$21.72–$23.38
Choose 96910 when UVB is combined with topical tar or petrolatum. Choose 96900 for UV light treatment without that topical combination.
On this page
CMS RVU26D · Effective 2026-10-01
96910 Phototherapy Medicare reimbursement rates in Maine
Report this service for a dermatologic treatment session combining ultraviolet B exposure with topical tar or petrolatum as the treatment regimen. Compare 96910 office and facility rates across CMS payment localities in Maine.
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 96910 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$105.51–$113.62
2 of 2 localities have a supported rate.
Facility setting
No supported rate
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
About 96910: Tar or Petrolatum Ultraviolet B Phototherapy
Report this service for a dermatologic treatment session combining ultraviolet B exposure with topical tar or petrolatum as the treatment regimen.
This service combines ultraviolet B (UVB) exposure with topical tar or petrolatum as part of a dermatologic treatment regimen. It is commonly provided in dermatology practices for conditions such as psoriasis, with the topical agent used alongside the light treatment. The session is generally carried out by dermatology staff as a physician-supervised service.
Report 96910 when the documented treatment uses tar and UVB or petrolatum and UVB; UVB exposure alone or a psoralen-and-UVA regimen represents a different service. Documentation should identify the topical agent and the UVB treatment provided for the session. CMS classifies this as an incident-to service: it is billed only when performed under physician supervision. The CMS physician fee schedule assigns no work RVUs to the service, with practice expense and malpractice RVUs supporting its payment.
CMS billing rules for 96910
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.42 · 99%
- Malpractice RVU0.02 · 1%
278.6K
Medicare services in 2024 · #327 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.
96910 compared with similar codes
Office rates for Maine, from the same CMS release.
$89.22–$96.08
Code 96912 describes PUVA treatment using psoralens and UVA; 96910 uses tar or petrolatum with UVB.
$135.22–$145.61
Code 96913 is for photochemotherapy to treat severe dermatoses. Code 96910 identifies the specific tar-or-petrolatum and UVB treatment regimen.
Compare 96910 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$105.51
Facility
Unavailable
Southern Maine →
Office / nonfacility
$113.62
Facility
Unavailable
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96910 billing questions
When should 96910 be chosen instead of 96900?
Use 96910 for a regimen combining UVB with topical tar or petrolatum. Code 96900 describes UV light treatment without that combination.
How does 96910 differ from PUVA treatment?
Code 96910 involves tar or petrolatum with UVB. Code 96912 is for photochemotherapy using psoralens with UVA.
What documentation supports reporting 96910?
Document the topical agent used and the UVB treatment delivered during the session. The record should support that the treatment was performed under physician supervision.
Can this service be billed when performed by clinic staff?
Yes, when it is performed under physician supervision, consistent with the CMS incident-to rule supplied for this code.
Is 96910 reported for each topical application or for the treatment session?
The service represents the combined treatment session, not a separate report for each topical application.
How does 96910 differ from 96913?
Code 96910 identifies the tar-or-petrolatum and UVB regimen. Code 96913 is for photochemotherapy used to treat severe dermatoses.
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.
12,82496900,,Actinotherapy uv light,A,,0.00,0.70,,0.70,NA,0.01,0.71,0.71,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,82596902,,Mcrscp xm hair pluck/clipped,B,+,0.40,0.24,,0.09,,0.02,0.66,0.51,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,82696904,,Whole body photography,R,,0.00,1.97,,1.97,NA,0.01,1.98,1.98,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,82796910,,Photchmtx tar&uvb/ptrltm&uvb,A,,0.00,3.42,,3.42,NA,0.02,3.44,3.44,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,82896912,,Photochemotherapy puva,A,,0.00,2.89,,2.89,NA,0.02,2.91,2.91,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,82996913,,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