CPT® Code 98925 is used to report osteopathic manipulative treatment (OMT) delivered to 1–2 body regions during a single patient encounter. OMT involves hands-on techniques performed by a physician or qualified healthcare professional to diagnose, treat, and prevent somatic dysfunction. These techniques may include stretching, gentle pressure, resistance, or other manual interventions aimed at improving joint mobility, reducing pain, and supporting the body’s natural function.
This code reflects the therapeutic service itself; any evaluation, counseling, or additional procedures are documented and billed separately as appropriate.
Key facts about CPT Code 98925
Service type: Osteopathic manipulative treatment (OMT)
Provider type: Osteopathic physicians (DOs) or other qualified professionals trained in OMT
Medical services included: Yes—hands-on manipulative treatment for 1–2 body regions
Body regions: Commonly include cervical, thoracic, lumbar, sacral, pelvic, upper extremities, or lower extremities
Typical clinical indications:
- Musculoskeletal pain (neck, back, joint)
- Headaches or tension-related disorders
- Postural imbalances or scoliosis
- Recovery after injury or surgery
- Chronic somatic dysfunction or mobility limitations
When to use CPT Code 98925
CPT 98925 is appropriate when:
- The provider performs OMT on 1–2 distinct body regions during a single session
- The service is medically necessary to address somatic dysfunction, pain, or mobility issues
- The provider documents the regions treated and the techniques used
- Multiple sessions may be required depending on the patient’s condition and response to therapy
Example: Treating a patient with acute lumbar strain and associated sacral dysfunction in one session would be reported with 98925.
For additional body regions treated in the same encounter, CPT 98926 (3–4 regions) or 98927 (5 regions) would be used accordingly.
Documentation requirements
To properly support CPT 98925 billing, documentation should include:
- Patient identifiers and date of service
- Body regions treated (1–2 regions)
- Specific manipulative techniques applied
- Clinical indication for OMT
- Response to treatment and follow-up recommendations
- Any relevant coexisting conditions or complications addressed
Accurate and detailed documentation ensures proper reimbursement, compliance, and continuity of care.
Reimbursement and coding considerations
CPT 98925 is covered by most commercial insurers and Medicare when medically necessary. Key considerations:
- Report one code per session based on number of body regions treated
- Documentation must clearly justify medical necessity and region count
- Modifiers may be required if services are delivered in multiple sessions or combined with other procedures
- Ensure OMT is billed separately from E/M or other therapeutic services
Always check payer-specific rules and frequency limitations.
How OptiMantra supports osteopathic manipulative treatment
OptiMantra’s integrated EMR and practice management system streamlines OMT documentation and billing, ensuring compliance and proper reimbursement for CPT 98925.
With OptiMantra, providers can:
- Document body regions and techniques directly in the patient chart
- Use templates designed for hands-on therapeutic services
- Track treatment sessions, patient progress, and response over time
- Generate clean, audit-ready billing codes for each OMT session
- Integrate OMT documentation with broader care plans, including E/M visits or other therapies
By centralizing OMT charting and billing workflows, OptiMantra allows osteopathic and integrative practices to provide comprehensive care while maintaining accurate records and maximizing reimbursement.
Try OptiMantra for free here!
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