CPT code 96574: Lesion debridement, for photodynamic therapy2026 Medicare rate & RVUs in Mississippi

In Mississippi, Medicare pays $234.16 for 96574 in the office.

Check a contract rate as a % of Medicare · 96574 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 96574 covers

This code covers a physician or other qualified health care professional’s debridement of premalignant hyperkeratotic lesions, such as actinic keratoses, to prepare the treated skin for photodynamic therapy. The service removes overlying scale or crust so the light-based treatment can reach the target lesions. It is used when that preparation is performed as part of a photodynamic therapy treatment, not for routine wound cleaning or lesion destruction by another method.

Report the service per day when the documentation identifies the treated area, the premalignant lesions, and the debridement performed to prepare them for photodynamic therapy. When the photodynamic treatment is also performed by a physician or qualified health care professional, 96573 may be reported for that treatment. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Mississippi compares for 96574

Across 109 of 109 payment localities, the office rate for 96574 runs from $233.40 in Arkansas to $372.75 in San Benito County, CA. Mississippi pays $234.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

96574 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 96574 in every payment locality

How the 96574 rate is calculated

Each of 96574’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 96574

The CMS indicators that decide how 96574 is paid alongside other services.

Codes related to 96574

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 96574 has changed in Mississippi

Price 96574 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Aberdeen
• Ackerman
• Agricola
• Alcorn State University
• Algoma
• Alligator
• Amory

Browse all communities in Mississippi

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates