CPT® Code 96936

Add-On Code

Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only, each additional lesion (List separately in addition to code for primary procedure)

Reflectance confocal microscopy (RCM) is a sophisticated, non-invasive imaging technique utilized for the detailed examination of skin cell populations. This procedure is particularly valuable in the assessment of both benign and malignant tumors, specifically those involving melanocytes and keratinocytes. During the RCM process, a near-infrared light emitted from a diode laser is precisely focused on a targeted area of the skin. As this light penetrates the cellular structures, it interacts with them, resulting in varying degrees of refraction and natural light reflections. These interactions are captured and processed using advanced computer software, which reconstructs the data into a two-dimensional grayscale image. The high-resolution images generated through this method allow for a thorough histological analysis of the lesions present, facilitating accurate diagnosis and treatment planning. The CPT® code 96936 specifically pertains to the interpretation and reporting of RCM findings for each additional lesion examined, following the primary procedure, which is coded separately. This structured approach ensures that healthcare professionals can effectively document and bill for the services rendered during the RCM process.