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See a sample rate comparisonCPT 96934 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Rcm Celulr Subcelulr Img Skn, Reflectance Confocal Microscopy (Rcm) For Cellular And Sub-Cellular Imaging Of Skin; Image Acquisition And Interpretation And Report Each Additional Lesion (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Dermatological Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 79 - Unrelated procedure - postop period |
| Complexity Level | Low |
| Medicare Fee Schedule | $115.57 national non-facility rate (2026) · View Medicare rates for 96934 |
| Medicaid Fee Schedule | $90.475 median of the 8 states in the free preview · View Medicaid rates for 96934 |
National average reimbursement for CPT 96934 by major payers:
$141.72
$122.84
$128.18
$202.06
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CPT 96934
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$663.72Published rateElizabeth Berry-Kravis
Rush University Medical Center
$192.83Published rateJennifer Sprague
Advocate Health And Hospitals Corporation
$174.61Published rateHossam Abdelsalam
The Board Of Trustees Of The University Of Illinois
$133.75Published rateNarsimha Muddasani
Touchette Regional Hospital Inc
$81.80Published rate
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See a sample payer proposalCPT 96934 vs. Other Special Dermatological Procedures Codes
The CPT 96934 code is part of the Medicine Services and Procedures services used for Special Dermatological Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 96934 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 96931-CPT | Moderate | Reflectance Confocal Microscop, Reflectance Confocal Microscopy (Rcm) For Cellularand Sub-Cellular Imaging Of Skin Image Acquisiti On And Interpretation And Report First Lesion |
| 96932-CPT | Low | Reflectance Confocal Microscop, Reflectance Confocal Microscopy (Rcm) For Cellularand Sub-Cellular Imaging Of Skin Image Acquisiti On Only First Lesion |
| 96933-CPT | Low | Rcm Celulr Subcelulr Img Skn, Reflectance Confocal Microscopy Rcm For Cellular And Sub Cellular Imaging Of Skin Interpretation And Report Only First Lesion |
| 96934-CPT | Low | Rcm Celulr Subcelulr Img Skn, Reflectance Confocal Microscopy (Rcm) For Cellular And Sub-Cellular Imaging Of Skin; Image Acquisition And Interpretation And Report Each Additional Lesion (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96934. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96934 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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