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CMS RVU26D · Effective 2026-10-01

96910 Phototherapy Medicare reimbursement rates in Nevada

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 Nevada.

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 Nevada?

Nevada 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

$114.90

1 of 1 localities have a supported rate.

Payment area: Nevada**

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.

Find 96910 in your payment locality →

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 Nevada, from the same CMS release.

96900

UV light therapy

Actinotherapy

$23.68

Choose 96910 when UVB is combined with topical tar or petrolatum. Choose 96900 for UV light treatment without that topical combination.

96912

PUVA therapy

Psoralen plus UVA

$97.18

Code 96912 describes PUVA treatment using psoralens and UVA; 96910 uses tar or petrolatum with UVB.

96913

PUVA therapy

Severe dermatoses, intensive schedule

$147.28

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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 96910 in Nevada**.

PPRRVU2026_Oct_nonQPP.csv

12,827

Code
96910
Physician work
0.00
Practice expense
3.42
Malpractice
0.02

GPCI2026.csv

73

Locality
Nevada**
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office / nonfacility calculation for 96910 in Nevada**
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense3.42× 1.0013.4234
Malpractice0.02× 0.8330.0167
Total RVUs3.4401
Conversion factor× 33.4009

Office / nonfacility rate, Nevada**$114.90

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01
Practice expense3.421.001
Malpractice0.020.833

(0 × 1 + 3.42 × 1.001 + 0.02 × 0.833) × $33.4009 = $114.90

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.

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.

RVUs for 96910PPRRVU2026_Oct_nonQPP.csv, line 12,827 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)