CPT code 96423: Chemotherapy infusion, intra-arterial, each additional hour2026 Medicare rate & RVUs in Queens, NY
Reports each additional qualifying hour of chemotherapy delivered by intra-arterial infusion after the initial infusion period represented by the primary service.
In Queens, NY, Medicare pays $88.99 for 96423 in the office.
Check a contract rate as a % of Medicare · 96423 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 96423 covers
This add-on service covers continued delivery of a chemotherapy agent through an artery after the initial intra-arterial infusion period. It is used in oncology care when treatment is administered through an arterial catheter rather than by intravenous infusion, injection, or a prolonged pump. Oncology clinicians and qualified staff may perform the administration in an outpatient or hospital setting, with the service furnished under physician supervision as an incident-to service.
Report 96423 with the primary intra-arterial infusion service, 96422; it is not a stand-alone administration code. Assign units from documented infusion duration and follow the applicable CPT time instructions. The record should identify the drug, route, infusion start and stop times, and the total time supporting the additional-hour unit or units. CMS classifies this as an add-on code paid within the primary procedure's global period, and permits billing 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 Queens, NY compares for 96423
Across 109 of 109 payment localities, the office rate for 96423 runs from $65.07 in Arkansas to $105.45 in San Benito County, CA. Queens, NY pays $88.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Queens, NY · this page$88.99
- Manhattan, NY · New York$87.87−$1.12
- NYC suburbs and Long Island, NY · New York$90.16+$1.17
- Poughkeepsie and northern NYC suburbs, NY · New York$82.57−$6.42
- Rest of New York · New York$71.58−$17.41
- Los Angeles, CA · California$87.63−$1.36
- Washington, DC area · District of Columbia$88.11−$0.88
Other areas in New York first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Miami, FLFlorida | $80.83 | — |
| Chicago, ILIllinois | $78.03 | — |
| AlaskaAlaska | $82.00 | — |
| AlabamaAlabama | $66.24 | — |
| ArkansasArkansas | $65.07 | — |
| ArizonaArizona | $73.13 | — |
| Bakersfield, CACalifornia | $81.48 | — |
| Chico, CACalifornia | $81.35 | — |
| El Centro, CACalifornia | $81.36 | — |
| Fresno, CACalifornia | $81.35 | — |
| Hanford, CACalifornia | $81.35 | — |
| Madera, CACalifornia | $81.35 | — |
| Merced, CACalifornia | $81.35 | — |
| Modesto, CACalifornia | $81.35 | — |
| Napa, CACalifornia | $96.69 | — |
| Oxnard, CACalifornia | $87.42 | — |
| Redding, CACalifornia | $81.35 | — |
| Rest of CaliforniaCalifornia | $81.35 | — |
| Riverside, CACalifornia | $81.88 | — |
| Sacramento, CACalifornia | $86.02 | — |
| Salinas, CACalifornia | $85.72 | — |
| San Diego, CACalifornia | $88.25 | — |
| Marin County, CACalifornia | $103.06 | — |
| San Francisco, CACalifornia | $103.00 | — |
| San Benito County, CACalifornia | $105.45 | — |
| Santa Clara County, CACalifornia | $105.22 | — |
| San Luis Obispo, CACalifornia | $84.28 | — |
| Santa Cruz, CACalifornia | $89.48 | — |
| Santa Maria, CACalifornia | $86.18 | — |
| Santa Rosa, CACalifornia | $90.42 | — |
| Stockton, CACalifornia | $81.35 | — |
| Vallejo, CACalifornia | $96.61 | — |
| Visalia, CACalifornia | $81.35 | — |
| Yuba City, CACalifornia | $81.35 | — |
| ColoradoColorado | $79.55 | — |
| ConnecticutConnecticut | $81.20 | — |
| DelawareDelaware | $74.53 | — |
| Fort Lauderdale, FLFlorida | $77.72 | — |
| Rest of FloridaFlorida | $73.33 | — |
| Atlanta, GAGeorgia | $76.93 | — |
| Rest of GeorgiaGeorgia | $68.45 | — |
| Hawaii, Guam, HIHawaii | $84.12 | — |
| IowaIowa | $68.69 | — |
| IdahoIdaho | $69.15 | — |
| East St. Louis, ILIllinois | $71.73 | — |
| Rest of IllinoisIllinois | $70.50 | — |
| Suburban Chicago, ILIllinois | $78.65 | — |
| IndianaIndiana | $69.65 | — |
| KansasKansas | $68.12 | — |
| KentuckyKentucky | $67.78 | — |
| New Orleans, LALouisiana | $71.69 | — |
| Rest of LouisianaLouisiana | $67.58 | — |
| Metropolitan Boston, MAMassachusetts | $88.75 | — |
| Rest of MassachusettsMassachusetts | $78.85 | — |
| Baltimore area, MDMaryland | $80.95 | — |
| Rest of MarylandMaryland | $76.22 | — |
| Rest of MaineMaine | $69.40 | — |
| Southern Maine, MEMaine | $74.26 | — |
| Detroit, MIMichigan | $74.25 | — |
| Rest of MichiganMichigan | $69.77 | — |
| MinnesotaMinnesota | $76.29 | — |
| Metropolitan Kansas City, MOMissouri | $71.29 | — |
| Metropolitan St. Louis, MOMissouri | $72.22 | — |
| Rest of MissouriMissouri | $66.04 | — |
| MississippiMississippi | $65.58 | — |
| MontanaMontana | $75.48 | — |
| North CarolinaNorth Carolina | $70.32 | — |
| North DakotaNorth Dakota | $74.49 | — |
| NebraskaNebraska | $69.20 | — |
| New HampshireNew Hampshire | $78.07 | — |
| Northern New JerseyNew Jersey | $86.86 | — |
| Rest of New JerseyNew Jersey | $82.14 | — |
| New MexicoNew Mexico | $70.17 | — |
| NevadaNevada | $75.28 | — |
| OhioOhio | $69.57 | — |
| OklahomaOklahoma | $67.82 | — |
| Portland, OROregon | $82.71 | — |
| Rest of OregonOregon | $74.72 | — |
| Metropolitan Philadelphia, PAPennsylvania | $78.70 | — |
| Rest of PennsylvaniaPennsylvania | $69.81 | — |
| Puerto RicoPuerto Rico | $76.21 | — |
| Rhode IslandRhode Island | $77.66 | — |
| South CarolinaSouth Carolina | $70.06 | — |
| South DakotaSouth Dakota | $74.38 | — |
| TennesseeTennessee | $68.51 | — |
| Austin, TXTexas | $79.26 | — |
| Beaumont, TXTexas | $69.24 | — |
| Brazoria, TXTexas | $74.55 | — |
| Dallas, TXTexas | $75.03 | — |
| Fort Worth, TXTexas | $74.37 | — |
| Galveston, TXTexas | $74.77 | — |
| Houston, TXTexas | $75.68 | — |
| Rest of TexasTexas | $71.85 | — |
| UtahUtah | $71.23 | — |
| VirginiaVirginia | $73.84 | — |
| Virgin Islands, VIUnited States Virgin Islands | $76.21 | — |
| VermontVermont | $73.98 | — |
| Rest of WashingtonWashington | $78.77 | — |
| King County, WAWashington | $90.93 | — |
| WisconsinWisconsin | $71.47 | — |
| West VirginiaWest Virginia | $67.28 | — |
| WyomingWyoming | $75.05 | — |
96423 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.
$65.07
$93.40
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $82.00 | 1 |
| AL | $66.24 | 1 |
| AR | $65.07 | 1 |
| AZ | $73.13 | 1 |
| CA | $81.35–$105.45 | 29 |
| CO | $79.55 | 1 |
| CT | $81.20 | 1 |
| DC | $88.11 | 1 |
| DE | $74.53 | 1 |
| FL | $73.33–$80.83 | 3 |
| GA | $68.45–$76.93 | 2 |
| GU | $84.12 | 1 |
| HI | $84.12 | 1 |
| IA | $68.69 | 1 |
| ID | $69.15 | 1 |
| IL | $70.50–$78.65 | 4 |
| IN | $69.65 | 1 |
| KS | $68.12 | 1 |
| KY | $67.78 | 1 |
| LA | $67.58–$71.69 | 2 |
| MA | $78.85–$88.75 | 2 |
| MD | $76.22–$88.11 | 3 |
| ME | $69.40–$74.26 | 2 |
| MI | $69.77–$74.25 | 2 |
| MN | $76.29 | 1 |
| MO | $66.04–$72.22 | 3 |
| MS | $65.58 | 1 |
| MT | $75.48 | 1 |
| NC | $70.32 | 1 |
| ND | $74.49 | 1 |
| NE | $69.20 | 1 |
| NH | $78.07 | 1 |
| NJ | $82.14–$86.86 | 2 |
| NM | $70.17 | 1 |
| NV | $75.28 | 1 |
| NY | $71.58–$90.16 | 5 |
| OH | $69.57 | 1 |
| OK | $67.82 | 1 |
| OR | $74.72–$82.71 | 2 |
| PA | $69.81–$78.70 | 2 |
| PR | $76.21 | 1 |
| RI | $77.66 | 1 |
| SC | $70.06 | 1 |
| SD | $74.38 | 1 |
| TN | $68.51 | 1 |
| TX | $69.24–$79.26 | 8 |
| UT | $71.23 | 1 |
| VA | $73.84–$88.11 | 2 |
| VI | $76.21 | 1 |
| VT | $73.98 | 1 |
| WA | $78.77–$90.93 | 2 |
| WI | $71.47 | 1 |
| WV | $67.28 | 1 |
| WY | $75.05 | 1 |
How the 96423 rate is calculated
Each of 96423’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 · 96423
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense2.04
2.04 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.2600
Conversion factor
$33.4009
Medicare rate
$75.49
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
12,807
- Code
- 96423
- Physician work
- 0.17
- Practice expense
- 2.04
- Malpractice
- 0.05
GPCI2026.csv
81
- Locality
- Queens, NY
- Physician work
- 1.064
- Practice expense
- 1.182
- Malpractice
- 1.442
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.064 | 0.1809 |
| Practice expense | 2.04 | × 1.182 | 2.4113 |
| Malpractice | 0.05 | × 1.442 | 0.0721 |
| Total RVUs | 2.6643 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Queens, NY$88.99
Office: (0.17 × 1.064 + 2.04 × 1.182 + 0.05 × 1.442) × $33.4009 = $88.99
Payment rules and modifiers for 96423
The CMS indicators that decide how 96423 is paid alongside other services.
CMS payment indicators · 96423
Chemotherapy infusion, intra-arterial, each additional hour
| 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. |
How 96423 has changed in Queens, NY
96423 · Office / nonfacility
$88.99
Effective 2026-10-01
The base rate is $9.35 higher than on 2025-10-01, moving from $79.64 to $88.99 (11.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$79.64changed to$88.99
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.86 changed to 2.04
- Malpractice RVU 0.04 changed to 0.05
- 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.
January 1, 2025
RVU25A
$86.43changed to$79.64
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.96 changed to 1.86
- Malpractice RVU 0.05 changed to 0.04
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$85.02changed to$86.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$89.82changed to$85.02
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.97 changed to 1.96
- Malpractice RVU 0.04 changed to 0.05
- 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
January 1, 2023
RVU23A
$97.08changed to$89.82
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.03 changed to 1.97
- Malpractice RVU 0.05 changed to 0.04
- 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.
January 1, 2022
RVU22A
$103.03changed to$97.08
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.15 changed to 2.03
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$99.27changed to$103.03
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.00 changed to 2.15
- Malpractice RVU 0.06 changed to 0.05
- 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.
January 1, 2020
RVU20A
$97.63changed to$99.27
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.02 changed to 2.00
- Malpractice RVU 0.05 changed to 0.06
- 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.
January 1, 2019
RVU19A
$103.90changed to$97.63
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.15 changed to 2.02
- Malpractice RVU 0.06 changed to 0.05
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$92.10changed to$103.90
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.90 changed to 2.15
- Malpractice RVU 0.05 changed to 0.06
- Malpractice GPCI 2.151 changed to 2.121
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$95.74changed to$92.10
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.99 changed to 1.90
- Practice expense GPCI 1.199 changed to 1.200
- Malpractice GPCI 2.181 changed to 2.151
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$96.51changed to$95.74
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.00 changed to 1.99
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$96.03changed to$96.51
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$92.68changed to$96.03
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.95 changed to 2.00
- Malpractice RVU 0.04 changed to 0.05
- 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.
January 1, 2014
RVU14A
$94.77changed to$92.68
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.13 changed to 1.95
- 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.
January 1, 2013
RVU13AR
Earliest loaded release: $94.77
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $88.99 | Not available in this setting | RVU26D |
| 2026-07-01 | $88.99 | Not available in this setting | RVU26C |
| 2026-04-01 | $88.99 | Not available in this setting | RVU26B |
| 2026-01-01 | $88.99 | Not available in this setting | RVU26A |
| 2025-10-01 | $79.64 | Not available in this setting | RVU25D |
| 2025-07-01 | $79.64 | Not available in this setting | RVU25C |
| 2025-04-01 | $79.64 | Not available in this setting | RVU25B |
| 2025-01-01 | $79.64 | Not available in this setting | RVU25A |
| 2024-10-01 | $86.43 | Not available in this setting | RVU24D |
| 2024-07-01 | $86.43 | Not available in this setting | RVU24C |
| 2024-04-01 | $86.43 | Not available in this setting | RVU24B |
| 2024-03-09 | $86.43 | Not available in this setting | RVU24AR |
| 2024-01-01 | $85.02 | Not available in this setting | RVU24A |
| 2023-10-01 | $89.82 | Not available in this setting | RVU23D |
| 2023-07-01 | $89.82 | Not available in this setting | RVU23C |
| 2023-04-01 | $89.82 | Not available in this setting | RVU23B |
| 2023-01-01 | $89.82 | Not available in this setting | RVU23A |
| 2022-10-01 | $97.08 | Not available in this setting | RVU22D |
| 2022-07-01 | $97.08 | Not available in this setting | RVU22C |
| 2022-04-01 | $97.08 | Not available in this setting | RVU22B |
| 2022-01-01 | $97.08 | Not available in this setting | RVU22A |
| 2021-10-01 | $103.03 | Not available in this setting | RVU21D |
| 2021-07-01 | $103.03 | Not available in this setting | RVU21C |
| 2021-04-01 | $103.03 | Not available in this setting | RVU21B |
| 2021-01-01 | $103.03 | Not available in this setting | RVU21A |
| 2020-10-01 | $99.27 | Not available in this setting | RVU20D |
| 2020-07-01 | $99.27 | Not available in this setting | RVU20C |
| 2020-04-01 | $99.27 | Not available in this setting | RVU20B |
| 2020-01-01 | $99.27 | Not available in this setting | RVU20A |
| 2019-10-01 | $97.63 | Not available in this setting | RVU19D |
| 2019-07-01 | $97.63 | Not available in this setting | RVU19C |
| 2019-04-01 | $97.63 | Not available in this setting | RVU19B |
| 2019-01-01 | $97.63 | Not available in this setting | RVU19A |
| 2018-10-01 | $103.90 | Not available in this setting | RVU18D |
| 2018-07-01 | $103.90 | Not available in this setting | RVU18C |
| 2018-04-01 | $103.90 | Not available in this setting | RVU18B |
| 2018-01-01 | $103.90 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $92.10 | Not available in this setting | RVU17D |
| 2017-07-01 | $92.10 | Not available in this setting | RVU17C |
| 2017-04-01 | $92.10 | Not available in this setting | RVU17B |
| 2017-01-01 | $92.10 | Not available in this setting | RVU17A |
| 2016-10-01 | $95.74 | Not available in this setting | RVU16D |
| 2016-07-01 | $95.74 | Not available in this setting | RVU16C |
| 2016-04-01 | $95.74 | Not available in this setting | RVU16B |
| 2016-01-01 | $95.74 | Not available in this setting | RVU16A |
| 2015-10-01 | $96.51 | Not available in this setting | RVU15D |
| 2015-07-01 | $96.51 | Not available in this setting | RVU15C |
| 2015-04-01 | $96.03 | Not available in this setting | RVU15B |
| 2015-01-01 | $96.03 | Not available in this setting | RVU15A |
| 2014-10-01 | $92.68 | Not available in this setting | RVU14D |
| 2014-07-01 | $92.68 | Not available in this setting | RVU14C |
| 2014-04-01 | $92.68 | Not available in this setting | RVU14B |
| 2014-01-01 | $92.68 | Not available in this setting | RVU14A |
| 2013-10-01 | $94.77 | Not available in this setting | RVU13D |
| 2013-07-01 | $94.77 | Not available in this setting | RVU13C |
| 2013-04-01 | $94.77 | Not available in this setting | RVU13B |
| 2013-01-01 | $94.77 | Not available in this setting | RVU13AR |
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.
- 96423 in New York · multiple payment areas
96423 billing questions
When should 96423 be reported instead of 96415?
Use 96423 for additional qualifying time during an intra-arterial chemotherapy infusion. Code 96415 describes additional time for an intravenous chemotherapy infusion.
Can 96423 be billed by itself?
No. It is an add-on code reported with the primary intra-arterial infusion service, 96422.
What documentation supports the additional-hour units?
Document the chemotherapy agent, intra-arterial route, and infusion start and stop times. The recorded duration must support the units under the applicable CPT time instructions.
Does physician supervision affect reporting?
Yes. CMS identifies this as an incident-to service and allows billing only when it is performed under physician supervision.
Is 96423 used for an intra-arterial push?
No. It describes additional infusion time, not push administration. Code 96420 is the related intra-arterial push service.
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
Fee sheets · Coming soon
Put 96423 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist