CPT® Code 98927 is used to report osteopathic manipulative treatment (OMT) involving five to six body regions. OMT is a hands-on, physician-directed treatment performed by a Doctor of Osteopathic Medicine (DO) to diagnose, treat, and prevent illness or injury by addressing somatic dysfunction.
This service focuses on improving physiologic function and supporting homeostasis through manual techniques such as soft tissue, myofascial release, muscle energy, counterstrain, and high-velocity low-amplitude (HVLA). OMT is commonly used to manage musculoskeletal pain, improve mobility, and support whole-person care.
CPT 98927 represents the treatment service itself. Evaluation and management (E/M) services may be billed separately when medically necessary and properly documented.
Key Facts About CPT® 98927
- Service type: Osteopathic manipulative treatment
- Provider type: Doctors of Osteopathic Medicine (DOs)
- Medical services included: OMT involving 5–6 body regions
- Body regions counted:
- Head
- Cervical
- Thoracic
- Lumbar
- Sacral
- Pelvic
- Upper extremities
- Lower extremities
- Rib cage
- Abdomen
- Common clinical indications:
- Musculoskeletal pain or dysfunction
- Postural imbalance or restricted mobility
- Chronic pain conditions
- Functional or biomechanical complaints
When to Use CPT® 98927
CPT 98927 is appropriate when:
- OMT is performed on five to six distinct body regions
- Somatic dysfunction is identified and treated
- Treatment is medically necessary and documented
- The service is performed by a qualified DO
Examples:
- Treating cervical, thoracic, lumbar, sacral, and pelvic dysfunction in a patient with chronic back pain
- Addressing rib cage, thoracic, lumbar, upper extremity, and cervical restrictions following injury
- Managing multi-region musculoskeletal complaints with manual therapy
Documentation Requirements
To properly support CPT 98927 billing, documentation should include:
- Patient identifiers and date of service
- Identified somatic dysfunctions by body region
- Specific OMT techniques used
- Number of body regions treated (5–6)
- Patient response to treatment and follow-up plan
If an E/M service is provided on the same date, documentation must clearly distinguish evaluation from treatment, and medical necessity must be clearly supported.
Reimbursement and Coding Considerations
- CPT 98927 is generally reimbursed by Medicare and commercial payers when medical necessity is established
- Diagnosis codes must support somatic dysfunction in each treated region
An E/M service may be billed separately with an appropriate modifier when applicable - Payer-specific documentation and frequency limits may apply
- Always verify individual payer policies for OMT services
How OptiMantra Supports Osteopathic and Manual Medicine Practices
OptiMantra’s all-in-one EMR and practice management system is designed to support osteopathic, integrative, and multidisciplinary practices delivering CPT 98927 services.
With OptiMantra, providers can:
- Document somatic dysfunctions by body region using structured templates
- Track OMT treatments and patient outcomes over time
- Separate E/M and OMT services clearly for compliant billing
- Generate clean, audit-ready claims
- Integrate OMT into comprehensive, whole-person care plans
By centralizing clinical documentation, treatment tracking, and billing, OptiMantra helps osteopathic practices deliver effective manual medicine while maintaining compliance and efficiency.
Try OptiMantra for free here!
.png)
