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CPT code 96446: Chemotherapy administration, peritoneal cavity via catheter2026 Medicare rate & RVUs in Kentucky

Reports antineoplastic medication administration into the peritoneal cavity through an indwelling port or catheter, such as for treatment of peritoneal malignancy.

CMS RVU26DEffective Oct 1, 2026One payment locality32 Medicare services in 2024

In Kentucky, Medicare pays $141.03 for 96446 in the office and $18.40 when it’s performed in a hospital or facility.

$141.03Office (non-facility)
$18.40Hospital or facility
−10.2%vs the national office rate ($156.98)

Check a contract rate as a % of Medicare · 96446 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 96446 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kentucky
  2. What 96446 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 96446 covers

This service covers delivery of antineoplastic medication into the peritoneal cavity through an indwelling port or catheter. It is commonly performed by oncology clinicians for patients receiving intraperitoneal treatment, including treatment for ovarian or other cancers involving the peritoneum. The access device is already in place; this code describes the chemotherapy administration, not placement of the port or catheter. It is distinct from delivering medication into the pleural cavity, central nervous system, or bloodstream.

Select the code based on the medication’s route and the access method, not simply the drug used or the patient’s diagnosis. Documentation should identify the antineoplastic agent, the intraperitoneal route, use of the indwelling access device, and the administration performed. The medication product is separate from the administration service and may be reported with its applicable drug code when separately furnished and reportable. It is billed as an incident-to service 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 Kentucky compares for 96446

Across 109 of 109 payment localities, the office rate for 96446 runs from $135.21 in Arkansas to $218.64 in San Benito County, CA. Kentucky pays $141.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

96446 in Kentucky vs other payment areas
  1. Kentucky · this page$141.03
  2. Los Angeles, CA · California$181.88+$40.85
  3. Washington, DC area · District of Columbia$183.13+$42.10
  4. Miami, FL · Florida$168.88+$27.85
  5. Chicago, IL · Illinois$162.96+$21.93
  6. Manhattan, NY · New York$182.90+$41.87
  7. Alaska · Alaska$170.50+$29.47

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

Every other payment area

96446 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$137.67$16.96
ArkansasArkansas$135.21$16.72
ArizonaArizona$152.05$18.38
Bakersfield, CACalifornia$169.15$17.96
Chico, CACalifornia$168.83$17.65
El Centro, CACalifornia$168.85$17.67
Fresno, CACalifornia$168.83$17.65
Hanford, CACalifornia$168.83$17.65

96446 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.

$135.21

$193.74

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

View every state and territory as a table
96446 office rate range by state
State / territoryOffice rate rangeLocalities
AK$170.501
AL$137.671
AR$135.211
AZ$152.051
CA$168.83–$218.6429
CO$165.251
CT$168.901
DC$183.131
DE$154.951
FL$152.81–$168.883
GA$142.57–$160.082
GU$174.561
HI$174.561
IA$142.611
ID$143.621
IL$147.01–$163.964
IN$144.661
KS$141.501
KY$141.031
LA$140.64–$149.232
MA$163.82–$184.332
MD$158.47–$183.133
ME$144.22–$154.242
MI$145.27–$154.812
MN$158.241
MO$137.47–$150.243
MS$136.391
MT$156.981
NC$146.121
ND$154.601
NE$143.661
NH$162.251
NJ$170.80–$180.532
NM$146.121
NV$156.461
NY$148.76–$187.795
OH$144.781
OK$141.041
OR$155.23–$171.762
PA$145.23–$163.752
PR$158.471
RI$161.431
SC$145.701
SD$154.321
TN$142.331
TX$144.04–$164.718
UT$148.141
VA$153.42–$183.132
VI$158.471
VT$153.601
WA$163.64–$188.792
WI$148.301
WV$140.291
WY$155.941

See 96446 in every payment locality

How the 96446 rate is calculated

Each of 96446’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 · 96446

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.37

0.37 RVUs× 1.000 GPCI

Practice expense4.21

4.21 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

4.7000

Conversion factor

$33.4009

Medicare rate

$156.98

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

The exact Kentucky inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,810

Code
96446
Physician work
0.37
Practice expense
4.21
Malpractice
0.12

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Office calculation for 96446 in Kentucky
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0000.3700
Practice expense4.21× 0.8893.7427
Malpractice0.12× 0.9150.1098
Total RVUs4.2225
Conversion factor× 33.4009

Office rate, Kentucky$141.03

Office: (0.37 × 1 + 4.21 × 0.889 + 0.12 × 0.915) × $33.4009 = $141.03

Facility: (0.37 × 1 + 0.08 × 0.889 + 0.12 × 0.915) × $33.4009 = $18.40

Open 96446 in the RVU calculator

Payment rules and modifiers for 96446

The CMS indicators that decide how 96446 is paid alongside other services.

CMS payment indicators · 96446

Chemotherapy administration, peritoneal cavity via catheter

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 96446

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

Codes related to 96446
CodeHow it relatesOffice range, Kentucky
Used instead
96440Pleural chemotherapy, with thoracentesisFor chemotherapy administration into the pleural cavity rather than the peritoneal cavity.$690.34
96450Chemotherapy administration, into central nervous systemFor chemotherapy administration into the central nervous system rather than the peritoneal cavity.$148.92
96413Chemo IV infusion, initial drug, first hourFor chemotherapy administered by intravenous infusion rather than through a peritoneal catheter.$119.58
96401Chemotherapy injection, subcutaneous or intramuscular, nonhormonalFor chemotherapy administered subcutaneously or intramuscularly rather than intraperitoneally.$64.65

How 96446 has changed in Kentucky

96446 · Office / nonfacility

$141.03

Effective 2026-10-01

The base rate is $10.39 higher than on 2025-10-01, moving from $130.64 to $141.03 (8.0%).

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

    $130.64changed to$141.03

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 4.10 changed to 4.21
    • Malpractice RVU 0.08 changed to 0.12
    • Practice expense GPCI 0.877 changed to 0.889
    • Malpractice GPCI 0.913 changed to 0.915

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $141.46changed to$130.64

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.33 changed to 4.10
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $139.15changed to$141.46

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $169.91changed to$139.15

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.15 changed to 4.33
    • Malpractice RVU 0.17 changed to 0.09
    • Practice expense GPCI 0.873 changed to 0.877
    • Malpractice GPCI 0.870 changed to 0.913

  5. January 1, 2023

    RVU23A

    $178.50changed to$169.91

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.31 changed to 5.15
    • Malpractice RVU 0.21 changed to 0.17
    • Practice expense GPCI 0.869 changed to 0.873
    • Malpractice GPCI 0.827 changed to 0.870

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $188.85changed to$178.50

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.65 changed to 5.31
    • Malpractice RVU 0.16 changed to 0.21

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $180.55changed to$188.85

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.15 changed to 5.65
    • Practice expense GPCI 0.874 changed to 0.869
    • Malpractice GPCI 0.823 changed to 0.827

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $184.40changed to$180.55

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.18 changed to 5.15
    • Malpractice RVU 0.23 changed to 0.16
    • Practice expense GPCI 0.880 changed to 0.874
    • Malpractice GPCI 0.819 changed to 0.823

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $187.62changed to$184.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.26 changed to 5.18
    • Malpractice RVU 0.26 changed to 0.23

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $181.12changed to$187.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.09 changed to 5.26
    • Malpractice RVU 0.27 changed to 0.26
    • Practice expense GPCI 0.876 changed to 0.880
    • Malpractice GPCI 0.807 changed to 0.819

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $177.66changed to$181.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.02 changed to 5.09
    • Practice expense GPCI 0.872 changed to 0.876
    • Malpractice GPCI 0.795 changed to 0.807

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $178.28changed to$177.66

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.01 changed to 5.02
    • Malpractice RVU 0.28 changed to 0.27

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $177.39changed to$178.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $170.13changed to$177.39

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.96 changed to 5.01
    • Malpractice RVU 0.07 changed to 0.28
    • Malpractice GPCI 0.774 changed to 0.795

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $175.59changed to$170.13

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.44 changed to 4.96
    • Practice expense GPCI 0.871 changed to 0.872
    • Malpractice GPCI 0.752 changed to 0.774

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $175.59

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$141.03$18.40RVU26D
2026-07-01$141.03$18.40RVU26C
2026-04-01$141.03$18.40RVU26B
2026-01-01$141.03$18.40RVU26A
2025-10-01$130.64$18.30RVU25D
2025-07-01$130.64$18.30RVU25C
2025-04-01$130.64$18.30RVU25B
2025-01-01$130.64$18.30RVU25A
2024-10-01$141.46$19.43RVU24D
2024-07-01$141.46$19.43RVU24C
2024-04-01$141.46$19.43RVU24B
2024-03-09$141.46$19.43RVU24AR
2024-01-01$139.15$19.11RVU24A
2023-10-01$169.91$23.76RVU23D
2023-07-01$169.91$23.76RVU23C
2023-04-01$169.91$23.76RVU23B
2023-01-01$169.91$23.76RVU23A
2022-10-01$178.50$25.13RVU22D
2022-07-01$178.50$25.13RVU22C
2022-04-01$178.50$25.13RVU22B
2022-01-01$178.50$25.13RVU22A
2021-10-01$188.85$23.90RVU21D
2021-07-01$188.85$23.90RVU21C
2021-04-01$188.85$23.90RVU21B
2021-01-01$188.85$23.90RVU21A
2020-10-01$180.55$24.41RVU20D
2020-07-01$180.55$24.41RVU20C
2020-04-01$180.55$24.41RVU20B
2020-01-01$180.55$24.41RVU20A
2019-10-01$184.40$26.15RVU19D
2019-07-01$184.40$26.15RVU19C
2019-04-01$184.40$26.15RVU19B
2019-01-01$184.40$26.15RVU19A
2018-10-01$187.62$27.00RVU18D
2018-07-01$187.62$27.00RVU18C
2018-04-01$187.62$27.00RVU18B
2018-01-01$187.62$27.00RVU18AR1
2017-10-01$181.12$26.76RVU17D
2017-07-01$181.12$26.76RVU17C
2017-04-01$181.12$26.76RVU17B
2017-01-01$181.12$26.76RVU17A
2016-10-01$177.66$26.55RVU16D
2016-07-01$177.66$26.55RVU16C
2016-04-01$177.66$26.55RVU16B
2016-01-01$177.66$26.55RVU16A
2015-10-01$178.28$26.93RVU15D
2015-07-01$178.28$26.93RVU15C
2015-04-01$177.39$26.80RVU15B
2015-01-01$177.39$26.80RVU15A
2014-10-01$170.13$20.82RVU14D
2014-07-01$170.13$20.82RVU14C
2014-04-01$170.13$20.82RVU14B
2014-01-01$170.13$20.82RVU14A
2013-10-01$175.59$20.01RVU13D
2013-07-01$175.59$20.01RVU13C
2013-04-01$175.59$20.01RVU13B
2013-01-01$175.59$20.01RVU13AR

Price 96446 for an earlier date of service

Where the Kentucky rate applies

Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.

  • Adairville
  • Ages
  • Albany
  • Alexandria
  • Allen
  • Allensville
  • Anchorage
  • Annville

Browse all communities in Kentucky

96446 billing questions

When should 96446 be selected instead of 96440?

Use 96446 for chemotherapy delivered into the peritoneal cavity through an indwelling port or catheter. Code 96440 is for delivery into the pleural cavity.

Does 96446 include placement of the port or catheter?

No. The service is administration through an indwelling device; placement is not described by this code.

Is the chemotherapy drug included in 96446?

The code represents the administration service, not the drug product. Report the applicable drug code separately when the product is separately furnished and reportable.

What documentation supports reporting 96446?

Document the antineoplastic medication, intraperitoneal route, indwelling port or catheter used, and the administration performed.

What supervision condition applies to Medicare billing?

CMS identifies this 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 96446PPRRVU2026_Oct_nonQPP.csv, line 12,810 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)

Open CMS sourceHow we calculate rates

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