$223.15
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CPT 98925
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$185.21Published rateSonam Verma
$58.59Published rateSacred Heart Health System Inc, Sacred Heart Home Care
Sacred Heart Health System Inc
$48.27Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$38.91Published rateLaron Phillips
Brightside Medical
$26.70Published rate
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See a sample payer proposalCPT 98925 vs. Other Osteopathic Manipulative Treatment Procedures Codes
The CPT 98925 code is part of the Medicine Services and Procedures services used for Osteopathic Manipulative Treatment Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 98925 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 98925-CPT | Low | Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) One To Two Bodyregions Involved Osteopathic Manipulative Treatment (Omt) One To Two Body |
| 98926-CPT | Low | Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) Three Tofour Bodyregions Involved Osteopathic Manipulati Ve Treatment (Omt) Three To Four Body |
| 98927-CPT | Low | Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) Five To Six Bodyregions Involved Osteopathic Manipulativetreatment (Omt) Five To Six Body |
| 98928-CPT | Low | Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) Seven Toeightbody Regions Involved Osteopathic Manipulat Ive Treatment (Omt) Seven To Eight |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98925. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98925 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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