CPT code 96933: Confocal microscopy2026 Medicare rate & RVUs in Oklahoma

Reports a physician’s interpretation of reflectance confocal microscopy images for the first skin lesion when image acquisition is billed separately.

CMS RVU26DEffective Oct 1, 20261 payment locality14 Medicare services in 2024

Medicare pays $40.25 for 96933 in the office in Oklahoma (Oklahoma). Which amount applies depends on the service address.

$40.25Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 96933 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Oklahoma
  2. What 96933 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 96933 covers

Reflectance confocal microscopy creates noninvasive optical images of skin at cellular detail. A physician, commonly a dermatologist, reviews the images and prepares the interpretation and report for a lesion being evaluated, such as a lesion with features that raise concern for skin cancer. The service is generally performed as part of outpatient dermatologic evaluation; this code represents the physician’s image interpretation, not image capture.

Report 96933 for interpretation and reporting of the first lesion when the technical acquisition is billed separately under 96932. The record should identify the lesion and site, support that the images were reviewed, and include the physician’s findings and report. For interpretation and reporting of an additional lesion, the corresponding code is 96936. CMS classifies 96933 as a professional-component-only code, so it represents the interpretive service rather than the technical work of acquiring images.

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.

96933 in Oklahoma

96933 office and facility rates by payment locality
Payment localityOfficeFacility
Oklahoma$40.25Unavailable

How the 96933 rate is calculated

Each of 96933’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 · 96933

RVUs × geographic indexes × conversion factor

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense0.45

0.45 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.2600

Conversion factor

$33.4009

Medicare rate

$42.09

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 96933

The CMS indicators that decide how 96933 is paid alongside other services.

CMS payment indicators · 96933

Confocal microscopy

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical2Professional component only.

96933 compared with similar codes

Compare codes · National

4 codes, side by side

  • 96933

    Confocal microscopy0.78 wRVU

    $42.09

  • 96931

    Confocal microscopy0.78 wRVU

    $164.67+$122.58

  • 96932

    Confocal skin imaging0 wRVU

    $122.58+$80.49

  • 96936

    RCM interpretation0.74 wRVU

    $39.41−$2.68

How to choose

96931Confocal microscopy
96931 includes image acquisition along with interpretation and reporting for the first lesion. Choose 96933 when only the interpretive service is represented and acquisition is billed separately.
96932Confocal skin imaging
96932 represents acquisition of images for the first lesion without interpretation and reporting. 96933 represents the physician’s interpretation and report.
96936RCM interpretation
96936 is for interpretation and reporting of each additional lesion; 96933 is for the first lesion.

96933 billing questions

When should 96933 be used instead of 96931?

Use 96933 when the billed service is interpretation and reporting for the first lesion only. Code 96931 covers acquisition together with interpretation and reporting for that lesion.

Does 96933 include image acquisition?

No. It covers interpretation and reporting; 96932 is the separate code for acquisition of images for the first lesion.

What code applies to interpretation of another lesion?

Use 96936 for interpretation and reporting of each additional lesion, rather than reporting 96933 again for an additional lesion.

What documentation supports 96933?

Document the lesion and its site, the physician’s review of the confocal images, and the resulting interpretation and report.

Does 96933 identify a professional or technical service?

It identifies the professional interpretation and report only. Image acquisition is represented separately by 96932 for the first lesion.

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
RVUs for 96933PPRRVU2026_Oct_nonQPP.csv, line 12,835 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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