Physical, occupational & speech therapy

98940 - RVUs & Medicare payment (2026)

Chiropractic manipulation, 1-2 spinal regions.

Component	Non-facility	Facility
Work RVU	0.45	0.45
Practice expense RVU	0.34	0.09
Malpractice RVU	0.01	0.01
Total RVUs	0.80	0.55
National payment (CF $33.4009)	$26.72	$18.37
Qualifying APM payment (CF $33.5675)	$26.85	$18.46

How 98940 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 98940 ranges from $24.96 in Arkansas (AR) to $34.82 in Alaska (AK); calculate 98940 for your locality.

Alaska (AK) $34.82 San Jose-Sunnyvale-Santa Clara (CA) $33.24 San Jose-Sunnyvale-Santa Clara (CA) $33.19 San Francisco-Oakland-Berkeley (CA) $32.62 San Francisco-Oakland-Berkeley (CA) $32.61 Napa (CA) $31.11 Vallejo (CA) $31.10 NYC Suburbs/Long Island (NY) $30.12 National average $26.72 … 97 more localities between … Alabama (AL) $25.16 Rest Of Missouri (MO) $25.14 Mississippi (MS) $25.06 Arkansas (AR) $24.96

Non-facility payment for 98940 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: 000

Same-day global period: related visits on the day of the procedure are included in the payment.

Related codes - physical, occupational & speech therapy

97161 · physical therapy evaluation, low complexity
97162 · physical therapy evaluation, moderate complexity
97163 · physical therapy evaluation, high complexity
97164 · physical therapy re-evaluation
97165 · occupational therapy evaluation, low complexity
97166 · occupational therapy evaluation, moderate complexity
97167 · occupational therapy evaluation, high complexity
97110 · therapeutic exercise, each 15 minutes
97112 · neuromuscular re-education, each 15 minutes
97116 · gait training, each 15 minutes
97140 · manual therapy, each 15 minutes
97530 · therapeutic activities, each 15 minutes
97535 · self-care and home management training, each 15 minutes
92507 · speech, language, voice treatment, individual
92523 · evaluation of speech sound production and language
92526 · treatment of swallowing or oral feeding function
98941 · chiropractic manipulation, 3-4 spinal regions
98942 · chiropractic manipulation, 5 spinal regions
97810 · acupuncture without electrical stimulation, initial 15 minutes
97811 · acupuncture without electrical stimulation, each additional 15 minutes
97813 · acupuncture with electrical stimulation, initial 15 minutes
97814 · acupuncture with electrical stimulation, each additional 15 minutes

Frequently asked questions

How much does Medicare pay for 98940 in 2026?

The national non-facility payment is $26.72 and the facility payment is $18.37, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 98940?

The 2026 work RVU for 98940 is 0.45. Total RVUs are 0.80 in the non-facility setting and 0.55 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.