CPT® Code 98929 is used to report osteopathic manipulative treatment (OMT) involving 9–10 body regions performed by a physician or qualified healthcare professional. OMT is a hands-on technique used to diagnose, treat, and prevent musculoskeletal and somatic dysfunctions, improving patient function, mobility, and overall wellness.
This code is time-based and represents the manual treatment performed, not any evaluation, imaging, or other procedures provided during the encounter.
Key Facts About CPT® 98929
- 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: 9–10
- Common clinical indications:
- Low back or neck pain
- Joint stiffness or restricted motion
- Postural dysfunction
- Rehabilitation after musculoskeletal injury
- Chronic musculoskeletal conditions
When to Use CPT® 98929
CPT 98929 is appropriate when:
- Osteopathic manipulative treatment is provided to 9–10 body regions
- The procedure is medically necessary for musculoskeletal dysfunction
- Treatment involves hands-on techniques, including soft tissue, muscle energy, high-velocity thrust, or myofascial release
- The service is not reported under a lower body region OMT code (e.g., 98925–98928)
Examples:
- Treating a patient with generalized joint stiffness affecting multiple areas (neck, back, shoulders, hips, and extremities)
- Performing full-body OMT for a patient recovering from musculoskeletal injury
- Managing chronic musculoskeletal pain across multiple body regions
Documentation Requirements
To support CPT 98929 billing, documentation should include:
- Patient identifiers and date of service
- Body regions treated (clearly list all 9–10 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 98929 is typically covered when medically necessary
- Payment is based on the number of body regions treated
- Lower body region OMT codes (98925–98928) should be used for fewer regions
- Documentation must clearly 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 98929:
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
- 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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