$118.60
Choose 96900 for ultraviolet light treatment alone. Choose 96910 when the documented protocol includes the specified photochemotherapy regimen, such as tar with UVB.
On this page
CMS RVU26D · Effective 2026-10-01
96900 UV light therapy Medicare reimbursement rates in Rhode Island
Reports a dermatology treatment using ultraviolet light for a skin condition, such as psoriasis, when the service is provided under physician supervision. Compare 96900 office and facility rates across CMS payment localities in Rhode Island.
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 96900 in Rhode Island?
Rhode Island 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
$24.45
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 treatment
About 96900: Ultraviolet light therapy session
Reports a dermatology treatment using ultraviolet light for a skin condition, such as psoriasis, when the service is provided under physician supervision.
This service covers treatment of a skin disorder with ultraviolet light, commonly UVB phototherapy for conditions such as psoriasis or vitiligo. In a dermatology office, trained clinical staff may administer the exposure using a phototherapy unit, following the treating clinician’s plan and adjusting treatment according to the patient’s response. The code describes light treatment without a photochemotherapy regimen such as PUVA.
Report 96900 for the documented actinotherapy treatment session. The record should identify the condition treated, the ultraviolet treatment delivered, and the session performed. CMS lists this as an incident-to service: it may be billed only when performed under physician supervision. The supervision requirement is central to reporting the service; the code’s CMS payment profile has no physician work RVUs and includes practice-expense RVUs.
CMS billing rules for 96900
- 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) RVU0.70 · 99%
- Malpractice RVU0.01 · 1%
160.2K
Medicare services in 2024 · #433 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.
96900 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$100.31
96912 identifies PUVA treatment with psoralen and UVA; 96900 represents actinotherapy without that photosensitizer regimen.
$141.93
96920 is for excimer laser treatment of psoriasis by affected-area size. 96900 describes ultraviolet light therapy rather than targeted excimer treatment.
Compare 96900 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
Rhode Island →
Office / nonfacility
$24.45
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 96900 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
12,824
- Code
- 96900
- Physician work
- 0.00
- Practice expense
- 0.70
- Malpractice
- 0.01
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.019 | 0.0000 |
| Practice expense | 0.70 | × 1.033 | 0.7231 |
| Malpractice | 0.01 | × 0.892 | 0.0089 |
| Total RVUs | 0.7320 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$24.45
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.019 |
| Practice expense | 0.7 | 1.033 |
| Malpractice | 0.01 | 0.892 |
(0 × 1.019 + 0.7 × 1.033 + 0.01 × 0.892) × $33.4009 = $24.45
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.
96900 billing questions
How does 96900 differ from 96910?
96900 represents ultraviolet light treatment alone. Use 96910 when the documented treatment follows a qualifying photochemotherapy regimen, such as tar with UVB.
Is 96900 the code for PUVA treatment?
No. PUVA is reported with 96912. 96900 is for actinotherapy with ultraviolet light, without the PUVA regimen.
What documentation supports 96900?
Document the skin condition, the ultraviolet treatment provided, the treatment session, and physician supervision for the incident-to service.
Can clinical staff perform the treatment?
Clinical staff may administer the treatment, but CMS permits billing this incident-to service only when it is performed under physician supervision.
How should treatment units be counted?
Report the documented actinotherapy treatment session. The record should support each session billed.
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.
12,82196571,,Photodynamic tx addl 15 min,A,,0.55,0.20,,0.10,,0.05,0.80,0.70,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,82296573,,Pdt dstr prmlg les phys/qhp,A,,0.47,6.02,,6.02,NA,0.02,6.51,6.51,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,82396574,,Dbrdmt prmlg les w/pdt,A,,0.98,6.97,,6.97,NA,0.04,7.99,7.99,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537