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CPT code 96422: Arterial infusion, up to one hour2026 Medicare rate & RVUs in Queens, NY

Reports antineoplastic medication infused into an artery during the initial hour, such as regional chemotherapy delivered through an arterial catheter.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Queens, NY, Medicare pays $165.75 for 96422 in the office.

$165.75Office (non-facility)
Not available in this settingHospital or facility
+18.2%vs the national office rate ($140.28)

Check a contract rate as a % of Medicare · 96422 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 96422 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 96422 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 96422 covers

Code 96422 represents chemotherapy delivered by infusion into an artery. Oncology clinicians may use this approach for regional treatment, such as delivering chemotherapy through a catheter positioned in the hepatic artery for liver-directed therapy. The code concerns the medication administration, not placement of the arterial catheter. It is distinct from an arterial injection and from infusion through a vein.

Select this code when the antineoplastic agent is infused intra-arterially and the administration fits the code’s first-hour scope. The medication may be reported separately when applicable; consider 96423 for qualifying additional infusion time. Document the agent, arterial route, and infusion start and stop times in the treatment record. Medicare billing requires that the service be 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 Queens, NY compares for 96422

Across 109 of 109 payment localities, the office rate for 96422 runs from $120.50 in Arkansas to $198.29 in San Benito County, CA. Queens, NY pays $165.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

96422 in Queens, NY vs other payment areas
  1. Queens, NY · this page$165.75
  2. Manhattan, NY · New York$163.44−$2.31
  3. NYC suburbs and Long Island, NY · New York$167.65+$1.90
  4. Poughkeepsie and northern NYC suburbs, NY · New York$153.60−$12.15
  5. Rest of New York · New York$132.98−$32.77
  6. Los Angeles, CA · California$163.94−$1.81
  7. Washington, DC area · District of Columbia$164.40−$1.35

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

Every other payment area

96422 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$149.28—
Chicago, ILIllinois$144.01—
AlaskaAlaska$150.67—
AlabamaAlabama$122.74—
ArkansasArkansas$120.50—
ArizonaArizona$135.85—
Bakersfield, CACalifornia$152.18—
Chico, CACalifornia$151.99—

96422 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.

$120.50

$175.14

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

View every state and territory as a table
96422 office rate range by state
State / territoryOffice rate rangeLocalities
AK$150.671
AL$122.741
AR$120.501
AZ$135.851
CA$151.99–$198.2929
CO$148.311
CT$151.071
DC$164.401
DE$138.491
FL$135.64–$149.283
GA$126.45–$142.892
GU$157.421
HI$157.421
IA$127.631
ID$128.471
IL$130.09–$145.704
IN$129.431
KS$126.431
KY$125.401
LA$124.97–$132.802
MA$146.91–$165.922
MD$141.74–$164.403
ME$128.82–$138.232
MI$129.08–$137.262
MN$142.471
MO$121.97–$133.943
MS$121.291
MT$140.281
NC$130.581
ND$138.891
NE$128.641
NH$145.411
NJ$152.91–$161.962
NM$129.781
NV$140.031
NY$132.98–$167.655
OH$128.801
OK$125.611
OR$139.06–$154.462
PA$129.31–$146.262
PR$141.701
RI$144.501
SC$129.881
SD$138.731
TN$127.161
TX$128.21–$147.708
UT$132.111
VA$137.35–$164.402
VI$141.701
VT$137.811
WA$146.81–$170.162
WI$133.111
WV$123.961
WY$139.681

See 96422 in every payment locality

How the 96422 rate is calculated

Each of 96422’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 · 96422

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense3.96

3.96 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

4.2000

Conversion factor

$33.4009

Medicare rate

$140.28

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,806

Code
96422
Physician work
0.17
Practice expense
3.96
Malpractice
0.07

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 96422 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0640.1809
Practice expense3.96× 1.1824.6807
Malpractice0.07× 1.4420.1009
Total RVUs4.9625
Conversion factor× 33.4009

Office rate, Queens, NY$165.75

Office: (0.17 × 1.064 + 3.96 × 1.182 + 0.07 × 1.442) × $33.4009 = $165.75

Open 96422 in the RVU calculator

Payment rules and modifiers for 96422

The CMS indicators that decide how 96422 is paid alongside other services.

CMS payment indicators · 96422

Arterial infusion, up to one hour

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
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 96422

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

Codes related to 96422
CodeHow it relatesOffice range, Queens, NY
Add-on codes
96423Chemotherapy infusion, intra-arterial, each additional hourAdditional-hour intra-arterial chemotherapy infusion code.$88.99
Used instead
96420Chemotherapy push, intra-arterial routeUsed for intra-arterial chemotherapy delivered by push technique.$124.21
96413Chemo IV infusion, initial drug, first hourUsed for chemotherapy infusion by the intravenous route.$157.03
96425Chemotherapy infusion, prolonged intra-arterial pumpUsed for chemotherapy administered by a prolonged-infusion method involving a pump.$205.98

How 96422 has changed in Queens, NY

96422 · Office / nonfacility

$165.75

Effective 2026-10-01

The base rate is $6.62 lower than on 2025-10-01, moving from $172.37 to $165.75 (3.8%).

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

    $172.37changed to$165.75

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 4.21 changed to 3.96
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $186.23changed to$172.37

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.42 changed to 4.21
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $183.19changed to$186.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $195.86changed to$183.19

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.45 changed to 4.42
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $210.90changed to$195.86

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.60 changed to 4.45
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $225.58changed to$210.90

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.88 changed to 4.60
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $214.43changed to$225.58

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.53 changed to 4.88
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $212.16changed to$214.43

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.58 changed to 4.53
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $229.44changed to$212.16

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.95 changed to 4.58
    • Malpractice RVU 0.12 changed to 0.10

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $227.32changed to$229.44

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.10 changed to 0.12
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $207.82changed to$227.32

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.51 changed to 4.95
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $208.57changed to$207.82

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $207.54changed to$208.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $201.66changed to$207.54

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.43 changed to 4.51
    • Malpractice RVU 0.08 changed to 0.10
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $206.17changed to$201.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.82 changed to 4.43
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $206.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$165.75Not available in this settingRVU26D
2026-07-01$165.75Not available in this settingRVU26C
2026-04-01$165.75Not available in this settingRVU26B
2026-01-01$165.75Not available in this settingRVU26A
2025-10-01$172.37Not available in this settingRVU25D
2025-07-01$172.37Not available in this settingRVU25C
2025-04-01$172.37Not available in this settingRVU25B
2025-01-01$172.37Not available in this settingRVU25A
2024-10-01$186.23Not available in this settingRVU24D
2024-07-01$186.23Not available in this settingRVU24C
2024-04-01$186.23Not available in this settingRVU24B
2024-03-09$186.23Not available in this settingRVU24AR
2024-01-01$183.19Not available in this settingRVU24A
2023-10-01$195.86Not available in this settingRVU23D
2023-07-01$195.86Not available in this settingRVU23C
2023-04-01$195.86Not available in this settingRVU23B
2023-01-01$195.86Not available in this settingRVU23A
2022-10-01$210.90Not available in this settingRVU22D
2022-07-01$210.90Not available in this settingRVU22C
2022-04-01$210.90Not available in this settingRVU22B
2022-01-01$210.90Not available in this settingRVU22A
2021-10-01$225.58Not available in this settingRVU21D
2021-07-01$225.58Not available in this settingRVU21C
2021-04-01$225.58Not available in this settingRVU21B
2021-01-01$225.58Not available in this settingRVU21A
2020-10-01$214.43Not available in this settingRVU20D
2020-07-01$214.43Not available in this settingRVU20C
2020-04-01$214.43Not available in this settingRVU20B
2020-01-01$214.43Not available in this settingRVU20A
2019-10-01$212.16Not available in this settingRVU19D
2019-07-01$212.16Not available in this settingRVU19C
2019-04-01$212.16Not available in this settingRVU19B
2019-01-01$212.16Not available in this settingRVU19A
2018-10-01$229.44Not available in this settingRVU18D
2018-07-01$229.44Not available in this settingRVU18C
2018-04-01$229.44Not available in this settingRVU18B
2018-01-01$229.44Not available in this settingRVU18AR1
2017-10-01$227.32Not available in this settingRVU17D
2017-07-01$227.32Not available in this settingRVU17C
2017-04-01$227.32Not available in this settingRVU17B
2017-01-01$227.32Not available in this settingRVU17A
2016-10-01$207.82Not available in this settingRVU16D
2016-07-01$207.82Not available in this settingRVU16C
2016-04-01$207.82Not available in this settingRVU16B
2016-01-01$207.82Not available in this settingRVU16A
2015-10-01$208.57Not available in this settingRVU15D
2015-07-01$208.57Not available in this settingRVU15C
2015-04-01$207.54Not available in this settingRVU15B
2015-01-01$207.54Not available in this settingRVU15A
2014-10-01$201.66Not available in this settingRVU14D
2014-07-01$201.66Not available in this settingRVU14C
2014-04-01$201.66Not available in this settingRVU14B
2014-01-01$201.66Not available in this settingRVU14A
2013-10-01$206.17Not available in this settingRVU13D
2013-07-01$206.17Not available in this settingRVU13C
2013-04-01$206.17Not available in this settingRVU13B
2013-01-01$206.17Not available in this settingRVU13AR

Price 96422 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

96422 billing questions

When is 96422 used instead of 96420?

Use 96422 for chemotherapy administered by intra-arterial infusion. Code 96420 describes intra-arterial delivery by push technique.

Can the chemotherapy drug be billed separately?

The administration code reports the infusion service, not the medication supply. Report the drug separately when applicable.

When might 96423 be reported with 96422?

Code 96423 is the additional-hour code for intra-arterial chemotherapy infusion. The documented infusion duration must support reporting additional time.

What documentation supports 96422?

Record the antineoplastic agent, intra-arterial route, and infusion start and stop times in the treatment record.

What supervision is required for Medicare billing?

Under the CMS incident-to rule for this code, the service must be performed under physician supervision for Medicare billing.

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 96422PPRRVU2026_Oct_nonQPP.csv, line 12,806 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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