Major Osteopathic Manipulation CPT Codes List

Osteopathic manipulation CPT codes are necessary for the medical billing and coding of osteopathic manipulation services that are provided to patients. Correct use of osteopathic manipulative therapy CPT codes ensures that a medical practice gets paid for the services that they have provided to the patient.

What are osteopathic manipulation CPT codes?

Here are the most common CPT codes for osteopathic manipulations:

Before moving towards the CPT codes for osteopathic manipulations, let us first explain what osteopathic manipulation is?

What is Osteopathic Medicine?

We can describe osteopathic medicine as a patient-focused approach when it comes to health care. This field of medicine considers every aspect of the patient’s health, be it be physical, mental, personal, or spiritual. Osteopathic physicians time known as DOs (doctors of osteopathy) understand that the human body is not just a sum of its parts; it is more than that. This is why DOs help the patients with their innate capacity to heal. In order to get results, they tend to address the interrelationship between the human body’s muscles, nerves, bones, and organs. For billing services, osteopathic manipulation CPT codes are utilized.

Let’s now move to the CPT code for osteopathic manipulations.

Osteopathic Manipulation CPT Codes

When it comes to osteopathic manipulation CPT, we can observe that these codes are divided by body regions. The range of codes starts from 98925 for 1-2 body regions and moves to 98929 for 9-10 body regions. The body regions that are referred to in these codes include:

• Head region
• Cervical region
• Thoracic region
• Lunar region
• Sacral region
• Pelvic region
• Lower extremities region
• Rib cage region
• Abdomen region
• Viscera region

Here are the most common osteopathic manipulation CPT codes used for billing osteopathic manipulation services.

• The Osteopathic Manipulation CPT Code 98925 covers the osteopathic manipulative treatment of 1 or 2 body regions.
• The Osteopathic Manipulation CPT Code 98926 covers the osteopathic manipulative treatment of 3 or 4 body regions.
• The Osteopathic Manipulation CPT Code 98927 covers the osteopathic manipulative treatment of 5 or 6 body regions.
• The Osteopathic Manipulation CPT Code 98928 covers the osteopathic manipulative treatment of 7 or 8 body regions.
• The Osteopathic Manipulation CPT Code 98929 overs the osteopathic manipulative treatment of 9 or 10 body regions.

Osteopathic medicine practitioner knows that every individual uniquely expresses his or her feeling regarding health and disease. This is why they always go with a different approach. They do understand that even if the person has no disease, that does not necessarily imply that the person is healthy. In addition, DO’s are trained to recognize the body’s structural changes that contribute to altered functions and cause some sort of disease or disorder. In order to keep individuals healthy, DOs provide osteopathic manipulative therapy, also called OMT.

What is Osteopathic Manipulative Therapy(OMT)?

DOs are not only trained in treating disorders with medicine or surgery. They are also trained to provide osteopathic manipulative treatment. We can define osteopathic manipulative therapy as a therapeutic application that uses manual techniques in order to treat and address the changes occurring in the structure of the body in order to improve physiologic function. These techniques are used to move a patient’s joints and muscles, and for such services, the osteopathic manipulation of a joint CPT code is used. Following are the techniques used by DOs:

• Forceful manipulation
• Gentle pressure
• High-pressure
• Resistance
• Stretching
• Palpation
• Rapid

All osteopathic medicine practitioners learn osteopathic manipulative therapy. This is because this therapy is a hands-on technique that is taught in medical schools. Numerous osteopathic medicine practitioners use this therapy alongside other treatments, including medication, surgery, and lifestyle changes.

Who Can Benefit from Osteopathic Manipulative Therapy?

Osteopathic Manipulative Therapy is such a therapy that can literally benefit anyone. This may include a newborn, a toddler, or even adults and seniors as well can benefit from this therapy.

What Does Osteopathic Manipulative Therapy (OMT) Treat?

The main objective of the osteopathic manipulative treatment (OMT) is to treat muscles and joints. It targets these areas in order to increase mobility, promote healing or relieve pain. In addition to that, when applied to joints, muscles, or other tissues, this manipulation therapy helps that body quickly and easily attain a sound state of health. Other than that, OMT can also help to provide relief for the following disorders:

Also, using OMT on muscles, joints, and other tissues allows the body to achieve a state of health more quickly and easily. Although OMT is used to treat muscle pain, it can also provide relief for:

• Carpal tunnel syndrome
• Sinus disorders
• Migraines
• Asthma

One can use this therapy in order to get relief from a wide range of clinical conditions as well. It has been observed that OMT also relieves various other health problems, including:

Irritable bowel syndrome

• Ear and sinus disorders
• Menstrual pain
• Low back pain

There is no age limit for getting this therapy; a person of all ages and any condition can get benefit from OMT. the incredible thing about this therapy is that doctors can adapt it to fit the individual needs of the patients. In order to treat arthritis or osteoporosis, the doctor may provide a gentler form of OMT.

What are the advantages of osteopathic manipulation treatment (OMT)?

There are numerous advantages of Osteopathic manipulative treatments. This is because this therapy treats various conditions that may affect various systems of the body. This includes the following:

• Musculoskeletal system
• Digestive system
• Nervous system
• Immune system

With the help of this therapy, the DOs realign the body and restore the balance of muscles and bones. This allows the whole body of the person to work better. Other than that, DOs can use OMT to:

• Address structural problems in muscles, joints, and tissues.
• Improve the working of the body as a unit
• Help the body to heal itself
• Prevent health problems
• Improve range of motion
• Soothe tight muscles
• Relieve joint stiffness
• Improve circulation

When a practice provides this type of service to the patients, they have to take care of Osteopathic Manipulation CPT Codes in order to have successful medical billing. Let’s now see what CPT codes are.

What Are CPT Codes?

Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies, and accreditation organizations. CPT codes are used in conjunction with ICD-9-CM or ICD-10-CM numerical diagnostic coding during the electronic medical billing process.

CPT is a registered trademark of the American Medical Association, and it has three types of codes:

• Category 1
• Category 2
• Category 3

Category 1: Procedures and contemporary medical practices

This category covers procedures and other contemporary medical practices that a practice widely performs. The category includes the five-digit numeric codes that identify a service or procedure or service that Food and Drug Administration (FDA) approves. It is further broken into six sections, including:

• Evaluation and management
• Pathology and laboratory
• Anesthesiology
• Radiology
• Medicine
• Surgery

Category 2: Clinical Laboratory Services

The second category of CPT code includes supplementary tracking codes that are used for measuring performance as well as to collect information regarding the quality of care provided. It should be noted that it is not necessary to use this type of medical code set.

Category 3: Emerging technologies, services, and procedures

The 3rd category of CPT code includes temporary codes that cover emerging services, procedures, and technologies. These CPT codes identify services that are not common among healthcare professionals. The central objective of this category is to assist researchers in tracking emerging technologies and services.

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Frequently Asked Questions (FAQs)

Here are some of the most common questions that are asked frequently when it comes to osteopathic manipulation CPT codes:

What is coding and billing in osteopathic manipulation?

Whenever a physician examines a patient for osteopathic manipulative treatment (OMT), they must

• Perform an examination
• Identify the patient’s problems
• Perform osteopathic manipulation therapy
• As soon as a practice provides these services, they bill their patients using osteopathic manipulation, CPT billing, and coding.

What do osteopathic manipulation practitioners do?

The osteopathic manipulation practitioners are called  Doctors of osteopathy (DOs) who provide Osteopathic Manipulation Treatment (OMT), which is basically a hands-on approach to deal with musculoskeletal diseases and disorders. So, we can say that osteopathic manipulation practitioners use osteopathic manipulation treatment to correct the structural imbalances in an individual’s body, relieve pain as well as improve circulation.

What are some of the most common osteopathic manipulation CPT codes errors?

The most common CPT codes errors occur when one fails to use the correct modifiers or fails to distinguish different codes for different body regions. In addition to that, some osteopathic physicians are also not reimbursed properly by insurance companies after providing services to their patients because of common mistakes and errors. These errors include bundling of osteopathic manipulative treatment with the standard evaluation and management service. The other error occurs when one combines osteopathic manipulative treatment with chiropractic manipulative or physical therapy services.

Touseef Riaz

A couple of years ago, I executed the effective plan of creating a Medical billing and Coding company named U Control Billing. The company aims to bring revolutionary advancements to foster medical billing and coding revenues. As an official member of HIA-LI and MGMA, I feel honored in providing networking opportunities, problem-solving, and improving the revenue management cycle.