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CPT code 96913: PUVA therapy, severe dermatoses, intensive schedule2026 Medicare rate & RVUs in Manhattan, NY

Report this code for psoralen-UVA photochemotherapy prescribed for severe dermatoses on an intensive schedule of at least four to five treatments weekly for six to eight weeks.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Manhattan, NY, Medicare pays $171.59 for 96913 in the office.

$171.59Office (non-facility)
Not available in this settingHospital or facility
+16.5%vs the national office rate ($147.30)

Check a contract rate as a % of Medicare · 96913 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 96913 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Manhattan, NY
  2. What 96913 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 96913 covers

This service is PUVA photochemotherapy: psoralen is administered as part of treatment, followed by controlled exposure to ultraviolet A light. Dermatologists commonly use it for severe dermatoses, including severe psoriasis, when the treatment plan calls for an intensive course. The service is provided in a dermatology or phototherapy setting by the treating clinician or trained staff operating under the required supervision.

Select this code when the documented PUVA plan meets the intensive schedule specified for severe dermatoses: at least four to five treatments per week for six to eight weeks. The record should support the diagnosis, use of psoralen and UVA, and prescribed treatment frequency and course. The code distinguishes this intensive regimen from the PUVA service reported with 96912. CMS identifies it as an incident-to service; when billed incident-to, it must be 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.

How Manhattan, NY compares for 96913

Across 109 of 109 payment localities, the office rate for 96913 runs from $126.18 in Arkansas to $211.50 in San Benito County, CA. Manhattan, NY pays $171.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

96913 in Manhattan, NY vs other payment areas
  1. Manhattan, NY · this page$171.59
  2. NYC suburbs and Long Island, NY · New York$175.81+$4.22
  3. Poughkeepsie and northern NYC suburbs, NY · New York$161.41−$10.18
  4. Queens, NY · New York$174.37+$2.78
  5. Rest of New York · New York$139.69−$31.90
  6. Los Angeles, CA · California$173.73+$2.14
  7. Washington, DC area · District of Columbia$173.45+$1.86

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

Every other payment area

96913 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$154.83—
Chicago, ILIllinois$149.33—
AlaskaAlaska$156.36—
AlabamaAlabama$128.58—
ArkansasArkansas$126.18—
ArizonaArizona$142.62—
Bakersfield, CACalifornia$160.95—
Chico, CACalifornia$160.88—

96913 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$126.18

$186.19

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

View every state and territory as a table
96913 office rate range by state
State / territoryOffice rate rangeLocalities
AK$156.361
AL$128.581
AR$126.181
AZ$142.621
CA$160.88–$211.5029
CO$156.441
CT$158.771
DC$173.451
DE$145.441
FL$141.36–$154.833
GA$131.69–$149.842
GU$166.921
HI$166.921
IA$134.261
ID$135.071
IL$135.13–$152.024
IN$136.101
KS$132.761
KY$130.971
LA$130.43–$138.802
MA$154.85–$175.572
MD$148.97–$173.453
ME$135.22–$145.612
MI$134.70–$142.872
MN$150.841
MO$127.08–$140.283
MS$126.701
MT$147.301
NC$137.131
ND$146.701
NE$135.411
NH$153.171
NJ$160.85–$170.772
NM$135.361
NV$147.281
NY$139.69–$175.815
OH$134.581
OK$131.421
OR$146.42–$163.282
PA$135.25–$153.492
PR$148.891
RI$152.021
SC$136.031
SD$146.631
TN$133.521
TX$134.06–$155.678
UT$138.421
VA$144.52–$173.452
VI$148.891
VT$145.341
WA$154.81–$180.322
WI$140.461
WV$128.571
WY$147.041

See 96913 in every payment locality

How the 96913 rate is calculated

Each of 96913’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 · 96913

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense4.38

4.38 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

4.4100

Conversion factor

$33.4009

Medicare rate

$147.30

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

The exact Manhattan, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,829

Code
96913
Physician work
0.00
Practice expense
4.38
Malpractice
0.03

GPCI2026.csv

78

Locality
Manhattan, NY
Physician work
1.064
Practice expense
1.162
Malpractice
1.586
Office calculation for 96913 in Manhattan, NY
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0640.0000
Practice expense4.38× 1.1625.0896
Malpractice0.03× 1.5860.0476
Total RVUs5.1371
Conversion factor× 33.4009

Office rate, Manhattan, NY$171.59

Office: (0 × 1.064 + 4.38 × 1.162 + 0.03 × 1.586) × $33.4009 = $171.59

Open 96913 in the RVU calculator

Payment rules and modifiers for 96913

The CMS indicators that decide how 96913 is paid alongside other services.

CMS payment indicators · 96913

PUVA therapy, severe dermatoses, intensive schedule

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.

Codes related to 96913

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

Codes related to 96913
CodeHow it relatesOffice range, Manhattan, NY
Used instead
96912PUVA therapy, psoralen plus UVAPUVA photochemotherapy for situations not meeting the intensive severe-dermatosis schedule.$113.23
96910Phototherapy, tar or petrolatum with UVBPhotochemotherapy using tar or petrolatum with UVB rather than psoralen and UVA.$133.80
96900UV light therapy, actinotherapyUltraviolet light treatment without the PUVA photochemotherapy described here.$27.70
96920Excimer laser, under 250 sq cmExcimer laser treatment for limited-area psoriasis rather than PUVA photochemotherapy.$158.21

How 96913 has changed in Manhattan, NY

96913 · Office / nonfacility

$171.59

Effective 2026-10-01

The base rate is $0.64 higher than on 2025-10-01, moving from $170.95 to $171.59 (0.4%).

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

    $170.95changed to$171.59

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 4.49 changed to 4.38
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.166 changed to 1.162
    • Malpractice GPCI 1.656 changed to 1.586

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $178.64changed to$170.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.56 changed to 4.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $175.73changed to$178.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $183.40changed to$175.73

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.54 changed to 4.56
    • Malpractice RVU 0.02 changed to 0.03
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.184 changed to 1.166
    • Malpractice GPCI 1.843 changed to 1.656

  5. January 1, 2023

    RVU23A

    $187.91changed to$183.40

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.48 changed to 4.54
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.203 changed to 1.184
    • Malpractice GPCI 2.031 changed to 1.843

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $186.95changed to$187.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.42 changed to 4.48

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $175.11changed to$186.95

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.04 changed to 4.42
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.192 changed to 1.203
    • Malpractice GPCI 1.823 changed to 2.031

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $166.59changed to$175.11

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.89 changed to 4.04
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.180 changed to 1.192
    • Malpractice GPCI 1.615 changed to 1.823

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $161.04changed to$166.59

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.75 changed to 3.89
    • Malpractice RVU 0.03 changed to 0.02

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $154.76changed to$161.04

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.63 changed to 3.75
    • Practice expense GPCI 1.174 changed to 1.180
    • Malpractice GPCI 1.690 changed to 1.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $154.95changed to$154.76

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.66 changed to 3.63
    • Practice expense GPCI 1.168 changed to 1.174
    • Malpractice GPCI 1.764 changed to 1.690

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $152.78changed to$154.95

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.61 changed to 3.66
    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $152.02changed to$152.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $147.03changed to$152.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.51 changed to 3.61
    • Malpractice RVU 0.01 changed to 0.02
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.165 changed to 1.168
    • Malpractice GPCI 1.518 changed to 1.764

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $159.76changed to$147.03

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.03 changed to 3.51
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.162 changed to 1.165
    • Malpractice GPCI 1.271 changed to 1.518

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $159.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$171.59Not available in this settingRVU26D
2026-07-01$171.59Not available in this settingRVU26C
2026-04-01$171.59Not available in this settingRVU26B
2026-01-01$171.59Not available in this settingRVU26A
2025-10-01$170.95Not available in this settingRVU25D
2025-07-01$170.95Not available in this settingRVU25C
2025-04-01$170.95Not available in this settingRVU25B
2025-01-01$170.95Not available in this settingRVU25A
2024-10-01$178.64Not available in this settingRVU24D
2024-07-01$178.64Not available in this settingRVU24C
2024-04-01$178.64Not available in this settingRVU24B
2024-03-09$178.64Not available in this settingRVU24AR
2024-01-01$175.73Not available in this settingRVU24A
2023-10-01$183.40Not available in this settingRVU23D
2023-07-01$183.40Not available in this settingRVU23C
2023-04-01$183.40Not available in this settingRVU23B
2023-01-01$183.40Not available in this settingRVU23A
2022-10-01$187.91Not available in this settingRVU22D
2022-07-01$187.91Not available in this settingRVU22C
2022-04-01$187.91Not available in this settingRVU22B
2022-01-01$187.91Not available in this settingRVU22A
2021-10-01$186.95Not available in this settingRVU21D
2021-07-01$186.95Not available in this settingRVU21C
2021-04-01$186.95Not available in this settingRVU21B
2021-01-01$186.95Not available in this settingRVU21A
2020-10-01$175.11Not available in this settingRVU20D
2020-07-01$175.11Not available in this settingRVU20C
2020-04-01$175.11Not available in this settingRVU20B
2020-01-01$175.11Not available in this settingRVU20A
2019-10-01$166.59Not available in this settingRVU19D
2019-07-01$166.59Not available in this settingRVU19C
2019-04-01$166.59Not available in this settingRVU19B
2019-01-01$166.59Not available in this settingRVU19A
2018-10-01$161.04Not available in this settingRVU18D
2018-07-01$161.04Not available in this settingRVU18C
2018-04-01$161.04Not available in this settingRVU18B
2018-01-01$161.04Not available in this settingRVU18AR1
2017-10-01$154.76Not available in this settingRVU17D
2017-07-01$154.76Not available in this settingRVU17C
2017-04-01$154.76Not available in this settingRVU17B
2017-01-01$154.76Not available in this settingRVU17A
2016-10-01$154.95Not available in this settingRVU16D
2016-07-01$154.95Not available in this settingRVU16C
2016-04-01$154.95Not available in this settingRVU16B
2016-01-01$154.95Not available in this settingRVU16A
2015-10-01$152.78Not available in this settingRVU15D
2015-07-01$152.78Not available in this settingRVU15C
2015-04-01$152.02Not available in this settingRVU15B
2015-01-01$152.02Not available in this settingRVU15A
2014-10-01$147.03Not available in this settingRVU14D
2014-07-01$147.03Not available in this settingRVU14C
2014-04-01$147.03Not available in this settingRVU14B
2014-01-01$147.03Not available in this settingRVU14A
2013-10-01$159.76Not available in this settingRVU13D
2013-07-01$159.76Not available in this settingRVU13C
2013-04-01$159.76Not available in this settingRVU13B
2013-01-01$159.76Not available in this settingRVU13AR

Price 96913 for an earlier date of service

Where the Manhattan, NY rate applies

Manhattan, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

96913 billing questions

When should 96913 be chosen instead of 96912?

Use 96913 for PUVA treatment of severe dermatoses when the prescribed course requires at least four to five treatments weekly for six to eight weeks. Use 96912 for PUVA when that intensive schedule is not documented.

Does this service include both psoralen and UVA treatment?

Yes. The photochemotherapy service includes psoralen administration and UVA exposure; document both as part of the treatment.

What documentation supports reporting 96913?

Document the severe dermatosis, the PUVA treatment, and the prescribed frequency and course supporting the intensive schedule.

Can staff provide the service for incident-to billing?

CMS permits incident-to billing only when the service is performed under physician supervision.

Is 96913 appropriate for UVB treatment?

No. This code describes psoralen-UVA photochemotherapy. Tar or petrolatum with UVB is described by 96910.

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 96913PPRRVU2026_Oct_nonQPP.csv, line 12,829 (RVU26D)
Geographic factors for Manhattan, NYGPCI2026.csv, line 78 (RVU26D)

Open CMS sourceHow we calculate rates

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