CPT® Code 98928 is used to report osteopathic manipulative treatment (OMT) involving 7–8 body regions performed by a physician or qualified healthcare professional. OMT is a hands-on therapy designed to diagnose, treat, and prevent musculoskeletal and somatic dysfunction, improving mobility, function, and overall wellness.
This code represents the manual treatment performed, not any evaluation, imaging, or other procedures provided during the encounter.
Key Facts About CPT® 98928
- Service type: Osteopathic manipulative treatment
- Provider type: Osteopathic physicians (DOs) or qualified healthcare professionals
- Medical services included: Yes—manual treatment for musculoskeletal or somatic dysfunction
- Body regions treated: 7–8
- Common clinical indications:
- Low back, neck, or joint pain
- Postural or spinal dysfunction
- Rehabilitation after musculoskeletal injury
- Chronic musculoskeletal conditions requiring multi-region treatment
When to Use CPT® 98928
CPT 98928 is appropriate when:
- Osteopathic manipulative treatment is provided to 7–8 body regions
- The procedure is medically necessary for musculoskeletal dysfunction
- Techniques may include soft tissue, muscle energy, high-velocity thrust, or myofascial release
- The service is not reported under a lower body region OMT code (e.g., 98925–98927) or higher (98929)
Examples:
- Performing OMT for a patient with generalized joint stiffness affecting the back, neck, shoulders, and extremities
- Managing chronic musculoskeletal pain across multiple body regions
- Post-injury rehabilitation requiring multi-region manipulative therapy
Documentation Requirements
To support CPT 98928 billing, documentation should include:
- Patient identifiers and date of service
- Body regions treated (clearly list all 7–8 regions)
- Type of OMT techniques used
- Clinical indication and medical necessity
- Patient response and any complications
- Provider credentials and signature
Thorough documentation ensures compliance, supports reimbursement, and facilitates continuity of care.
Reimbursement and Coding Considerations
- CPT 98928 is typically covered when medically necessary
- Payment is based on the number of body regions treated
- Lower body region OMT codes (98925–98927) should be used for fewer regions, and 98929 for 9–10 regions
- Documentation must justify the number of regions treated
- Modifier use may be required if multiple OMT sessions occur on the same day
Always verify payer-specific guidelines for osteopathic manipulative treatment reimbursement.
How OptiMantra Supports OMT Services
OptiMantra’s integrated EMR and practice management system simplifies documentation and billing for CPT 98928:
With OptiMantra, providers can:
- Record body regions treated and techniques used in structured templates
- Track patient response and clinical outcomes
- Link OMT sessions to care plans for musculoskeletal dysfunction
- Generate compliant, audit-ready billing codes
- Maintain longitudinal records for repeat or follow-up OMT sessions
By centralizing OMT documentation and billing, OptiMantra helps practices improve efficiency, ensure compliance, and optimize reimbursement.
Try OptiMantra for free here!
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