$167.71
96931 is for the first lesion when acquisition and interpretation/report are both performed; 96934 is for each additional lesion.
On this page
CMS RVU26D · Effective 2026-10-01
96934 Skin imaging Medicare reimbursement rates in Minnesota
Reports reflectance confocal microscopy image acquisition and interpretation with a report for each additional skin lesion after the first lesion. Compare 96934 office and facility rates across CMS payment localities in Minnesota.
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 96934 in Minnesota?
Minnesota 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
$117.47
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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 imaging
About 96934: Reflectance confocal microscopy, additional lesion
Reports reflectance confocal microscopy image acquisition and interpretation with a report for each additional skin lesion after the first lesion.
A dermatologist uses reflectance confocal microscopy (RCM) to create noninvasive images of skin at cellular and subcellular levels, then interprets those images and documents the findings. The service may support evaluation of suspicious skin lesions, including pigmented lesions, without obtaining a tissue specimen for this imaging service. Code 96934 covers an additional lesion when both image acquisition and interpretation with a report are performed for that lesion.
Report this add-on with the applicable first-lesion primary service when RCM is performed on further lesions during the same service. The record should identify the additional lesion or lesions and support both the image acquisition and the interpretation and report. CMS classifies 96934 as an add-on, with payment within the primary procedure's global period. It is the global-test-only option; separate codes describe image acquisition and interpretation/report when those components are reported separately.
CMS billing rules for 96934
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Global-test-only code: separate codes describe the professional and technical components.
Where the value comes from
- Work RVU0.74 · 21%
- Practice expense (office) RVU2.69 · 78%
- Malpractice RVU0.03 · 1%
83
Medicare services in 2024 · #5022 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.
96934 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$78.36
96935 reports image acquisition only for an additional lesion. Use 96934 when acquisition and interpretation/report are both performed for that lesion.
$39.10
96936 reports interpretation and report only for an additional lesion. Use 96934 when image acquisition is also performed.
Compare 96934 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
Minnesota →
Office / nonfacility
$117.47
Facility
Unavailable
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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 96934 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
12,836
- Code
- 96934
- Physician work
- 0.74
- Practice expense
- 2.69
- Malpractice
- 0.03
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.74 | × 1.000 | 0.7400 |
| Practice expense | 2.69 | × 1.029 | 2.7680 |
| Malpractice | 0.03 | × 0.296 | 0.0089 |
| Total RVUs | 3.5169 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$117.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.74 | 1 |
| Practice expense | 2.69 | 1.029 |
| Malpractice | 0.03 | 0.296 |
(0.74 × 1 + 2.69 × 1.029 + 0.03 × 0.296) × $33.4009 = $117.47
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.
96934 billing questions
When is 96934 reported instead of 96931?
96931 covers the first lesion with image acquisition and interpretation/report. Report 96934 for each additional lesion receiving both parts of the service.
What primary code is 96934 paired with?
It is an add-on for the applicable first-lesion RCM service, such as 96931 when both acquisition and interpretation/report are performed for the first lesion.
Can acquisition and interpretation be reported separately?
Yes. Separate codes describe image acquisition and interpretation/report. For an additional lesion, 96935 describes acquisition only and 96936 describes interpretation and report only.
What should the documentation identify?
Document the additional lesion examined and support that RCM images were acquired and interpreted, with a report of the findings.
Does 96934 cover multiple additional lesions as one unit?
The code is for each additional lesion. The record should make clear which lesions were imaged and interpreted.
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.
12,83396931,,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
12,83696934,,Rcm img acquisj&i&r ea addl,A,,0.74,2.69,,2.69,NA,0.03,3.46,3.46,4,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,83796935,,Rcm img acquisj only ea addl,A,,0.00,2.28,,2.28,NA,0.00,2.28,2.28,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,83896936,,Rcm i&r only ea addl lesion,A,,0.74,0.41,,0.41,NA,0.03,1.18,1.18,2,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,83996999,,Unlisted spec derm svc/px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002