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CPT code 96922: Excimer laser, more than 500 sq cm2026 Medicare rate & RVUs in Galveston, TX

Report this code for excimer laser treatment of psoriasis when the total treated skin area exceeds 500 square centimeters during the session.

CMS RVU26DEffective Oct 1, 2026One payment locality13.3K Medicare services in 2024

In Galveston, TX, Medicare pays $175.08 for 96922 in the office and $74.91 when it’s performed in a hospital or facility.

$175.08Office (non-facility)
$74.91Hospital or facility
−0.5%vs the national office rate ($176.02)

Check a contract rate as a % of Medicare · 96922 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 96922 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Galveston, TX
  2. What 96922 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 96922 covers

A dermatologist uses targeted excimer laser energy to treat psoriasis plaques. This code identifies treatment when the total skin area treated is greater than 500 square centimeters. The service is typically performed in an office setting for patients receiving laser treatment of psoriasis lesions; the treated area, rather than the number of plaques, determines the code tier.

Select the tier from the documented total area treated and retain a record supporting that measurement. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeon and team-surgery billing 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 Galveston, TX compares for 96922

Across 109 of 109 payment localities, the office rate for 96922 runs from $155.90 in Arkansas to $239.89 in San Benito County, CA. Galveston, TX pays $175.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

96922 in Galveston, TX vs other payment areas
  1. Galveston, TX · this page$175.08
  2. Austin, TX · Texas$183.85+$8.77
  3. Beaumont, TX · Texas$163.58−$11.50
  4. Brazoria, TX · Texas$174.72−$0.36
  5. Dallas, TX · Texas$175.57+$0.49
  6. Fort Worth, TX · Texas$174.23−$0.85
  7. Houston, TX · Texas$175.99+$0.91

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

Every other payment area

96922 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$168.88$73.15
Los Angeles, CACalifornia$202.06$82.73
Washington, DC areaDistrict of Columbia$202.61$83.78
Miami, FLFlorida$184.19$79.18
Chicago, ILIllinois$179.13$77.76
Manhattan, NYNew York$201.58$84.37
AlaskaAlaska$202.88$95.45
AlabamaAlabama$158.18$69.92

96922 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.

$155.90

$214.46

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

View every state and territory as a table
96922 office rate range by state
State / territoryOffice rate rangeLocalities
AK$202.881
AL$158.181
AR$155.901
AZ$171.541
CA$189.03–$239.8929
CO$184.871
CT$187.671
DC$202.611
DE$174.401
FL$170.84–$184.193
GA$161.55–$178.662
GU$194.081
HI$194.081
IA$163.381
ID$164.191
IL$165.05–$181.274
IN$165.171
KS$162.051
KY$160.681
LA$160.20–$168.172
MA$183.54–$203.942
MD$177.90–$202.613
ME$164.44–$174.172
MI$164.32–$172.382
MN$178.821
MO$157.08–$169.453
MS$156.551
MT$176.021
NC$166.241
ND$175.031
NE$164.441
NH$181.431
NJ$190.28–$200.402
NM$164.991
NV$175.881
NY$168.68–$205.735
OH$164.121
OK$161.001
OR$174.98–$191.392
PA$164.70–$182.632
PR$177.501
RI$181.071
SC$165.361
SD$174.911
TN$162.791
TX$163.58–$183.858
UT$167.641
VA$173.20–$202.612
VI$177.501
VT$173.831
WA$183.37–$208.672
WI$169.121
WV$158.801
WY$175.591

See 96922 in every payment locality

How the 96922 rate is calculated

Each of 96922’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 · 96922

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.12

1.12 RVUs× 1.000 GPCI

Practice expense4.10

4.10 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

5.2700

Conversion factor

$33.4009

Medicare rate

$176.02

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

The exact Galveston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,832

Code
96922
Physician work
1.12
Practice expense
4.10
Malpractice
0.05

GPCI2026.csv

101

Locality
Galveston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office calculation for 96922 in Galveston, TX
ComponentRVULocality factorAdjusted
Physician work1.12× 1.0081.1290
Practice expense4.10× 0.9934.0713
Malpractice0.05× 0.8280.0414
Total RVUs5.2417
Conversion factor× 33.4009

Office rate, Galveston, TX$175.08

Office: (1.12 × 1.008 + 4.1 × 0.993 + 0.05 × 0.828) × $33.4009 = $175.08

Facility: (1.12 × 1.008 + 1.08 × 0.993 + 0.05 × 0.828) × $33.4009 = $74.91

Open 96922 in the RVU calculator

Payment rules and modifiers for 96922

The CMS indicators that decide how 96922 is paid alongside other services.

CMS payment indicators · 96922

Excimer laser, more than 500 sq cm

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

96922 without 51 · national office

$176.02

Excimer laser, more than 500 sq cm

96922-51 · Second procedure: 50%

$88.01

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 96922

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

Codes related to 96922
CodeHow it relatesOffice range, Galveston, TX
Same family
96920Excimer laser, under 250 sq cmExcimer laser psoriasis treatment for a total treated area under 250 square centimeters.$137.17
96921Excimer laser, 250–500 square centimetersExcimer laser psoriasis treatment for a total treated area of 250 to 500 square centimeters.$147.15
Used instead
96910Phototherapy, tar or petrolatum with UVBPhotochemotherapy using tar and ultraviolet B is a different treatment approach for psoriasis.$113.98
96912PUVA therapy, psoralen plus UVAPUVA photochemotherapy is a different light-treatment approach for psoriasis.$96.41

How 96922 has changed in Galveston, TX

96922 · Office / nonfacility

$175.08

Effective 2026-10-01

The base rate is $8.01 lower than on 2025-10-01, moving from $183.09 to $175.08 (4.4%).

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

    $183.09changed to$175.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.15 changed to 1.12
    • Practice expense RVU 4.46 changed to 4.10
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $232.56changed to$183.09

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 2.10 changed to 1.15
    • Practice expense RVU 4.78 changed to 4.46
    • Malpractice RVU 0.09 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $228.76changed to$232.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $239.61changed to$228.76

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.79 changed to 4.78
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.013 changed to 1.000
    • Malpractice GPCI 0.703 changed to 0.855

  5. January 1, 2023

    RVU23A

    $245.36changed to$239.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.75 changed to 4.79
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.026 changed to 1.013
    • Malpractice GPCI 0.550 changed to 0.703

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $251.34changed to$245.36

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.86 changed to 4.75

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $252.86changed to$251.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.70 changed to 4.86
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.019 changed to 1.026
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $251.77changed to$252.86

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.11 changed to 0.09
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.011 changed to 1.019
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $253.68changed to$251.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.76 changed to 4.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $243.85changed to$253.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.50 changed to 4.76
    • Practice expense GPCI 1.012 changed to 1.011
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $243.23changed to$243.85

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.49 changed to 4.50
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.013 changed to 1.012
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $243.42changed to$243.23

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.09 changed to 0.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $242.21changed to$243.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $236.39changed to$242.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.37 changed to 4.49
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.005 changed to 1.013
    • Malpractice GPCI 0.970 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $241.83changed to$236.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.93 changed to 4.37
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.996 changed to 1.005
    • Malpractice GPCI 0.985 changed to 0.970

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $241.83

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$175.08$74.91RVU26D
2026-07-01$175.08$74.91RVU26C
2026-04-01$175.08$74.91RVU26B
2026-01-01$175.08$74.91RVU26A
2025-10-01$183.09$90.26RVU25D
2025-07-01$183.09$90.26RVU25C
2025-04-01$183.09$90.26RVU25B
2025-01-01$183.09$90.26RVU25A
2024-10-01$232.56$114.72RVU24D
2024-07-01$232.56$114.72RVU24C
2024-04-01$232.56$114.72RVU24B
2024-03-09$232.56$114.72RVU24AR
2024-01-01$228.76$112.85RVU24A
2023-10-01$239.61$117.41RVU23D
2023-07-01$239.61$117.41RVU23C
2023-04-01$239.61$117.41RVU23B
2023-01-01$239.61$117.41RVU23A
2022-10-01$245.36$118.96RVU22D
2022-07-01$245.36$118.96RVU22C
2022-04-01$245.36$118.96RVU22B
2022-01-01$245.36$118.96RVU22A
2021-10-01$251.34$119.95RVU21D
2021-07-01$251.34$119.95RVU21C
2021-04-01$251.34$119.95RVU21B
2021-01-01$251.34$119.95RVU21A
2020-10-01$252.86$124.88RVU20D
2020-07-01$252.86$124.88RVU20C
2020-04-01$252.86$124.88RVU20B
2020-01-01$252.86$124.88RVU20A
2019-10-01$251.77$124.97RVU19D
2019-07-01$251.77$124.97RVU19C
2019-04-01$251.77$124.97RVU19B
2019-01-01$251.77$124.97RVU19A
2018-10-01$253.68$125.93RVU18D
2018-07-01$253.68$125.93RVU18C
2018-04-01$253.68$125.93RVU18B
2018-01-01$253.68$125.93RVU18AR1
2017-10-01$243.85$126.54RVU17D
2017-07-01$243.85$126.54RVU17C
2017-04-01$243.85$126.54RVU17B
2017-01-01$243.85$126.54RVU17A
2016-10-01$243.23$126.08RVU16D
2016-07-01$243.23$126.08RVU16C
2016-04-01$243.23$126.08RVU16B
2016-01-01$243.23$126.08RVU16A
2015-10-01$243.42$126.21RVU15D
2015-07-01$243.42$126.21RVU15C
2015-04-01$242.21$125.58RVU15B
2015-01-01$242.21$125.58RVU15A
2014-10-01$236.39$124.06RVU14D
2014-07-01$236.39$124.06RVU14C
2014-04-01$236.39$124.06RVU14B
2014-01-01$236.39$124.06RVU14A
2013-10-01$241.83$121.88RVU13D
2013-07-01$241.83$121.88RVU13C
2013-04-01$241.83$121.88RVU13B
2013-01-01$241.83$121.88RVU13AR

Price 96922 for an earlier date of service

Where the Galveston, TX rate applies

Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Galveston
  • Bacliff
  • Bayou Vista
  • Bolivar Peninsula
  • Clear Lake Shores
  • Dickinson
  • 96922 in Friendswood · multiple payment areas
  • Hitchcock

Browse all communities in Texas

96922 billing questions

How is 96922 distinguished from 96920 and 96921?

Choose among these codes by the total skin area treated for psoriasis: 96922 is for more than 500 square centimeters. The number of plaques alone does not determine the tier.

What area should the documentation support?

Document the total skin area treated during the session and enough detail to support that measurement. The code tier is based on treated area, not lesion count.

Does modifier 50 apply when treatment covers both sides of the body?

No. CMS identifies bilateral adjustment as inappropriate for this code; report the applicable area tier rather than appending modifier 50.

How are same-session procedures affected by the multiple-procedure rule?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.

Is same-day preoperative or postoperative care separately included?

The 0-day global period includes same-day preoperative and postoperative care.

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 96922PPRRVU2026_Oct_nonQPP.csv, line 12,832 (RVU26D)
Geographic factors for Galveston, TXGPCI2026.csv, line 101 (RVU26D)

Open CMS sourceHow we calculate rates

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