CPT code 96912: PUVA therapy, psoralen plus UVA2026 Medicare rate & RVUs in Pennsylvania
Reports a PUVA treatment session pairing psoralen photosensitization with controlled UVA exposure for selected inflammatory or pigmentary skin disorders.
Medicare pays $89.24–$101.28 for 96912 in the office in Pennsylvania, from Rest of Pennsylvania to Metropolitan Philadelphia, PA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 96912 covers
PUVA combines a psoralen photosensitizer with ultraviolet A exposure to treat selected skin disorders. Dermatology practices use it for conditions such as psoriasis, vitiligo, and cutaneous T-cell lymphoma when a phototherapy course is prescribed. A trained staff member commonly administers or monitors the photosensitizer and delivers the measured UVA exposure in an outpatient phototherapy setting under physician supervision.
Report 96912 for the PUVA treatment session, rather than for UVB treatment or light exposure without psoralen. The record should identify the treated condition, the psoralen and UVA treatment provided, the exposure or dose information documented by the practice, and the supervising physician. CMS classifies this as an incident-to service: it may be billed only when performed under physician supervision.
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.
Where 96912 pays more and less in Pennsylvania
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Philadelphia, PA | $101.28 | Unavailable |
| Rest of Pennsylvania | $89.24 | Unavailable |
How the 96912 rate is calculated
Each of 96912’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 · 96912
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense2.89
2.89 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
2.9100
Conversion factor
$33.4009
Medicare rate
$97.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 96912
The CMS indicators that decide how 96912 is paid alongside other services.
CMS payment indicators · 96912
PUVA therapy, psoralen plus UVA
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
96912 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 96910PhototherapyTar or petrolatum with UVB
- Choose 96912 for psoralen plus UVA. Choose 96910 for the tar- or petrolatum-based UVB regimen.
- 96900UV light therapyActinotherapy
- 96900 is ultraviolet actinotherapy; 96912 specifically requires a PUVA regimen combining psoralen and UVA.
- 96913PUVA therapySevere dermatoses, intensive schedule
- 96913 describes photochemotherapy for severe dermatoses requiring a more intensive service; 96912 identifies the PUVA treatment regimen.
96912 billing questions
How is 96912 different from 96910?
96912 is the psoralen-plus-UVA regimen. Code 96910 describes a different photochemotherapy approach using tar or petrolatum with UVB.
Can 96912 be reported for UV exposure without psoralen?
No. The treatment must include the psoralen component paired with UVA; UV treatment without psoralen is not PUVA.
What documentation supports 96912?
Document the condition treated, the psoralen and UVA session, the exposure or dose information maintained by the practice, and physician supervision.
May a staff member perform the session?
Yes, when the service is performed under physician supervision. CMS identifies 96912 as an incident-to service and permits billing only under that condition.
Is each treated body area a separate 96912 service?
The code represents the PUVA treatment session, not a separate service for each body area treated.
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
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