CPT code 96415: Chemo infusion add-on, each additional hour2026 Medicare rate & RVUs in Redding, CA

Report 96415 when an intravenous chemotherapy or highly complex drug infusion continues long enough beyond its initial or sequential hour to qualify for additional-hour billing.

CMS RVU26DEffective Oct 1, 2026One payment locality643.7K Medicare services in 2024

In Redding, CA, Medicare pays $30.24 for 96415 in the office.

$30.24Office (non-facility)
Not available in this settingHospital or facility
+6.5%vs the national office rate ($28.39)

Check a contract rate as a % of Medicare · 96415 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 96415 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding, CA
  2. What 96415 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 96415 covers

This code captures continued infusion time when an intravenous chemotherapy, biologic response modifier, monoclonal antibody, or other highly complex drug infusion runs past its initial hour. Oncology and infusion nurses typically hang and monitor the infusion in physician offices and infusion suites, watching for hypersensitivity reactions, extravasation, and vital sign changes. Multi-hour monoclonal antibody infusions and slow-titrated first doses are common reasons for additional infusion time.

Report one unit for each qualifying additional hour after the initial hour reported with 96413 or a sequential hour reported with 96417. The first additional unit requires more than 30 minutes beyond that hour; for a single continuous infusion, total time must exceed 90 minutes. Record start and stop times for each infusion, the drug, route, and clinical monitoring. As an add-on, 96415 is billed with an eligible primary chemotherapy infusion service, normally 96413, and paid within that procedure’s global period. This incident-to service is billed only when performed under physician supervision. Report the drug separately with the appropriate HCPCS drug code and units when separately billable.

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 Redding, CA compares for 96415

Across 109 of 109 payment localities, the office rate for 96415 runs from $25.05 in Arkansas to $38.23 in San Benito County, CA. Redding, CA pays $30.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

96415 in Redding, CA vs other payment areas
  1. Redding, CA · this page$30.24
  2. Bakersfield, CA · California$30.30+$0.06
  3. Chico, CA · California$30.24
  4. El Centro, CA · California$30.24
  5. Fresno, CA · California$30.24
  6. Hanford, CA · California$30.24
  7. Los Angeles, CA · California$32.34+$2.10

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

Every other payment area

96415 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$30.24—
Merced, CACalifornia$30.24—
Modesto, CACalifornia$30.24—
Napa, CACalifornia$35.26—
Oxnard, CACalifornia$32.21—
Rest of CaliforniaCalifornia$30.24—
Riverside, CACalifornia$30.46—
Sacramento, CACalifornia$31.79—

96415 rates by state

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

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.

$25.05

$34.24

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

View every state and territory as a table
96415 office rate range by state
State / territoryOffice rate rangeLocalities
AK$32.651
AL$25.431
AR$25.051
AZ$27.631
CA$30.24–$38.2329
CO$29.691
CT$30.301
DC$32.611
DE$28.101
FL$27.79–$30.293
GA$26.21–$28.892
GU$31.041
HI$31.041
IA$26.171
ID$26.331
IL$26.91–$29.534
IN$26.491
KS$26.011
KY$25.961
LA$25.90–$27.222
MA$29.49–$32.722
MD$28.66–$32.613
ME$26.43–$27.952
MI$26.62–$28.102
MN$28.541
MO$25.42–$27.373
MS$25.251
MT$28.391
NC$26.721
ND$27.991
NE$26.331
NH$29.181
NJ$30.68–$32.262
NM$26.751
NV$28.301
NY$27.12–$33.415
OH$26.541
OK$25.951
OR$28.11–$30.692
PA$26.60–$29.512
PR$28.621
RI$29.141
SC$26.671
SD$27.951
TN$26.141
TX$26.42–$29.578
UT$27.041
VA$27.83–$32.612
VI$28.621
VT$27.851
WA$29.45–$33.442
WI$27.031
WV$25.881
WY$28.221

See 96415 in every payment locality

How the 96415 rate is calculated

Each of 96415’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 · 96415

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.19

0.19 RVUs× 1.000 GPCI

Practice expense0.64

0.64 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.8500

Conversion factor

$33.4009

Medicare rate

$28.39

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Redding, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,802

Code
96415
Physician work
0.19
Practice expense
0.64
Malpractice
0.02

GPCI2026.csv

19

Locality
Redding, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 96415 in Redding, CA
ComponentRVULocality factorAdjusted
Physician work0.19× 1.0170.1932
Practice expense0.64× 1.0960.7014
Malpractice0.02× 0.5360.0107
Total RVUs0.9054
Conversion factor× 33.4009

Office rate, Redding, CA$30.24

Office: (0.19 × 1.017 + 0.64 × 1.096 + 0.02 × 0.536) × $33.4009 = $30.24

Open 96415 in the RVU calculator

Payment rules and modifiers for 96415

The CMS indicators that decide how 96415 is paid alongside other services.

CMS payment indicators · 96415

Chemo infusion add-on, each additional hour

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.

How 96415 has changed in Redding, CA

96415 · Office / nonfacility

$30.24

Effective 2026-10-01

The base rate is $2.97 higher than on 2025-10-01, moving from $27.27 to $30.24 (10.9%).

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

    $27.27changed to$30.24

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.59 changed to 0.64
    • Malpractice RVU 0.01 changed to 0.02
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $29.34changed to$27.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.62 changed to 0.59
    • Malpractice RVU 0.02 changed to 0.01

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $28.86changed to$29.34

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $30.00changed to$28.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.63 changed to 0.62
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $31.12changed to$30.00

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.65 changed to 0.63
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $32.87changed to$31.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.69 changed to 0.65

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $32.15changed to$32.87

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.64 changed to 0.69
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $32.55changed to$32.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.65 changed to 0.64
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $33.29changed to$32.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.67 changed to 0.65

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $30.27changed to$33.29

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.59 changed to 0.67
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$30.27

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$30.24Not available in this settingRVU26D
2026-07-01$30.24Not available in this settingRVU26C
2026-04-01$30.24Not available in this settingRVU26B
2026-01-01$30.24Not available in this settingRVU26A
2025-10-01$27.27Not available in this settingRVU25D
2025-07-01$27.27Not available in this settingRVU25C
2025-04-01$27.27Not available in this settingRVU25B
2025-01-01$27.27Not available in this settingRVU25A
2024-10-01$29.34Not available in this settingRVU24D
2024-07-01$29.34Not available in this settingRVU24C
2024-04-01$29.34Not available in this settingRVU24B
2024-03-09$29.34Not available in this settingRVU24AR
2024-01-01$28.86Not available in this settingRVU24A
2023-10-01$30.00Not available in this settingRVU23D
2023-07-01$30.00Not available in this settingRVU23C
2023-04-01$30.00Not available in this settingRVU23B
2023-01-01$30.00Not available in this settingRVU23A
2022-10-01$31.12Not available in this settingRVU22D
2022-07-01$31.12Not available in this settingRVU22C
2022-04-01$31.12Not available in this settingRVU22B
2022-01-01$31.12Not available in this settingRVU22A
2021-10-01$32.87Not available in this settingRVU21D
2021-07-01$32.87Not available in this settingRVU21C
2021-04-01$32.87Not available in this settingRVU21B
2021-01-01$32.87Not available in this settingRVU21A
2020-10-01$32.15Not available in this settingRVU20D
2020-07-01$32.15Not available in this settingRVU20C
2020-04-01$32.15Not available in this settingRVU20B
2020-01-01$32.15Not available in this settingRVU20A
2019-10-01$32.55Not available in this settingRVU19D
2019-07-01$32.55Not available in this settingRVU19C
2019-04-01$32.55Not available in this settingRVU19B
2019-01-01$32.55Not available in this settingRVU19A
2018-10-01$33.29Not available in this settingRVU18D
2018-07-01$33.29Not available in this settingRVU18C
2018-04-01$33.29Not available in this settingRVU18B
2018-01-01$33.29Not available in this settingRVU18AR1
2017-10-01$30.27Not available in this settingRVU17D
2017-07-01$30.27Not available in this settingRVU17C
2017-04-01$30.27Not available in this settingRVU17B
2017-01-01$30.27Not available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 96415 for an earlier date of service

Where the Redding, CA rate applies

Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Redding
  • Anderson
  • Bella Vista
  • Big Bend
  • Burney
  • Cassel
  • Castella
  • Centerville

Browse all communities in California

96415 billing questions

When does the first unit of 96415 become reportable?

A unit requires more than 30 minutes beyond the first hour. For a single-drug infusion, total time must exceed 90 minutes; an infusion of 90 minutes or less is reported with 96413 alone.

Can 96415 be used with a sequential chemotherapy infusion?

Yes. Report 96417 for an additional sequential infusion of a different drug, up to one hour, and 96415 for each qualifying additional hour of that infusion.

How many units are billed for a four-hour infusion of one drug?

Report 96413 for the initial hour and three units of 96415 for the remaining three hours.

Should non-chemotherapy drugs infused past the first hour use 96415?

Standard therapeutic, prophylactic, or diagnostic infusions use 96366 for qualifying additional hours. Code 96415 covers chemotherapy and other highly complex agents.

Is the drug itself included in 96415?

The code covers administration time. When separately billable, report the drug with its appropriate HCPCS code and units.

What documentation supports the additional hours?

Record start and stop times for each infusion, the agent, route, and nursing monitoring. Without stop times, additional-hour units cannot be supported.

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 96415PPRRVU2026_Oct_nonQPP.csv, line 12,802 (RVU26D)
Geographic factors for Redding, CAGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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