96573 Pdt destruction prmlg lesion phys/qhp
Also known as: PDT by provider, Physician-directed PDT, Provider-administered PDT
Photodynamic therapy distending lesions on skin provided by a qualified healthcare provider or qualified health professional. Includes lesion preparation and photosensitizing agent application.
In Plain Language
Skin lesion light therapy performed by provider
Clinical Context
Photodynamic therapy for non-malignant skin lesions performed directly by licensed healthcare provider. Different from codes using technician-administered application.
RVU Breakdown
| Work RVU | 0.47 |
| Total RVU | 0.47 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Medicine section codes cover a wide range of non-surgical services. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.
How This Code Compares
With a work RVU of 0.47, this code ranks in the 30th percentile among Medicine codes — 1.7x below the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 96573?
CPT 96573 (Pdt destruction prmlg lesion phys/qhp) is a Medicine code. Photodynamic therapy distending lesions on skin provided by a qualified healthcare provider or qualified health professional. Includes lesion preparation and photosensitizing agent application.
Who uses CPT code 96573?
CPT 96573 is used by Dermatology, Dermatologic Surgery. Photodynamic therapy for non-malignant skin lesions performed directly by licensed healthcare provider. Different from codes using technician-administered application.
When is CPT 96573 used?
Photodynamic therapy for non-malignant skin lesions performed directly by licensed healthcare provider. Different from codes using technician-administered application.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.