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CPT code 96411: IV chemotherapy push, each additional drug2026 Medicare rate & RVUs in New Mexico

Reports an additional sequential intravenous push of a distinct chemotherapy drug after the primary IV push during the same treatment encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality108.8K Medicare services in 2024

In New Mexico, Medicare pays $53.21 for 96411 in the office.

$53.21Office (non-facility)
Not available in this settingHospital or facility
−6.8%vs the national office rate ($57.12)

Check a contract rate as a % of Medicare · 96411 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 96411 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 96411 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How New Mexico compares for 96411

Across 109 of 109 payment localities, the office rate for 96411 runs from $49.66 in Arkansas to $79.23 in San Benito County, CA. New Mexico pays $53.21. The RVUs are the same everywhere; the geographic indexes change the dollars.

96411 in New Mexico vs other payment areas
  1. New Mexico · this page$53.21
  2. Los Angeles, CA · California$66.10+$12.89
  3. Washington, DC area · District of Columbia$66.39+$13.18
  4. Miami, FL · Florida$60.67+$7.46
  5. Chicago, IL · Illinois$58.71+$5.50
  6. Manhattan, NY · New York$66.14+$12.93
  7. Alaska · Alaska$63.22+$10.01

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

96411 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$50.50—
ArkansasArkansas$49.66—
ArizonaArizona$55.44—
Bakersfield, CACalifornia$61.60—
Chico, CACalifornia$61.51—
El Centro, CACalifornia$61.51—
Fresno, CACalifornia$61.51—
Hanford, CACalifornia$61.51—

96411 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$49.66

$70.37

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
96411 office rate range by state
State / territoryOffice rate rangeLocalities
AK$63.221
AL$50.501
AR$49.661
AZ$55.441
CA$61.51–$79.2329
CO$60.141
CT$61.271
DC$66.391
DE$56.451
FL$55.44–$60.673
GA$51.97–$58.132
GU$63.471
HI$63.471
IA$52.311
ID$52.631
IL$53.38–$59.274
IN$52.991
KS$51.871
KY$51.541
LA$51.39–$54.342
MA$59.64–$66.872
MD$57.69–$66.393
ME$52.78–$56.302
MI$52.94–$56.072
MN$57.841
MO$50.27–$54.743
MS$49.981
MT$57.111
NC$53.441
ND$56.521
NE$52.691
NH$59.021
NJ$62.03–$65.512
NM$53.211
NV$57.001
NY$54.35–$67.745
OH$52.821
OK$51.601
OR$56.62–$62.452
PA$53.01–$59.462
PR$57.641
RI$58.771
SC$53.211
SD$56.451
TN$52.151
TX$52.60–$59.888
UT$54.051
VA$55.98–$66.392
VI$57.641
VT$56.131
WA$59.58–$68.492
WI$54.351
WV$51.071
WY$56.861

See 96411 in every payment locality

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

Office or facility?

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,800

Code
96411
Physician work
0.20
Practice expense
1.48
Malpractice
0.03

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 96411 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.20× 1.0000.2000
Practice expense1.48× 0.9171.3572
Malpractice0.03× 1.2010.0360
Total RVUs1.5932
Conversion factor× 33.4009

Office rate, New Mexico$53.21

Office: (0.2 × 1 + 1.48 × 0.917 + 0.03 × 1.201) × $33.4009 = $53.21

Open 96411 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

Codes related to 96411

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 96411
CodeHow it relatesOffice range, New Mexico
Add-on codes
96409Chemotherapy push, single or initial drugPrimary IV push administration commonly reported with this additional sequential push.$97.10
Used instead
96417Chemotherapy infusion, additional sequential drugDescribes an additional sequential chemotherapy infusion rather than an IV push.$61.82
96413Chemo IV infusion, initial drug, first hourUsed for an initial chemotherapy infusion, not an IV push.$123.65
96401Chemotherapy injection, subcutaneous or intramuscular, nonhormonalFor chemotherapy administered subcutaneously or intramuscularly rather than by IV push.$66.81

How 96411 has changed in New Mexico

96411 · Office / nonfacility

$53.21

Effective 2026-10-01

The base rate is $6.25 higher than on 2025-10-01, moving from $46.96 to $53.21 (13.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $46.96changed to$53.21

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.34 changed to 1.48
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $50.14changed to$46.96

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.40 changed to 1.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $49.32changed to$50.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $51.46changed to$49.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.41 changed to 1.40
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $53.81changed to$51.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.46 changed to 1.41
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $56.75changed to$53.81

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.54 changed to 1.46

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $55.60changed to$56.75

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.41 changed to 1.54
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $55.69changed to$55.60

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.42 changed to 1.41
    • Malpractice RVU 0.03 changed to 0.05
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $55.96changed to$55.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.43 changed to 1.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $59.09changed to$55.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.52 changed to 1.43
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $58.51changed to$59.09

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.51 changed to 1.52
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $58.30changed to$58.51

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $58.01changed to$58.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $56.99changed to$58.01

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.48 changed to 1.51
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $58.00changed to$56.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.61 changed to 1.48
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $58.00

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$53.21Not available in this settingRVU26D
2026-07-01$53.21Not available in this settingRVU26C
2026-04-01$53.21Not available in this settingRVU26B
2026-01-01$53.21Not available in this settingRVU26A
2025-10-01$46.96Not available in this settingRVU25D
2025-07-01$46.96Not available in this settingRVU25C
2025-04-01$46.96Not available in this settingRVU25B
2025-01-01$46.96Not available in this settingRVU25A
2024-10-01$50.14Not available in this settingRVU24D
2024-07-01$50.14Not available in this settingRVU24C
2024-04-01$50.14Not available in this settingRVU24B
2024-03-09$50.14Not available in this settingRVU24AR
2024-01-01$49.32Not available in this settingRVU24A
2023-10-01$51.46Not available in this settingRVU23D
2023-07-01$51.46Not available in this settingRVU23C
2023-04-01$51.46Not available in this settingRVU23B
2023-01-01$51.46Not available in this settingRVU23A
2022-10-01$53.81Not available in this settingRVU22D
2022-07-01$53.81Not available in this settingRVU22C
2022-04-01$53.81Not available in this settingRVU22B
2022-01-01$53.81Not available in this settingRVU22A
2021-10-01$56.75Not available in this settingRVU21D
2021-07-01$56.75Not available in this settingRVU21C
2021-04-01$56.75Not available in this settingRVU21B
2021-01-01$56.75Not available in this settingRVU21A
2020-10-01$55.60Not available in this settingRVU20D
2020-07-01$55.60Not available in this settingRVU20C
2020-04-01$55.60Not available in this settingRVU20B
2020-01-01$55.60Not available in this settingRVU20A
2019-10-01$55.69Not available in this settingRVU19D
2019-07-01$55.69Not available in this settingRVU19C
2019-04-01$55.69Not available in this settingRVU19B
2019-01-01$55.69Not available in this settingRVU19A
2018-10-01$55.96Not available in this settingRVU18D
2018-07-01$55.96Not available in this settingRVU18C
2018-04-01$55.96Not available in this settingRVU18B
2018-01-01$55.96Not available in this settingRVU18AR1
2017-10-01$59.09Not available in this settingRVU17D
2017-07-01$59.09Not available in this settingRVU17C
2017-04-01$59.09Not available in this settingRVU17B
2017-01-01$59.09Not available in this settingRVU17A
2016-10-01$58.51Not available in this settingRVU16D
2016-07-01$58.51Not available in this settingRVU16C
2016-04-01$58.51Not available in this settingRVU16B
2016-01-01$58.51Not available in this settingRVU16A
2015-10-01$58.30Not available in this settingRVU15D
2015-07-01$58.30Not available in this settingRVU15C
2015-04-01$58.01Not available in this settingRVU15B
2015-01-01$58.01Not available in this settingRVU15A
2014-10-01$56.99Not available in this settingRVU14D
2014-07-01$56.99Not available in this settingRVU14C
2014-04-01$56.99Not available in this settingRVU14B
2014-01-01$56.99Not available in this settingRVU14A
2013-10-01$58.00Not available in this settingRVU13D
2013-07-01$58.00Not available in this settingRVU13C
2013-04-01$58.00Not available in this settingRVU13B
2013-01-01$58.00Not available in this settingRVU13AR

Price 96411 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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

Show the CMS file lines behind this rate
RVUs for 96411PPRRVU2026_Oct_nonQPP.csv, line 12,800 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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