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CMS RVU26D · Effective 2026-10-01

96935 in El Centro

Office / nonfacility

$83.46

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Dermatology imaging

About 96935: Reflectance confocal image acquisition, additional lesion

Reports technical image acquisition by reflectance confocal microscopy for each additional skin lesion after the first lesion in a related service.

This code covers reflectance confocal microscopy image acquisition for an additional skin lesion after the first lesion. The imaging produces views of skin structures for assessment without a tissue sample; a dermatologist or other qualified clinician may perform the acquisition in an office or similar outpatient setting. This code captures acquisition only, not interpretation or a report. For an additional lesion where acquisition and interpretation are both reported together, a different code applies.

Report one unit for each additional lesion imaged, with the applicable first-lesion primary procedure. Documentation should identify the lesions examined and support the number of additional lesions for which images were acquired. As an add-on code, 96935 is reported only with a primary procedure and is paid within that procedure’s global period. It represents the technical component; a separate code covers interpretation when that service is performed.

CMS billing rules for 96935

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Professional and technical components
Technical-component-only code: a separate code covers interpretation.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU2.28 · 100%
  • Malpractice RVU0.00 · 0%

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.

96935 compared with similar codes

Office rates for El Centro, from the same CMS release.

96934

Skin imaging

Each additional lesion

$124.15

96935 covers image acquisition only for an additional lesion. Choose 96934 when acquisition and interpretation are both reported for that lesion.

96936

RCM interpretation

Each additional lesion

$40.69

96935 captures image acquisition only; 96936 captures interpretation and reporting only for each additional lesion.

96932

Confocal skin imaging

First lesion, acquisition only

$134.16

96932 is for image acquisition only on the first lesion. 96935 is for each additional lesion after that first-lesion service.

96931

Confocal microscopy

First lesion, acquisition and interpretation

$177.67

96931 combines acquisition and interpretation for the first lesion, while 96935 covers acquisition only for additional lesions.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 96935 is $83.46—the same base rate than the $83.46 rate in El Centro. Both use the same code, release and participation basis.

96935 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $83.46

  2. Bakersfield

    $83.46

    The same base rate than El Centro

  3. Chico

    $83.46

    The same base rate than El Centro

  4. Fresno

    $83.46

    The same base rate than El Centro

  5. Hanford-Corcoran

    $83.46

    The same base rate than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $90.09

    $6.63 higher than El Centro

  7. Madera

    $83.46

    The same base rate than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 96935 ranges from $65.42 in Arkansas to $109.81 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 96935

    Office

    $83.46

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Modesto

    California · 96935

    Office

    $83.46

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Napa

    California · 96935

    Office

    $100.37

    Facility

    Unavailable

    $16.91 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 96935

    Office

    $90.01

    Facility

    Unavailable

    $6.55 higher than El Centro for the office setting.

  • Redding

    California · 96935

    Office

    $83.46

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Rest Of California

    California · 96935

    Office

    $83.46

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 96935

    Office

    $83.46

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 96935

    Office

    $88.57

    Facility

    Unavailable

    $5.11 higher than El Centro for the office setting.

  • Salinas

    California · 96935

    Office

    $88.26

    Facility

    Unavailable

    $4.80 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 96935

    Office

    $91.08

    Facility

    Unavailable

    $7.62 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 96935

    Office

    $107.38

    Facility

    Unavailable

    $23.92 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 96935

    Office

    $107.38

    Facility

    Unavailable

    $23.92 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 96935

    Office

    $109.81

    Facility

    Unavailable

    $26.35 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 96935

    Office

    $109.81

    Facility

    Unavailable

    $26.35 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 96935

    Office

    $86.74

    Facility

    Unavailable

    $3.28 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 96935

    Office

    $92.53

    Facility

    Unavailable

    $9.07 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 96935

    Office

    $88.80

    Facility

    Unavailable

    $5.34 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 96935

    Office

    $93.52

    Facility

    Unavailable

    $10.06 higher than El Centro for the office setting.

  • Stockton

    California · 96935

    Office

    $83.46

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Vallejo

    California · 96935

    Office

    $100.37

    Facility

    Unavailable

    $16.91 higher than El Centro for the office setting.

  • Visalia

    California · 96935

    Office

    $83.46

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Yuba City

    California · 96935

    Office

    $83.46

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 96935

    Office

    $89.71

    Facility

    Unavailable

    $6.25 higher than El Centro for the office setting.

  • Miami

    Florida · 96935

    Office

    $79.28

    Facility

    Unavailable

    $4.18 lower than El Centro for the office setting.

  • Chicago

    Illinois · 96935

    Office

    $76.53

    Facility

    Unavailable

    $6.93 lower than El Centro for the office setting.

  • Manhattan

    New York · 96935

    Office

    $88.49

    Facility

    Unavailable

    $5.03 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 96935

    Office

    $81.10

    Facility

    Unavailable

    $2.36 lower than El Centro for the office setting.

  • Alabama

    Alabama · 96935

    Office

    $66.63

    Facility

    Unavailable

    $16.83 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 96935

    Office

    $65.42

    Facility

    Unavailable

    $18.04 lower than El Centro for the office setting.

  • Arizona

    Arizona · 96935

    Office

    $73.79

    Facility

    Unavailable

    $9.67 lower than El Centro for the office setting.

  • Colorado

    Colorado · 96935

    Office

    $81.03

    Facility

    Unavailable

    $2.43 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 96935

    Office

    $82.02

    Facility

    Unavailable

    $1.44 lower than El Centro for the office setting.

  • Delaware

    Delaware · 96935

    Office

    $75.24

    Facility

    Unavailable

    $8.22 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 96935

    Office

    $77.14

    Facility

    Unavailable

    $6.32 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 96935

    Office

    $72.80

    Facility

    Unavailable

    $10.66 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 96935

    Office

    $77.37

    Facility

    Unavailable

    $6.09 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 96935

    Office

    $67.93

    Facility

    Unavailable

    $15.53 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 96935

    Office

    $86.59

    Facility

    Unavailable

    $3.13 higher than El Centro for the office setting.

  • Iowa

    Iowa · 96935

    Office

    $69.68

    Facility

    Unavailable

    $13.78 lower than El Centro for the office setting.

  • Idaho

    Idaho · 96935

    Office

    $70.06

    Facility

    Unavailable

    $13.40 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 96935

    Office

    $70.06

    Facility

    Unavailable

    $13.40 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 96935

    Office

    $69.53

    Facility

    Unavailable

    $13.93 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 96935

    Office

    $78.21

    Facility

    Unavailable

    $5.25 lower than El Centro for the office setting.

  • Indiana

    Indiana · 96935

    Office

    $70.59

    Facility

    Unavailable

    $12.87 lower than El Centro for the office setting.

  • Kansas

    Kansas · 96935

    Office

    $68.84

    Facility

    Unavailable

    $14.62 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 96935

    Office

    $67.70

    Facility

    Unavailable

    $15.76 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 96935

    Office

    $71.66

    Facility

    Unavailable

    $11.80 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 96935

    Office

    $67.40

    Facility

    Unavailable

    $16.06 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 96935

    Office

    $90.93

    Facility

    Unavailable

    $7.47 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 96935

    Office

    $80.19

    Facility

    Unavailable

    $3.27 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 96935

    Office

    $81.71

    Facility

    Unavailable

    $1.75 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 96935

    Office

    $77.07

    Facility

    Unavailable

    $6.39 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 96935

    Office

    $70.06

    Facility

    Unavailable

    $13.40 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 96935

    Office

    $75.47

    Facility

    Unavailable

    $7.99 lower than El Centro for the office setting.

  • Detroit

    Michigan · 96935

    Office

    $73.49

    Facility

    Unavailable

    $9.97 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 96935

    Office

    $69.53

    Facility

    Unavailable

    $13.93 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 96935

    Office

    $78.36

    Facility

    Unavailable

    $5.10 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 96935

    Office

    $71.51

    Facility

    Unavailable

    $11.95 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 96935

    Office

    $72.50

    Facility

    Unavailable

    $10.96 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 96935

    Office

    $65.64

    Facility

    Unavailable

    $17.82 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 96935

    Office

    $65.57

    Facility

    Unavailable

    $17.89 lower than El Centro for the office setting.

  • Montana**

    Montana · 96935

    Office

    $76.15

    Facility

    Unavailable

    $7.31 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 96935

    Office

    $71.05

    Facility

    Unavailable

    $12.41 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 96935

    Office

    $76.15

    Facility

    Unavailable

    $7.31 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 96935

    Office

    $70.29

    Facility

    Unavailable

    $13.17 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 96935

    Office

    $79.28

    Facility

    Unavailable

    $4.18 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 96935

    Office

    $88.34

    Facility

    Unavailable

    $4.88 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 96935

    Office

    $83.16

    Facility

    Unavailable

    $0.30 lower than El Centro for the office setting.

  • New Mexico

    New Mexico · 96935

    Office

    $69.83

    Facility

    Unavailable

    $13.63 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 96935

    Office

    $76.23

    Facility

    Unavailable

    $7.23 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 96935

    Office

    $90.55

    Facility

    Unavailable

    $7.09 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 96935

    Office

    $83.39

    Facility

    Unavailable

    $0.07 lower than El Centro for the office setting.

  • Queens

    New York · 96935

    Office

    $90.01

    Facility

    Unavailable

    $6.55 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 96935

    Office

    $72.35

    Facility

    Unavailable

    $11.11 lower than El Centro for the office setting.

  • Ohio

    Ohio · 96935

    Office

    $69.53

    Facility

    Unavailable

    $13.93 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 96935

    Office

    $68.01

    Facility

    Unavailable

    $15.45 lower than El Centro for the office setting.

  • Portland

    Oregon · 96935

    Office

    $84.61

    Facility

    Unavailable

    $1.15 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 96935

    Office

    $75.85

    Facility

    Unavailable

    $7.61 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 96935

    Office

    $79.28

    Facility

    Unavailable

    $4.18 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 96935

    Office

    $69.91

    Facility

    Unavailable

    $13.55 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 96935

    Office

    $76.99

    Facility

    Unavailable

    $6.47 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 96935

    Office

    $78.67

    Facility

    Unavailable

    $4.79 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 96935

    Office

    $70.37

    Facility

    Unavailable

    $13.09 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 96935

    Office

    $76.15

    Facility

    Unavailable

    $7.31 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 96935

    Office

    $69.22

    Facility

    Unavailable

    $14.24 lower than El Centro for the office setting.

  • Austin

    Texas · 96935

    Office

    $80.57

    Facility

    Unavailable

    $2.89 lower than El Centro for the office setting.

  • Beaumont

    Texas · 96935

    Office

    $69.30

    Facility

    Unavailable

    $14.16 lower than El Centro for the office setting.

  • Brazoria

    Texas · 96935

    Office

    $75.47

    Facility

    Unavailable

    $7.99 lower than El Centro for the office setting.

  • Dallas

    Texas · 96935

    Office

    $75.85

    Facility

    Unavailable

    $7.61 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 96935

    Office

    $75.09

    Facility

    Unavailable

    $8.37 lower than El Centro for the office setting.

  • Galveston

    Texas · 96935

    Office

    $75.62

    Facility

    Unavailable

    $7.84 lower than El Centro for the office setting.

  • Houston

    Texas · 96935

    Office

    $75.62

    Facility

    Unavailable

    $7.84 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 96935

    Office

    $72.27

    Facility

    Unavailable

    $11.19 lower than El Centro for the office setting.

  • Utah

    Utah · 96935

    Office

    $71.58

    Facility

    Unavailable

    $11.88 lower than El Centro for the office setting.

  • Virginia

    Virginia · 96935

    Office

    $74.86

    Facility

    Unavailable

    $8.60 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 96935

    Office

    $76.99

    Facility

    Unavailable

    $6.47 lower than El Centro for the office setting.

  • Vermont

    Vermont · 96935

    Office

    $75.39

    Facility

    Unavailable

    $8.07 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 96935

    Office

    $80.19

    Facility

    Unavailable

    $3.27 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 96935

    Office

    $93.44

    Facility

    Unavailable

    $9.98 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 96935

    Office

    $72.96

    Facility

    Unavailable

    $10.50 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 96935

    Office

    $66.18

    Facility

    Unavailable

    $17.28 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 96935

    Office

    $76.15

    Facility

    Unavailable

    $7.31 lower than El Centro for the office setting.

See how rates vary across the country

96935 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$65.42

$96.63

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$81.101
AL$66.631
AR$65.421
AZ$73.791
CA$83.46–$109.8129
CO$81.031
CT$82.021
DC$89.711
DE$75.241
FL$72.80–$79.283
GA$67.93–$77.372
GU$86.591
HI$86.591
IA$69.681
ID$70.061
IL$69.53–$78.214
IN$70.591
KS$68.841
KY$67.701
LA$67.40–$71.662
MA$80.19–$90.932
MD$77.07–$89.713
ME$70.06–$75.472
MI$69.53–$73.492
MN$78.361
MO$65.64–$72.503
MS$65.571
MT$76.151
NC$71.051
ND$76.151
NE$70.291
NH$79.281
NJ$83.16–$88.342
NM$69.831
NV$76.231
NY$72.35–$90.555
OH$69.531
OK$68.011
OR$75.85–$84.612
PA$69.91–$79.282
PR$76.991
RI$78.671
SC$70.371
SD$76.151
TN$69.221
TX$69.30–$80.578
UT$71.581
VA$74.86–$89.712
VI$76.991
VT$75.391
WA$80.19–$93.442
WI$72.961
WV$66.181
WY$76.151

Explore 96935 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 96935 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$91.81

$83.46 × 110% = $91.81

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 96935 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

12,837

Code
96935
Physician work
0.00
Practice expense
2.28
Malpractice
0.00

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 96935 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0170.0000
Practice expense2.28× 1.0962.4989
Malpractice0.00× 0.5410.0000
Total RVUs2.4989
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$83.46

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 96935 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.017
Practice expense2.281.096
Malpractice00.541

(0 × 1.017 + 2.28 × 1.096 + 0 × 0.541) × $33.4009 = $83.46

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

96935 · Office / nonfacility

$83.46

Effective 2026-10-01

The base rate is $2.85 higher than on 2025-10-01, moving from $80.61 to $83.46 (3.5%).

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

    $80.61changed to$83.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $80.61

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$83.46Not available in this settingRVU26D
2026-07-01$83.46Not available in this settingRVU26C
2026-04-01$83.46Not available in this settingRVU26B
2026-01-01$83.46Not available in this settingRVU26A
2025-10-01$80.61Not available in this settingRVU25D
2025-07-01$80.61Not available in this settingRVU25C
2025-04-01$80.61Not available in this settingRVU25B
2025-01-01$80.61Not available in this settingRVU25A

96935 billing questions

When should 96935 be reported instead of 96934?

Use 96935 for image acquisition only for an additional lesion. Use 96934 when acquisition and interpretation are both reported for that additional lesion.

Which primary code is 96935 reported with?

It is an add-on to the applicable first-lesion primary procedure. For an acquisition-only service on the first lesion, the related primary code is 96932.

How many units are reported?

Report one unit for each additional lesion for which images are acquired, beyond the first lesion.

Does 96935 include interpretation?

No. It represents image acquisition only; interpretation is covered by a separate code when performed.

What documentation supports an additional-lesion unit?

Document the lesions imaged and show that acquisition was performed for each lesion beyond the first. The record should distinguish those additional lesions from the first lesion.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 96935PPRRVU2026_Oct_nonQPP.csv, line 12,837 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet