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

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 Wisconsin, Medicare pays $169.12 for 96922 in the office and $72.48 when it’s performed in a hospital or facility.

$169.12Office (non-facility)
$72.48Hospital or facility
−3.9%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 Wisconsin
  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 Wisconsin 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. Wisconsin pays $169.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

96922 in Wisconsin vs other payment areas
  1. Wisconsin · this page$169.12
  2. Los Angeles, CA · California$202.06+$32.94
  3. Washington, DC area · District of Columbia$202.61+$33.49
  4. Miami, FL · Florida$184.19+$15.07
  5. Chicago, IL · Illinois$179.13+$10.01
  6. Manhattan, NY · New York$201.58+$32.46
  7. Alaska · Alaska$202.88+$33.76

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

Every other payment area

96922 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$158.18$69.92
ArkansasArkansas$155.90$69.26
ArizonaArizona$171.54$73.79
Bakersfield, CACalifornia$189.23$78.67
Chico, CACalifornia$189.03$78.48
El Centro, CACalifornia$189.04$78.48
Fresno, CACalifornia$189.03$78.48
Hanford, CACalifornia$189.03$78.48

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 Wisconsin 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

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 96922 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work1.12× 1.0001.1200
Practice expense4.10× 0.9583.9278
Malpractice0.05× 0.3080.0154
Total RVUs5.0632
Conversion factor× 33.4009

Office rate, Wisconsin$169.12

Office: (1.12 × 1 + 4.1 × 0.958 + 0.05 × 0.308) × $33.4009 = $169.12

Facility: (1.12 × 1 + 1.08 × 0.958 + 0.05 × 0.308) × $33.4009 = $72.48

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, Wisconsin
Same family
96920Excimer laser, under 250 sq cmExcimer laser psoriasis treatment for a total treated area under 250 square centimeters.$132.42
96921Excimer laser, 250–500 square centimetersExcimer laser psoriasis treatment for a total treated area of 250 to 500 square centimeters.$142.12
Used instead
96910Phototherapy, tar or petrolatum with UVBPhotochemotherapy using tar and ultraviolet B is a different treatment approach for psoriasis.$109.64
96912PUVA therapy, psoralen plus UVAPUVA photochemotherapy is a different light-treatment approach for psoriasis.$92.68

How 96922 has changed in Wisconsin

96922 · Office / nonfacility

$169.12

Effective 2026-10-01

The base rate is $6.57 lower than on 2025-10-01, moving from $175.69 to $169.12 (3.7%).

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

    $175.69changed to$169.12

    • 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
    • Practice expense GPCI 0.957 changed to 0.958
    • Malpractice GPCI 0.331 changed to 0.308

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $223.17changed to$175.69

    • 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

    $219.53changed to$223.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $226.43changed to$219.53

    • 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
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331

  5. January 1, 2023

    RVU23A

    $228.44changed to$226.43

    • 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
    • Practice expense GPCI 0.942 changed to 0.950
    • Malpractice GPCI 0.296 changed to 0.314

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $233.95changed to$228.44

    • 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

    $237.80changed to$233.95

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.70 changed to 4.86
    • Practice expense GPCI 0.949 changed to 0.942
    • Malpractice GPCI 0.322 changed to 0.296

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $239.16changed to$237.80

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.11 changed to 0.09
    • Practice expense GPCI 0.957 changed to 0.949
    • Malpractice GPCI 0.347 changed to 0.322

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $240.96changed to$239.16

    • 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

    $231.56changed to$240.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.50 changed to 4.76
    • Practice expense GPCI 0.956 changed to 0.957
    • Malpractice GPCI 0.457 changed to 0.347

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $230.95changed to$231.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.49 changed to 4.50
    • Practice expense GPCI 0.955 changed to 0.956
    • Malpractice GPCI 0.566 changed to 0.457

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $231.37changed to$230.95

    • 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

    $230.22changed to$231.37

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $226.79changed to$230.22

    • 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
    • Practice expense GPCI 0.958 changed to 0.955
    • Malpractice GPCI 0.557 changed to 0.566

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $233.96changed to$226.79

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.93 changed to 4.37
    • Practice expense GPCI 0.960 changed to 0.958
    • Malpractice GPCI 0.547 changed to 0.557

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$233.96

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$169.12$72.48RVU26D
2026-07-01$169.12$72.48RVU26C
2026-04-01$169.12$72.48RVU26B
2026-01-01$169.12$72.48RVU26A
2025-10-01$175.69$86.85RVU25D
2025-07-01$175.69$86.85RVU25C
2025-04-01$175.69$86.85RVU25B
2025-01-01$175.69$86.85RVU25A
2024-10-01$223.17$110.40RVU24D
2024-07-01$223.17$110.40RVU24C
2024-04-01$223.17$110.40RVU24B
2024-03-09$223.17$110.40RVU24AR
2024-01-01$219.53$108.60RVU24A
2023-10-01$226.43$111.82RVU23D
2023-07-01$226.43$111.82RVU23C
2023-04-01$226.43$111.82RVU23B
2023-01-01$226.43$111.82RVU23A
2022-10-01$228.44$112.39RVU22D
2022-07-01$228.44$112.39RVU22C
2022-04-01$228.44$112.39RVU22B
2022-01-01$228.44$112.39RVU22A
2021-10-01$233.95$113.32RVU21D
2021-07-01$233.95$113.32RVU21C
2021-04-01$233.95$113.32RVU21B
2021-01-01$233.95$113.32RVU21A
2020-10-01$237.80$118.62RVU20D
2020-07-01$237.80$118.62RVU20C
2020-04-01$237.80$118.62RVU20B
2020-01-01$237.80$118.62RVU20A
2019-10-01$239.16$119.13RVU19D
2019-07-01$239.16$119.13RVU19C
2019-04-01$239.16$119.13RVU19B
2019-01-01$239.16$119.13RVU19A
2018-10-01$240.96$120.04RVU18D
2018-07-01$240.96$120.04RVU18C
2018-04-01$240.96$120.04RVU18B
2018-01-01$240.96$120.04RVU18AR1
2017-10-01$231.56$120.74RVU17D
2017-07-01$231.56$120.74RVU17C
2017-04-01$231.56$120.74RVU17B
2017-01-01$231.56$120.74RVU17A
2016-10-01$230.95$120.50RVU16D
2016-07-01$230.95$120.50RVU16C
2016-04-01$230.95$120.50RVU16B
2016-01-01$230.95$120.50RVU16A
2015-10-01$231.37$120.87RVU15D
2015-07-01$231.37$120.87RVU15C
2015-04-01$230.22$120.27RVU15B
2015-01-01$230.22$120.27RVU15A
2014-10-01$226.79$119.72RVU14D
2014-07-01$226.79$119.72RVU14C
2014-04-01$226.79$119.72RVU14B
2014-01-01$226.79$119.72RVU14A
2013-10-01$233.96$118.34RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 96922 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

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 WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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