$41.82
Use 96933 for interpretation and reporting of the first lesion. Use 96936 for each additional lesion interpreted and reported.
On this page
CMS RVU26D · Effective 2026-10-01
96936 RCM interpretation Medicare reimbursement rates in Wyoming
Reports interpretation and written findings from reflectance confocal microscopy of each additional skin lesion after a primary RCM service. Compare 96936 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 96936 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
$39.15
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
About 96936: Additional lesion RCM interpretation
Reports interpretation and written findings from reflectance confocal microscopy of each additional skin lesion after a primary RCM service.
Reflectance confocal microscopy (RCM) uses noninvasive optical imaging to assess cellular detail in a skin lesion. Code 96936 represents the dermatologist’s interpretation and report for each lesion after the first; it does not include image acquisition. Dermatologists use RCM to evaluate selected lesions in vivo when microscopic assessment can inform lesion management, commonly in an office-based dermatology setting.
Report one unit for each additional lesion interpreted, only with an appropriate first-lesion RCM procedure. Documentation should identify the lesions examined and support a separate interpretation and report for each additional lesion. This add-on code is not submitted alone; CMS places its payment within the primary procedure’s global period. Code 96936 covers the professional interpretation and report only. Image acquisition is represented by the applicable separate code when performed, such as 96935 for additional-lesion acquisition without interpretation.
CMS billing rules for 96936
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.74 · 63%
- Practice expense (office) RVU0.41 · 35%
- Malpractice RVU0.03 · 3%
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.
96936 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$76.15
Use 96935 for image acquisition only on an additional lesion. Use 96936 for interpretation and reporting only.
$115.31
Code 96934 represents both image acquisition and interpretation for an additional lesion; 96936 represents interpretation and reporting only.
Compare 96936 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
$39.15
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 96936 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
12,838
- Code
- 96936
- Physician work
- 0.74
- Practice expense
- 0.41
- 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 | 0.74 | × 1.000 | 0.7400 |
| Practice expense | 0.41 | × 1.000 | 0.4100 |
| Malpractice | 0.03 | × 0.740 | 0.0222 |
| Total RVUs | 1.1722 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$39.15
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.74 | 1 |
| Practice expense | 0.41 | 1 |
| Malpractice | 0.03 | 0.74 |
(0.74 × 1 + 0.41 × 1 + 0.03 × 0.74) × $33.4009 = $39.15
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.
96936 billing questions
Can 96936 be reported by itself?
No. It is an add-on for interpretation and reporting of each additional lesion and must accompany a primary RCM procedure.
How does 96936 differ from 96933?
Both represent interpretation and reporting without image acquisition. Code 96933 is for the first lesion; 96936 is for each additional lesion.
Does 96936 include image acquisition?
No. It covers the professional interpretation and report only. For additional-lesion image acquisition without interpretation, 96935 is the corresponding family code.
How many units should be reported?
Report one unit for each additional lesion with its own interpretation and report. The record should identify each lesion and document the findings.
What does CMS payment treatment mean for this add-on?
CMS treats 96936 as payable only with a primary procedure and within that procedure’s global period. It is not a stand-alone service.
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.
12,83596933,,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
12,84097007,,Mchnl sclp cool meas fitg,A,,0.00,50.72,,50.72,NA,0.03,50.75,50.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,84197008,,Mchnl sclp cool prep plmt,A,,0.00,0.29,,0.29,NA,0.01,0.30,0.30,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,