PFS ExplorerMedicare Physician Fee Schedule · 2026

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96413

Chemo iv infusion 1 hr

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Code typePrimary
Payment statusActive (A)
Global periodNone

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary96413Chemo iv infusion 1 hr
1
$133.27
$133.27
Add-on96361Hydrate iv infusion add-on
0
$13.03/ unit
$13.03/ unit
Add-on96366Ther/proph/diag iv inf addon
0
$21.38/ unit
$21.38/ unit
Add-on96367Tx/proph/dg addl seq iv inf
0
$29.73/ unit
$29.73/ unit
Add-on96368Ther/diag concurrent inf
0
$20.71/ unit
$20.71/ unit
Add-on96375Tx/pro/dx inj new drug addon
0
$15.70/ unit
$15.70/ unit
Add-on96376Tx/pro/dx inj same drug adon
0
$0.00/ unit
$0.00/ unit
Add-on96411Chemo iv push addl drug
0
$57.12/ unit
$57.12/ unit
Add-on96415Chemo iv infusion addl hr
0
$28.39/ unit
$28.39/ unit
Add-on96417Chemo iv infus each addl seq
0
$66.47/ unit
$66.47/ unit
Whole procedure · 0.28 wRVU credited
$133.27
$133.27
How these numbers were computed
  • status=XThis code is not separately payable under the Physician Fee Schedule (status X) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
0.28
0.28
Practice expense
3.64
3.64
Malpractice
0.07
0.07
Total RVU
3.99
3.99

Payment Policy & Modifiers

Allowed adjustments
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66Prof / tech split