How To Use CPT Code 98929

CPT 98929 describes the osteopathic manipulative treatment (OMT) procedure involving nine to ten body regions. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 98929?

CPT 98929 is used to describe a specific type of osteopathic manipulative treatment (OMT) procedure. This procedure involves the provider applying controlled manual pressure to nine to ten body regions to treat somatic and nonsomatic disorders. By manipulating the movement of muscles and joints in the body, the provider helps relax the muscles, improve mobility, and alleviate pain. This code specifically represents the OMT procedure performed on nine to ten body regions.

2. Official Description

The official description of CPT code 98929 is: ‘Osteopathic manipulative treatment (OMT); nine to ten body regions involved.’

3. Procedure

1. The provider performs controlled manual pressure on nine to ten body regions.
2. The pressure is applied in a specific manner over the affected area or the areas surrounding it.
3. The regions involved in the procedure include the abdomen, chest, head, neck, hip, spine, and extremities.
4. The pressure helps the muscles and joints relax, retain their normal mobility, and alleviate pain.
5. This procedure is used to treat somatic and nonsomatic disorders.

4. Qualifying circumstances

CPT 98929 is used for patients who require osteopathic manipulative treatment (OMT) involving nine to ten body regions. The procedure is suitable for individuals with somatic and nonsomatic disorders, such as muscle and joint-related issues, asthma, migraines, carpal tunnel syndrome, sinus disorders, menstrual discomfort, influenza, and other similar conditions. The provider must apply manual pressure to nine to ten body regions to qualify for this code.

5. When to use CPT code 98929

CPT code 98929 should be used when the provider performs osteopathic manipulative treatment (OMT) on nine to ten body regions. This code is appropriate for patients with somatic and nonsomatic disorders who require treatment involving multiple regions. If the procedure involves a different number of body regions, other specific codes should be used (98925 for one to two regions, 98926 for three to four regions, 98927 for five to six regions, and 98928 for seven to eight regions).

6. Documentation requirements

To support a claim for CPT 98929, the provider must document the following information:

• Patient’s diagnosis and the need for osteopathic manipulative treatment (OMT)
• Specific body regions involved in the procedure (nine to ten regions)
• Date and duration of the procedure
• Details of the manual pressure applied and techniques used
• Progress made by the patient and any additional sessions scheduled
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 98929, ensure that the provider performs the osteopathic manipulative treatment (OMT) on nine to ten body regions. It is important to follow payer policies regarding reporting a significant, separately identifiable evaluation and management (E/M) service performed on the same date with modifier 25 appended to the E/M code. Additionally, there are specific codes for OMT involving different numbers of body regions, so it is crucial to use the appropriate code based on the regions involved.

8. Historical information

CPT 98929 was added to the Current Procedural Terminology system on January 1, 1994. The code underwent a change on January 1, 2009, with the description being updated to specify nine to ten body regions involved in the procedure.

9. Examples

1. A provider performing osteopathic manipulative treatment (OMT) on nine to ten body regions to alleviate chronic back pain in a patient.
2. A provider applying manual pressure to multiple body regions to treat a patient with carpal tunnel syndrome.
3. A provider using osteopathic manipulative treatment (OMT) on nine to ten body regions to address a patient’s sinus disorder.
4. A provider performing the procedure on multiple body regions to alleviate migraines in a patient.
5. A provider applying controlled manual pressure to nine to ten body regions to treat a patient with menstrual discomfort.
6. A provider using osteopathic manipulative treatment (OMT) on multiple body regions to address asthma symptoms in a patient.
7. A provider performing the procedure on nine to ten body regions to alleviate pain and improve mobility in a patient with hip issues.
8. A provider applying manual pressure to multiple body regions to treat a patient with influenza symptoms.
9. A provider using osteopathic manipulative treatment (OMT) on nine to ten body regions to address a patient’s neck and shoulder pain.
10. A provider performing the procedure on multiple body regions to alleviate discomfort in a patient with arthritis.