Summary & Overview

CPT 98928: Manual Pressure Therapy in Seven to Eight Body Regions

CPT code 98928 denotes a manual therapy service in which the provider applies controlled manual pressure to seven to eight body regions to treat somatic and nonsomatic disorders. This code captures an extended hands-on treatment modality distinct from single-region manual therapies and is relevant for clinicians who deliver regional therapeutic pressure as part of musculoskeletal and functional care. Nationally, the code matters for proper coding of advanced manual therapy services, accurate claims submission, and appropriate clinical documentation.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines typical coverage considerations and payer-specific utilization patterns where available. Readers will find benchmarks for service definition and use, a clinical context explaining when this level of manual therapy is reported, and an overview of coding interactions that affect claims processing.

The report also covers practical elements: how the service is described in clinical documentation, expected sites of service (primarily outpatient clinics and ambulatory therapy settings), and common modifiers seen with this service. If payer-specific policy or utilization details are absent in the source, the document notes that data were not available in the input. The focus is national in scope and intended for billing staff, clinicians, and policy analysts seeking a concise reference for CPT code 98928.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare98928CPTmanual therapyphysical medicineoutpatientsomatic disordersprocedure codingtherapy services

Billing Code Overview

CPT code 98928 describes a clinician-performed service that applies controlled manual pressure across seven to eight body regions to treat somatic and nonsomatic disorders. The service is manual therapy involving extensive regional pressure, intended to address musculoskeletal and related functional complaints through hands-on techniques.

Service type: Manual therapy / therapeutic manual pressure
Typical site of service: Outpatient clinic or office setting where manual therapy is delivered; may also be provided in ambulatory rehabilitation or similar outpatient therapy locations

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A 42-year-old patient presents to an outpatient physical medicine and rehabilitation clinic with a 3-month history of chronic myofascial pain affecting the neck, upper back, shoulders, lower back, and hips following a motor vehicle collision. The provider evaluates pain history, performs a focused musculoskeletal exam, documents multiple painful somatic regions, and determines that manual therapeutic intervention is clinically appropriate. During a scheduled 30–45 minute treatment visit, the clinician applies controlled manual pressure (deep tissue sustained pressure and ischemic compression) across seven to eight distinct body regions (for example: cervical paraspinals, bilateral trapezius, thoracic paraspinals, lumbar paraspinals, bilateral gluteal/hip regions) to address somatic and nonsomatic pain generators. The clinical workflow includes review of prior imaging and notes, targeted neuromuscular assessment, patient consent for manual therapy, performance of the controlled manual pressure procedure, reassessment of pain and range of motion, and documentation of units or duration and regions treated. Typical sites of service are outpatient clinics, physician offices, ambulatory surgery centers for pre/post procedures, and physical/occupational therapy suites when performed by appropriately credentialed providers.

Coding Specifications

Modifier	Description	When to Use
`25`	Significant, separately identifiable evaluation and management (E/M) service by the same physician on the same day of procedure	Use when an E/M visit is performed and documented in addition to the manual pressure service on the same day.

Taxonomy Code	Specialty	Notes
2084P0800X	Physical Medicine & Rehabilitation	Commonly provides manual therapeutic interventions for myofascial and somatic pain.
231H00000X	Pain Medicine	Performs manual pressure techniques as part of multimodal pain management.
207L00000X	Physical Therapist	Performs manual therapy in outpatient and rehab settings when licensed and billable per payer.
261QM1800X	Osteopathic Manipulative Medicine	Uses manual techniques for somatic dysfunction; may perform similar procedures.

CPT Code	Description	Relationship to This Procedure
`98928`	The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.	Primary procedure code describing the manual pressure intervention across seven to eight regions.
`97140`	Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes	Often performed before or after as hands-on manual therapy focused on joint and soft-tissue mobilization; may be billed by therapists where allowed.
`97110`	Therapeutic exercises to develop strength and endurance, range of motion and flexibility, each 15 minutes	Frequently provided in the same visit as manual pressure as part of a rehabilitation plan of care.
`97112`	Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception, each 15 minutes	May be performed in conjunction with manual pressure to address neuromuscular impairments.
`99070`	Supplies and materials provided by the physician over and above those usually included with the office visit	Use when additional supplies are furnished during a manual therapy session and payer allows separate billing.

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