Billing code 96932: Confocal skin imagingMedicare rate & RVUs in Guam
Reports technical acquisition of reflectance confocal microscopy images for the first skin lesion when interpretation is separately coded.
Medicare pays $139.19 for 96932 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 96932 covers
Reflectance confocal microscopy (RCM) captures in-vivo images of a skin lesion at cellular detail without removing tissue. Dermatologists may use it to evaluate a concerning pigmented or nonpigmented lesion, including one suspected of skin cancer. This code covers image acquisition for the first lesion; it does not include the physician’s interpretation of the images.
Report the first-lesion acquisition code based on the service performed, not the lesion’s size or severity. Documentation should identify the lesion and its body site and support that RCM images were acquired. For additional lesions, use the applicable additional-lesion code. CMS classifies 96932 as a technical-component-only service, with interpretation covered by a separate code. When interpretation is performed and reported separately, document it distinctly from image acquisition.
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.
96932 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $139.19 | Unavailable |
How the 96932 rate is calculated
Each of 96932’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 · 96932
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.66
3.66 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
3.6700
Conversion factor
$33.4009
Medicare rate
$122.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 96932
The CMS indicators that decide how 96932 is paid alongside other services.
CMS payment indicators · 96932
Confocal skin imaging
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
96932 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 96931Confocal microscopy
- Use 96932 for first-lesion image acquisition only. Use 96931 when the service includes both image acquisition and interpretation.
- 96933Confocal microscopy
- 96933 covers interpretation only for the first lesion; 96932 covers image acquisition only.
- 96935Confocal imaging
- 96935 is for image acquisition only on each additional lesion, while 96932 covers acquisition for the first lesion.
- 96934Skin imaging
- 96934 covers both acquisition and interpretation for each additional lesion. 96932 covers acquisition only for the first lesion.
96932 billing questions
How does 96932 differ from 96931?
96932 reports image acquisition only for the first lesion. Use 96931 when the first-lesion service includes both acquisition and interpretation.
Is interpretation included in 96932?
No. CMS identifies 96932 as technical-component-only; the interpretation is reported separately with 96933 when performed.
How is acquisition for another lesion reported?
For acquisition only on each additional lesion, use 96935. The additional-lesion codes are selected according to whether acquisition, interpretation, or both were performed.
Is 96932 reported per image or per lesion?
It represents acquisition for the first lesion, rather than a count of individual images. Use the applicable additional-lesion code for further lesions.
What documentation supports 96932?
Document the lesion’s identity and body site and that reflectance confocal microscopy image acquisition was performed. Keep any separately performed interpretation documented as a distinct service.
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
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