CPT code 96910: Phototherapy, tar or petrolatum with UVB2026 Medicare rate & RVUs in Fresno, CA

Report this service for a dermatologic treatment session combining ultraviolet B exposure with topical tar or petrolatum as the treatment regimen.

CMS RVU26DEffective Oct 1, 2026One payment locality278.6K Medicare services in 2024

In Fresno, CA, Medicare pays $125.56 for 96910 in the office.

$125.56Office (non-facility)
Not available in this settingHospital or facility
+9.3%vs the national office rate ($114.90)

Check a contract rate as a % of Medicare · 96910 nationwide

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

We’ll open 96910 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fresno, CA
  2. What 96910 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 96910 covers

This service combines ultraviolet B (UVB) exposure with topical tar or petrolatum as part of a dermatologic treatment regimen. It is commonly provided in dermatology practices for conditions such as psoriasis, with the topical agent used alongside the light treatment. The session is generally carried out by dermatology staff as a physician-supervised service.

Report 96910 when the documented treatment uses tar and UVB or petrolatum and UVB; UVB exposure alone or a psoralen-and-UVA regimen represents a different service. Documentation should identify the topical agent and the UVB treatment provided for the session. CMS classifies this as an incident-to service: it is billed only when performed under physician supervision. The CMS physician fee schedule assigns no work RVUs to the service, with practice expense and malpractice RVUs supporting its payment.

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 Fresno, CA compares for 96910

Across 109 of 109 payment localities, the office rate for 96910 runs from $98.47 in Arkansas to $165.08 in San Benito County, CA. Fresno, CA pays $125.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

96910 in Fresno, CA vs other payment areas
  1. Fresno, CA · this page$125.56
  2. Bakersfield, CA · California$125.60+$0.04
  3. Chico, CA · California$125.56
  4. El Centro, CA · California$125.56
  5. Hanford, CA · California$125.56
  6. Los Angeles, CA · California$135.58+$10.02
  7. Madera, CA · California$125.56

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

96910 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$125.56—
Modesto, CACalifornia$125.56—
Napa, CACalifornia$150.90—
Oxnard, CACalifornia$135.44—
Redding, CACalifornia$125.56—
Rest of CaliforniaCalifornia$125.56—
Riverside, CACalifornia$125.77—
Sacramento, CACalifornia$133.21—

96910 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$98.47

$145.32

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
96910 office rate range by state
State / territoryOffice rate rangeLocalities
AK$122.021
AL$100.331
AR$98.471
AZ$111.261
CA$125.56–$165.0829
CO$122.061
CT$123.841
DC$135.311
DE$113.461
FL$110.21–$120.603
GA$102.69–$116.862
GU$130.271
HI$130.271
IA$104.791
ID$105.411
IL$105.34–$118.504
IN$106.221
KS$103.601
KY$102.161
LA$101.73–$108.252
MA$120.82–$136.992
MD$116.22–$135.313
ME$105.51–$113.622
MI$105.05–$111.362
MN$117.741
MO$99.12–$109.423
MS$98.851
MT$114.901
NC$107.001
ND$114.501
NE$105.691
NH$119.501
NJ$125.47–$133.222
NM$105.551
NV$114.901
NY$108.99–$137.065
OH$104.971
OK$102.531
OR$114.24–$127.412
PA$105.50–$119.712
PR$116.151
RI$118.601
SC$106.121
SD$114.461
TN$104.191
TX$104.57–$121.458
UT$107.981
VA$112.76–$135.312
VI$116.151
VT$113.431
WA$120.79–$140.712
WI$109.641
WV$100.221
WY$114.731

See 96910 in every payment locality

How the 96910 rate is calculated

Each of 96910’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.

How the rate is built · 96910

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense3.42

3.42 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

3.4400

Conversion factor

$33.4009

Medicare rate

$114.90

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Fresno, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,827

Code
96910
Physician work
0.00
Practice expense
3.42
Malpractice
0.02

GPCI2026.csv

11

Locality
Fresno, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 96910 in Fresno, CA
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0170.0000
Practice expense3.42× 1.0963.7483
Malpractice0.02× 0.5360.0107
Total RVUs3.7590
Conversion factor× 33.4009

Office rate, Fresno, CA$125.56

Office: (0 × 1.017 + 3.42 × 1.096 + 0.02 × 0.536) × $33.4009 = $125.56

Open 96910 in the RVU calculator

Payment rules and modifiers for 96910

The CMS indicators that decide how 96910 is paid alongside other services.

CMS payment indicators · 96910

Phototherapy, tar or petrolatum with UVB

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

How 96910 has changed in Fresno, CA

96910 · Office / nonfacility

$125.56

Effective 2026-10-01

The base rate is $1.81 higher than on 2025-10-01, moving from $123.75 to $125.56 (1.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $123.75changed to$125.56

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 3.49 changed to 3.42
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $129.17changed to$123.75

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.54 changed to 3.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $127.06changed to$129.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $128.73changed to$127.06

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.51 changed to 3.54
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $128.67changed to$128.73

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.48 changed to 3.51
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $129.74changed to$128.67

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $126.31changed to$129.74

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.26 changed to 3.48
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $125.04changed to$126.31

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.22 changed to 3.26
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $123.74changed to$125.04

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.19 changed to 3.22

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $77.67changed to$123.74

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.00 changed to 3.19
    • Malpractice RVU 0.01 changed to 0.02
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$77.67

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$125.56Not available in this settingRVU26D
2026-07-01$125.56Not available in this settingRVU26C
2026-04-01$125.56Not available in this settingRVU26B
2026-01-01$125.56Not available in this settingRVU26A
2025-10-01$123.75Not available in this settingRVU25D
2025-07-01$123.75Not available in this settingRVU25C
2025-04-01$123.75Not available in this settingRVU25B
2025-01-01$123.75Not available in this settingRVU25A
2024-10-01$129.17Not available in this settingRVU24D
2024-07-01$129.17Not available in this settingRVU24C
2024-04-01$129.17Not available in this settingRVU24B
2024-03-09$129.17Not available in this settingRVU24AR
2024-01-01$127.06Not available in this settingRVU24A
2023-10-01$128.73Not available in this settingRVU23D
2023-07-01$128.73Not available in this settingRVU23C
2023-04-01$128.73Not available in this settingRVU23B
2023-01-01$128.73Not available in this settingRVU23A
2022-10-01$128.67Not available in this settingRVU22D
2022-07-01$128.67Not available in this settingRVU22C
2022-04-01$128.67Not available in this settingRVU22B
2022-01-01$128.67Not available in this settingRVU22A
2021-10-01$129.74Not available in this settingRVU21D
2021-07-01$129.74Not available in this settingRVU21C
2021-04-01$129.74Not available in this settingRVU21B
2021-01-01$129.74Not available in this settingRVU21A
2020-10-01$126.31Not available in this settingRVU20D
2020-07-01$126.31Not available in this settingRVU20C
2020-04-01$126.31Not available in this settingRVU20B
2020-01-01$126.31Not available in this settingRVU20A
2019-10-01$125.04Not available in this settingRVU19D
2019-07-01$125.04Not available in this settingRVU19C
2019-04-01$125.04Not available in this settingRVU19B
2019-01-01$125.04Not available in this settingRVU19A
2018-10-01$123.74Not available in this settingRVU18D
2018-07-01$123.74Not available in this settingRVU18C
2018-04-01$123.74Not available in this settingRVU18B
2018-01-01$123.74Not available in this settingRVU18AR1
2017-10-01$77.67Not available in this settingRVU17D
2017-07-01$77.67Not available in this settingRVU17C
2017-04-01$77.67Not available in this settingRVU17B
2017-01-01$77.67Not available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 96910 for an earlier date of service

Where the Fresno, CA rate applies

Fresno, CA is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Fresno
  • Auberry
  • Big Creek
  • Biola
  • Bowles
  • Calwa
  • Cantua Creek
  • Caruthers

Browse all communities in California

96910 billing questions

When should 96910 be chosen instead of 96900?

Use 96910 for a regimen combining UVB with topical tar or petrolatum. Code 96900 describes UV light treatment without that combination.

How does 96910 differ from PUVA treatment?

Code 96910 involves tar or petrolatum with UVB. Code 96912 is for photochemotherapy using psoralens with UVA.

What documentation supports reporting 96910?

Document the topical agent used and the UVB treatment delivered during the session. The record should support that the treatment was performed under physician supervision.

Can this service be billed when performed by clinic staff?

Yes, when it is performed under physician supervision.

Is 96910 reported for each topical application or for the treatment session?

The service represents the combined treatment session, not a separate report for each topical application.

How does 96910 differ from 96913?

Code 96910 identifies the tar-or-petrolatum and UVB regimen. Code 96913 is for photochemotherapy used to treat severe dermatoses.

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

Show the CMS file lines behind this rate
RVUs for 96910PPRRVU2026_Oct_nonQPP.csv, line 12,827 (RVU26D)
Geographic factors for Fresno, CAGPCI2026.csv, line 11 (RVU26D)

Open CMS sourceHow we calculate rates

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