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CPT code 96417: Chemotherapy infusion, additional sequential drug2026 Medicare rate & RVUs in New Mexico

Reports an additional sequential intravenous infusion of a different chemotherapy drug or substance, following a primary chemotherapy infusion service.

CMS RVU26DEffective Oct 1, 2026One payment locality323.3K Medicare services in 2024

In New Mexico, Medicare pays $61.82 for 96417 in the office.

$61.82Office (non-facility)
Not available in this settingHospital or facility
−7.0%vs the national office rate ($66.47)

Check a contract rate as a % of Medicare · 96417 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 96417 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 96417 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 96417 covers

This code represents an additional sequential intravenous infusion of a different chemotherapy drug or substance, generally administered by clinical staff in an oncology office or infusion setting. The next drug is given in sequence rather than concurrently with the preceding infusion. It is distinct from extra time spent continuing the same drug and from chemotherapy delivered by injection or prolonged pump infusion.

Report it as an add-on with the primary chemotherapy administration service when documentation supports a separate sequential infusion of another drug. The medication administration record and infusion documentation should identify the drugs and show their sequence and administration times. For Medicare, this add-on is paid within the primary procedure's global period. CMS classifies it as an incident-to service, so it is billed only when performed under physician supervision.

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 96417

Across 109 of 109 payment localities, the office rate for 96417 runs from $57.74 in Arkansas to $92.61 in San Benito County, CA. New Mexico pays $61.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

96417 in New Mexico vs other payment areas
  1. New Mexico · this page$61.82
  2. Los Angeles, CA · California$77.12+$15.30
  3. Washington, DC area · District of Columbia$77.36+$15.54
  4. Miami, FL · Florida$70.40+$8.58
  5. Chicago, IL · Illinois$68.11+$6.29
  6. Manhattan, NY · New York$76.97+$15.15
  7. Alaska · Alaska$73.32+$11.50

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

Every other payment area

96417 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$58.73—
ArkansasArkansas$57.74—
ArizonaArizona$64.51—
Bakersfield, CACalifornia$71.82—
Chico, CACalifornia$71.73—
El Centro, CACalifornia$71.74—
Fresno, CACalifornia$71.73—
Hanford, CACalifornia$71.73—

96417 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.

$57.74

$82.17

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

View every state and territory as a table
96417 office rate range by state
State / territoryOffice rate rangeLocalities
AK$73.321
AL$58.731
AR$57.741
AZ$64.511
CA$71.73–$92.6129
CO$70.071
CT$71.321
DC$77.361
DE$65.701
FL$64.40–$70.403
GA$60.35–$67.632
GU$74.051
HI$74.051
IA$60.901
ID$61.261
IL$61.95–$68.874
IN$61.691
KS$60.361
KY$59.891
LA$59.70–$63.162
MA$69.47–$77.982
MD$67.16–$77.363
ME$61.41–$65.572
MI$61.51–$65.112
MN$67.461
MO$58.38–$63.663
MS$58.081
MT$66.471
NC$62.191
ND$65.871
NE$61.341
NH$68.741
NJ$72.22–$76.332
NM$61.821
NV$66.361
NY$63.25–$78.825
OH$61.391
OK$59.991
OR$65.94–$72.812
PA$61.62–$69.182
PR$67.101
RI$68.421
SC$61.881
SD$65.801
TN$60.681
TX$61.14–$69.768
UT$62.861
VA$65.18–$77.362
VI$67.101
VT$65.391
WA$69.42–$79.902
WI$63.321
WV$59.241
WY$66.211

See 96417 in every payment locality

How the 96417 rate is calculated

Each of 96417’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 · 96417

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.21

0.21 RVUs× 1.000 GPCI

Practice expense1.75

1.75 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.9900

Conversion factor

$33.4009

Medicare rate

$66.47

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

12,804

Code
96417
Physician work
0.21
Practice expense
1.75
Malpractice
0.03

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 96417 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.21× 1.0000.2100
Practice expense1.75× 0.9171.6048
Malpractice0.03× 1.2010.0360
Total RVUs1.8508
Conversion factor× 33.4009

Office rate, New Mexico$61.82

Office: (0.21 × 1 + 1.75 × 0.917 + 0.03 × 1.201) × $33.4009 = $61.82

Open 96417 in the RVU calculator

Payment rules and modifiers for 96417

The CMS indicators that decide how 96417 is paid alongside other services.

CMS payment indicators · 96417

Chemotherapy infusion, additional sequential 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 96417

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

Codes related to 96417
CodeHow it relatesOffice range, New Mexico
Primary code
96413Chemo IV infusion, initial drug, first hourPrimary intravenous chemotherapy infusion service with which this sequential-infusion add-on is reported.$123.65
Used instead
96415Chemo infusion add-on, each additional hourReports additional time for an ongoing infusion rather than a new sequential drug.$26.75
96411IV chemotherapy push, each additional drugReports an additional chemotherapy drug given by intravenous push, not sequential infusion.$53.21
96416Pump infusion, prolonged infusion over eight hoursDescribes prolonged chemotherapy infusion using a pump rather than this sequential infusion service.$123.45

How 96417 has changed in New Mexico

96417 · Office / nonfacility

$61.82

Effective 2026-10-01

The base rate is $7.48 higher than on 2025-10-01, moving from $54.34 to $61.82 (13.8%).

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

    $54.34changed to$61.82

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.58 changed to 1.75
    • 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

    $58.72changed to$54.34

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.66 changed to 1.58
    • Malpractice RVU 0.04 changed to 0.03

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $57.77changed to$58.72

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $59.75changed to$57.77

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.67 changed to 1.66
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $62.21changed to$59.75

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.72 changed to 1.67
    • 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

    $65.54changed to$62.21

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.81 changed to 1.72

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $64.15changed to$65.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.66 changed to 1.81
    • 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

    $64.80changed to$64.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.67 changed to 1.66
    • Malpractice RVU 0.04 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

    $65.06changed to$64.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.68 changed to 1.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $61.76changed to$65.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.59 changed to 1.68
    • 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

    $58.87changed to$61.76

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.51 changed to 1.59
    • 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

    $58.99changed to$58.87

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.52 changed to 1.51
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $58.70changed to$58.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $57.68changed to$58.70

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.49 changed to 1.52
    • 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

    $65.82changed to$57.68

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.85 changed to 1.49
    • 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: $65.82

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$61.82Not available in this settingRVU26D
2026-07-01$61.82Not available in this settingRVU26C
2026-04-01$61.82Not available in this settingRVU26B
2026-01-01$61.82Not available in this settingRVU26A
2025-10-01$54.34Not available in this settingRVU25D
2025-07-01$54.34Not available in this settingRVU25C
2025-04-01$54.34Not available in this settingRVU25B
2025-01-01$54.34Not available in this settingRVU25A
2024-10-01$58.72Not available in this settingRVU24D
2024-07-01$58.72Not available in this settingRVU24C
2024-04-01$58.72Not available in this settingRVU24B
2024-03-09$58.72Not available in this settingRVU24AR
2024-01-01$57.77Not available in this settingRVU24A
2023-10-01$59.75Not available in this settingRVU23D
2023-07-01$59.75Not available in this settingRVU23C
2023-04-01$59.75Not available in this settingRVU23B
2023-01-01$59.75Not available in this settingRVU23A
2022-10-01$62.21Not available in this settingRVU22D
2022-07-01$62.21Not available in this settingRVU22C
2022-04-01$62.21Not available in this settingRVU22B
2022-01-01$62.21Not available in this settingRVU22A
2021-10-01$65.54Not available in this settingRVU21D
2021-07-01$65.54Not available in this settingRVU21C
2021-04-01$65.54Not available in this settingRVU21B
2021-01-01$65.54Not available in this settingRVU21A
2020-10-01$64.15Not available in this settingRVU20D
2020-07-01$64.15Not available in this settingRVU20C
2020-04-01$64.15Not available in this settingRVU20B
2020-01-01$64.15Not available in this settingRVU20A
2019-10-01$64.80Not available in this settingRVU19D
2019-07-01$64.80Not available in this settingRVU19C
2019-04-01$64.80Not available in this settingRVU19B
2019-01-01$64.80Not available in this settingRVU19A
2018-10-01$65.06Not available in this settingRVU18D
2018-07-01$65.06Not available in this settingRVU18C
2018-04-01$65.06Not available in this settingRVU18B
2018-01-01$65.06Not available in this settingRVU18AR1
2017-10-01$61.76Not available in this settingRVU17D
2017-07-01$61.76Not available in this settingRVU17C
2017-04-01$61.76Not available in this settingRVU17B
2017-01-01$61.76Not available in this settingRVU17A
2016-10-01$58.87Not available in this settingRVU16D
2016-07-01$58.87Not available in this settingRVU16C
2016-04-01$58.87Not available in this settingRVU16B
2016-01-01$58.87Not available in this settingRVU16A
2015-10-01$58.99Not available in this settingRVU15D
2015-07-01$58.99Not available in this settingRVU15C
2015-04-01$58.70Not available in this settingRVU15B
2015-01-01$58.70Not available in this settingRVU15A
2014-10-01$57.68Not available in this settingRVU14D
2014-07-01$57.68Not available in this settingRVU14C
2014-04-01$57.68Not available in this settingRVU14B
2014-01-01$57.68Not available in this settingRVU14A
2013-10-01$65.82Not available in this settingRVU13D
2013-07-01$65.82Not available in this settingRVU13C
2013-04-01$65.82Not available in this settingRVU13B
2013-01-01$65.82Not available in this settingRVU13AR

Price 96417 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

96417 billing questions

When is 96417 reported with 96413?

Report 96417 for an additional sequential infusion of a different chemotherapy drug after the primary infusion service. It is an add-on and cannot stand alone.

Is 96417 for extra time with the same drug?

No. It represents a sequential infusion of a different drug or substance; 96415 is used for additional infusion time when the same infusion continues.

Can 96417 describe a concurrent infusion?

No. The additional drug must be infused sequentially, not concurrently with the preceding infusion.

What documentation supports a unit of 96417?

Document the additional drug, its sequential administration, and the infusion times in the medication administration and infusion records. The service represents an additional sequential infusion, not another hour of the same infusion.

What supervision is required for Medicare billing?

CMS classifies 96417 as an incident-to service. 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 96417PPRRVU2026_Oct_nonQPP.csv, line 12,804 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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