$123.67
Use 96920 when the total area treated for psoriasis is under 250 square centimeters; 96922 is for an area greater than 500 square centimeters.
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CMS RVU26D · Effective 2026-10-01
96922 Excimer laser Medicare reimbursement rates in Alabama
Report this code for excimer laser treatment of psoriasis when the total treated skin area exceeds 500 square centimeters during the session. Compare 96922 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 96922 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$158.18
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$69.92
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Dermatology procedure
About 96922: Excimer laser treatment for extensive psoriasis
Report this code for excimer laser treatment of psoriasis when the total treated skin area exceeds 500 square centimeters during the session.
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.
CMS billing rules for 96922
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.12 · 21%
- Practice expense (office) RVU4.10 · 78%
- Malpractice RVU0.05 · 1%
13.3K
Medicare services in 2024 · #1328 by national volume
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.
96922 compared with similar codes
Office rates for Alabama, from the same CMS release.
$132.73
Use 96921 for a total treated area of 250 to 500 square centimeters. 96922 applies when the total treated area exceeds 500 square centimeters.
$100.33
96910 describes tar-and-UVB photochemotherapy, not targeted excimer laser treatment. The excimer code tier is selected by the total psoriasis area treated.
$84.84
96912 is PUVA photochemotherapy; 96922 is targeted excimer laser treatment for psoriasis involving more than 500 square centimeters.
Compare 96922 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$158.18
Facility
$69.92
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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 96922 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
12,832
- Code
- 96922
- Physician work
- 1.12
- Practice expense
- 4.10
- Malpractice
- 0.05
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.12 | × 1.000 | 1.1200 |
| Practice expense | 4.10 | × 0.875 | 3.5875 |
| Malpractice | 0.05 | × 0.566 | 0.0283 |
| Total RVUs | 4.7358 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$158.18
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.12 | 1 |
| Practice expense | 4.1 | 0.875 |
| Malpractice | 0.05 | 0.566 |
(1.12 × 1 + 4.1 × 0.875 + 0.05 × 0.566) × $33.4009 = $158.18
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.12 | 1 |
| Practice expense | 1.08 | 0.875 |
| Malpractice | 0.05 | 0.566 |
(1.12 × 1 + 1.08 × 0.875 + 0.05 × 0.566) × $33.4009 = $69.92
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.
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 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.
12,82996913,,Photochemotx sev dermatoses,A,,0.00,4.38,,4.38,NA,0.03,4.41,4.41,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,83096920,,Excimer lsr psriasis<250sqcm,A,,0.81,3.28,,0.38,,0.04,4.13,1.23,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,83196921,,Excimer lsr psriasis 250-500,A,,0.88,3.51,,0.48,,0.04,4.43,1.40,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,83296922,,Excimer lsr psriasis>500sqcm,A,,1.12,4.10,,1.08,,0.05,5.27,2.25,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,83396931,,Rcm img acquisj&i&r 1st les,A,,0.78,4.11,,4.11,NA,0.04,4.93,4.93,4,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,83496932,,Rcm img acquisj only 1st les,A,,0.00,3.66,,3.66,NA,0.01,3.67,3.67,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,83596933,,Rcm i&r only 1st lesion,A,,0.78,0.45,,0.45,NA,0.03,1.26,1.26,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515