CPT code 96411: IV chemotherapy push, each additional drug2026 Medicare rate & RVUs in California
Reports an additional sequential intravenous push of a distinct chemotherapy drug after the primary IV push during the same treatment encounter.
Medicare pays $61.51–$79.23 for 96411 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 96411 covers
This add-on reports an additional sequential IV push of a distinct chemotherapy drug after the initial IV push. It is used in oncology practices and infusion settings when a second or subsequent drug is administered by the IV push method during the same treatment encounter. A nurse or other qualified clinical staff member typically administers the medication under physician supervision.
Report 96411 with the primary IV push administration, commonly 96409; it is not a standalone service. The record should identify each drug, its IV push route and sequence, and the administration supporting the additional push. Do not count each syringe or repeated push of the same drug as a separate additional drug. CMS classifies this as an incident-to service, so it is billed only when performed under physician supervision. As an add-on code, it is paid within the primary procedure's global period.
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.
Where 96411 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$61.51 to $79.23
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $61.60 | Unavailable |
| Chico, CA | $61.51 | Unavailable |
| El Centro, CA | $61.51 | Unavailable |
| Fresno, CA | $61.51 | Unavailable |
| Hanford, CA | $61.51 | Unavailable |
| Los Angeles, CA | $66.10 | Unavailable |
| Madera, CA | $61.51 | Unavailable |
| Marin County, CA | $77.48 | Unavailable |
| Merced, CA | $61.51 | Unavailable |
| Modesto, CA | $61.51 | Unavailable |
| Napa, CA | $72.76 | Unavailable |
| Oxnard, CA | $65.92 | Unavailable |
| Redding, CA | $61.51 | Unavailable |
| Rest of California | $61.51 | Unavailable |
| Riverside, CA | $61.83 | Unavailable |
| Sacramento, CA | $64.95 | Unavailable |
| Salinas, CA | $64.72 | Unavailable |
| San Benito County, CA | $79.23 | Unavailable |
| San Diego, CA | $66.55 | Unavailable |
| San Francisco, CA | $77.44 | Unavailable |
| San Luis Obispo, CA | $63.64 | Unavailable |
| Santa Clara County, CA | $79.10 | Unavailable |
| Santa Cruz, CA | $67.42 | Unavailable |
| Santa Maria, CA | $65.04 | Unavailable |
| Santa Rosa, CA | $68.12 | Unavailable |
| Stockton, CA | $61.51 | Unavailable |
| Vallejo, CA | $72.71 | Unavailable |
| Visalia, CA | $61.51 | Unavailable |
| Yuba City, CA | $61.51 | Unavailable |
How the 96411 rate is calculated
Each of 96411’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 96411
RVUs × geographic indexes × conversion factor
Work0.20
0.20 RVUs× 1.000 GPCI
Practice expense1.48
1.48 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.7100
Conversion factor
$33.4009
Medicare rate
$57.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 96411
The CMS indicators that decide how 96411 is paid alongside other services.
CMS payment indicators · 96411
IV chemotherapy push, each additional drug
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
96411 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 96409Chemotherapy pushSingle or initial drug
- 96409 reports the primary or initial IV push. 96411 is the add-on for a distinct additional drug pushed sequentially.
- 96413Chemo IV infusionInitial drug, first hour
- 96413 describes chemotherapy administered by IV infusion. Use 96411 when the additional drug is administered by IV push instead.
- 96417Chemotherapy infusionAdditional sequential drug
- 96417 reports an additional sequential chemotherapy infusion. 96411 is for an additional sequential IV push.
- 96401Chemotherapy injectionSubcutaneous or intramuscular, nonhormonal
- 96401 applies to subcutaneous or intramuscular chemotherapy administration; 96411 requires the additional drug to be given by IV push.
96411 billing questions
When is 96411 reported instead of 96409?
Use 96409 for the primary or initial IV push. Add 96411 for each additional distinct drug administered sequentially by IV push during that encounter.
Can 96411 be billed by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure, commonly 96409.
Does each syringe or repeated push count as another unit?
No. The additional service is based on another distinct drug administered by sequential IV push, not the number of syringes or repeated pushes of the same drug.
What documentation supports an additional unit?
Document the distinct drug, IV push route, sequence, and administration details, along with the primary push and physician supervision.
Can 96411 be used for a drug given by infusion?
No. It describes an additional IV push; an additional sequential chemotherapy infusion is represented by the infusion code that matches the service.
May clinical staff perform the service?
Yes, but CMS classifies the service as incident-to, so it is billed only when performed under physician supervision.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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