AMA CPT® Assistant - 2018 Issue 8 (August)
Osteopathic Manipulative Treatment Revisited (98925-98929) (August 2018)
August 2018 page 9 Osteopathic Manipulative Treatment Revisited (98925-98929) Clarification and examples of the work required to perform osteopathic manipulative treatment (OMT) and the appropriate codes to report these services constitute one of the most commonly asked coding questions. This article addresses these issues. Osteopathic Manipulative Treatment 98925Osteopathic manipulative treatment (OMT); 1-2 body regions involved 989263-4 body regions involved 989275-6 body regions involved 989287-8 body regions involved 989299-10 body regions involved OMT Services OMT is defined as a form of manual treatment applied by a physician or other qualified health care professional (QHP) to eliminate or alleviate somatic dysfunction...
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Article Overview
This August 2018 CPT Assistant article explains the coding topic of osteopathic manipulative treatment (OMT) and how reporting is organized within the CPT code set. It is intended for coders, billers, clinicians, and compliance staff who need a clearer understanding of the documentation and reporting considerations surrounding OMT and related same-day evaluation and management services. The article covers the work associated with the service, the role of body regions in code selection, and general reporting guidance, with illustrative examples.
Why This Topic Matters
OMT reporting can be misunderstood because the service is not selected by time or by the number of individual structures treated. This article helps readers understand the broader reporting framework so they can better assess whether OMT documentation and billing are aligned.
Article Sections
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Osteopathic Manipulative Treatment
Introduces the article’s subject and places OMT within the broader CPT reporting context. It provides a general overview of the services discussed in the article.
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OMT Services
Defines the service at a high level and discusses who may report it. It also addresses general credentialing and licensure considerations.
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Preservice and Postservice Work in OMT
Summarizes the types of work associated with the service before and after the procedure. It distinguishes these activities from separately reportable same-day services.
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Coding Tip
Highlights a general reporting point involving same-day evaluation and management services. It presents broad guidance related to modifier use without detailing selection criteria.
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Reporting OMT Codes
Explains the general structure used to report OMT within CPT and discusses how body regions factor into code reporting. It includes illustrative examples and clarifies common areas of confusion.
What You Will Learn
- How OMT is framed within CPT reporting
- What types of work are associated with the service before and after treatment
- How body regions are used as the basis for reporting
- How same-day evaluation and management services are discussed in relation to OMT
- Why OMT reporting may differ from other procedure reporting approaches
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Other qualified health care professionals
- Compliance and revenue cycle staff
Codes Discussed
Modifiers Discussed
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