$164.32
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.
On this page
CMS RVU26D · Effective 2026-10-01
96933 Confocal microscopy Medicare reimbursement rates in Wyoming
Reports a physician’s interpretation of reflectance confocal microscopy images for the first skin lesion when image acquisition is billed separately. Compare 96933 office and facility rates across CMS payment localities in Wyoming.
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 96933 in Wyoming?
Wyoming 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
$41.82
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 96933: Reflectance confocal microscopy interpretation, first lesion
Reports a physician’s interpretation of reflectance confocal microscopy images for the first skin lesion when image acquisition is billed separately.
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.
CMS billing rules for 96933
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.78 · 62%
- Practice expense (office) RVU0.45 · 36%
- Malpractice RVU0.03 · 2%
14
Medicare services in 2024 · #6119 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.
96933 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$122.49
96932 represents acquisition of images for the first lesion without interpretation and reporting. 96933 represents the physician’s interpretation and report.
$39.15
96936 is for interpretation and reporting of each additional lesion; 96933 is for the first lesion.
Compare 96933 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
Wyoming** →
Office / nonfacility
$41.82
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 96933 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
12,835
- Code
- 96933
- Physician work
- 0.78
- Practice expense
- 0.45
- Malpractice
- 0.03
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 0.45 | × 1.000 | 0.4500 |
| Malpractice | 0.03 | × 0.740 | 0.0222 |
| Total RVUs | 1.2522 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$41.82
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 0.45 | 1 |
| Malpractice | 0.03 | 0.74 |
(0.78 × 1 + 0.45 × 1 + 0.03 × 0.74) × $33.4009 = $41.82
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.
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 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.
12,83296922,,Excimer lsr psriasis>500sqcm,A,,1.12,4.10,,1.08,,0.05,5.27,2.25,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,