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See a sample rate comparisonCPT 98928 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) Seven Toeightbody Regions Involved Osteopathic Manipulat Ive Treatment (Omt) Seven To Eight
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Osteopathic Manipulative Treatment Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $73.48 national non-facility rate (2026) · View Medicare rates for 98928 |
| Medicaid Fee Schedule | $59.62 median of the 8 states in the free preview · View Medicaid rates for 98928 |
National average reimbursement for CPT 98928 by major payers:
$72.30
$88.21
$77.06
$90.89
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CPT 98928
5 of 25 sample ratesHigher to lower in this preview
Meghan O'Neill
Pediatric Faculty Foundation In
$151.16Published rateCharles Marcuccilli
Pediatric Faculty Foundation In
$134.07Published rateReid Alley
Riverside Health System
$120.38Published rateRajiv Sharma
The Board Of Trustees Of The University Of Illinois
$92.90Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$55.00Published rate
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See a sample payer proposalCPT 98928 vs. Other Osteopathic Manipulative Treatment Procedures Codes
The CPT 98928 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 98928 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 98928. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98928 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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