CPT code 96446: Chemotherapy administration, peritoneal cavity via catheter2026 Medicare rate & RVUs in South Dakota
Reports antineoplastic medication administration into the peritoneal cavity through an indwelling port or catheter, such as for treatment of peritoneal malignancy.
In South Dakota, Medicare pays $154.32 for 96446 in the office and $16.38 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $154.32. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$154.32
- Los Angeles, CA · California$181.88+$27.56
- Washington, DC area · District of Columbia$183.13+$28.81
- Miami, FL · Florida$168.88+$14.56
- Chicago, IL · Illinois$162.96+$8.64
- Manhattan, NY · New York$182.90+$28.58
- Alaska · Alaska$170.50+$16.18
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $168.83 | $17.65 |
| Merced, CACalifornia | $168.83 | $17.65 |
| Modesto, CACalifornia | $168.83 | $17.65 |
| Napa, CACalifornia | $200.51 | $18.69 |
| Oxnard, CACalifornia | $181.41 | $18.36 |
| Redding, CACalifornia | $168.83 | $17.65 |
| Rest of CaliforniaCalifornia | $168.83 | $17.65 |
| Riverside, CACalifornia | $170.12 | $18.93 |
| Sacramento, CACalifornia | $178.49 | $18.06 |
| Salinas, CACalifornia | $177.87 | $17.99 |
| San Diego, CACalifornia | $183.08 | $18.10 |
| Marin County, CACalifornia | $213.64 | $19.14 |
| San Francisco, CACalifornia | $213.51 | $19.00 |
| San Benito County, CACalifornia | $218.64 | $19.72 |
| Santa Clara County, CACalifornia | $218.08 | $19.16 |
| San Luis Obispo, CACalifornia | $174.88 | $17.76 |
| Santa Cruz, CACalifornia | $185.62 | $18.01 |
| Santa Maria, CACalifornia | $178.81 | $17.97 |
| Santa Rosa, CACalifornia | $187.56 | $18.16 |
| Stockton, CACalifornia | $168.83 | $17.65 |
| Vallejo, CACalifornia | $200.31 | $18.50 |
| Visalia, CACalifornia | $168.83 | $17.65 |
| Yuba City, CACalifornia | $168.83 | $17.65 |
| ColoradoColorado | $165.25 | $18.48 |
| ConnecticutConnecticut | $168.90 | $20.33 |
| DelawareDelaware | $154.95 | $18.66 |
| Fort Lauderdale, FLFlorida | $162.05 | $22.31 |
| Rest of FloridaFlorida | $152.81 | $20.94 |
| Atlanta, GAGeorgia | $160.08 | $19.92 |
| Rest of GeorgiaGeorgia | $142.57 | $19.52 |
| Hawaii, Guam, HIHawaii | $174.56 | $17.72 |
| IowaIowa | $142.61 | $16.39 |
| IdahoIdaho | $143.62 | $16.71 |
| East St. Louis, ILIllinois | $149.80 | $22.89 |
| Rest of IllinoisIllinois | $147.01 | $21.06 |
| Suburban Chicago, ILIllinois | $163.96 | $22.29 |
| IndianaIndiana | $144.66 | $16.78 |
| KansasKansas | $141.50 | $16.79 |
| KentuckyKentucky | $141.03 | $18.40 |
| New Orleans, LALouisiana | $149.23 | $19.43 |
| Rest of LouisianaLouisiana | $140.64 | $18.56 |
| Metropolitan Boston, MAMassachusetts | $184.33 | $19.62 |
| Rest of MassachusettsMassachusetts | $163.82 | $18.56 |
| Baltimore area, MDMaryland | $168.40 | $20.38 |
| Rest of MarylandMaryland | $158.47 | $18.87 |
| Rest of MaineMaine | $144.22 | $17.31 |
| Southern Maine, MEMaine | $154.24 | $17.54 |
| Detroit, MIMichigan | $154.81 | $21.69 |
| Rest of MichiganMichigan | $145.27 | $19.32 |
| MinnesotaMinnesota | $158.24 | $16.29 |
| Metropolitan Kansas City, MOMissouri | $148.31 | $18.78 |
| Metropolitan St. Louis, MOMissouri | $150.24 | $18.92 |
| Rest of MissouriMissouri | $137.47 | $18.57 |
| MississippiMississippi | $136.39 | $17.62 |
| MontanaMontana | $156.98 | $19.03 |
| North CarolinaNorth Carolina | $146.12 | $17.41 |
| North DakotaNorth Dakota | $154.60 | $16.66 |
| NebraskaNebraska | $143.66 | $16.34 |
| New HampshireNew Hampshire | $162.25 | $18.65 |
| Northern New JerseyNew Jersey | $180.53 | $20.52 |
| Rest of New JerseyNew Jersey | $170.80 | $20.17 |
| New MexicoNew Mexico | $146.12 | $19.62 |
| NevadaNevada | $156.46 | $18.37 |
| NYC suburbs and Long Island, NYNew York | $187.79 | $23.77 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $171.74 | $20.69 |
| Queens, NYNew York | $185.14 | $22.09 |
| Rest of New YorkNew York | $148.76 | $17.71 |
| OhioOhio | $144.78 | $18.84 |
| OklahomaOklahoma | $141.04 | $17.86 |
| Portland, OROregon | $171.76 | $18.51 |
| Rest of OregonOregon | $155.23 | $17.84 |
| Metropolitan Philadelphia, PAPennsylvania | $163.75 | $20.14 |
| Rest of PennsylvaniaPennsylvania | $145.23 | $18.60 |
| Puerto RicoPuerto Rico | $158.47 | $19.01 |
| Rhode IslandRhode Island | $161.43 | $18.93 |
| South CarolinaSouth Carolina | $145.70 | $18.23 |
| TennesseeTennessee | $142.33 | $16.94 |
| Austin, TXTexas | $164.71 | $18.76 |
| Beaumont, TXTexas | $144.04 | $18.51 |
| Brazoria, TXTexas | $154.94 | $18.23 |
| Dallas, TXTexas | $155.96 | $18.57 |
| Fort Worth, TXTexas | $154.61 | $18.60 |
| Galveston, TXTexas | $155.41 | $18.43 |
| Houston, TXTexas | $157.61 | $20.63 |
| Rest of TexasTexas | $149.42 | $18.51 |
| UtahUtah | $148.14 | $18.47 |
| VirginiaVirginia | $153.42 | $17.81 |
| Virgin Islands, VIUnited States Virgin Islands | $158.47 | $19.01 |
| VermontVermont | $153.60 | $17.03 |
| Rest of WashingtonWashington | $163.64 | $18.38 |
| King County, WAWashington | $188.79 | $19.53 |
| WisconsinWisconsin | $148.30 | $16.15 |
| West VirginiaWest Virginia | $140.29 | $20.42 |
| WyomingWyoming | $155.94 | $18.00 |
96446 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.
$135.21
$193.74
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 | $170.50 | 1 |
| AL | $137.67 | 1 |
| AR | $135.21 | 1 |
| AZ | $152.05 | 1 |
| CA | $168.83–$218.64 | 29 |
| CO | $165.25 | 1 |
| CT | $168.90 | 1 |
| DC | $183.13 | 1 |
| DE | $154.95 | 1 |
| FL | $152.81–$168.88 | 3 |
| GA | $142.57–$160.08 | 2 |
| GU | $174.56 | 1 |
| HI | $174.56 | 1 |
| IA | $142.61 | 1 |
| ID | $143.62 | 1 |
| IL | $147.01–$163.96 | 4 |
| IN | $144.66 | 1 |
| KS | $141.50 | 1 |
| KY | $141.03 | 1 |
| LA | $140.64–$149.23 | 2 |
| MA | $163.82–$184.33 | 2 |
| MD | $158.47–$183.13 | 3 |
| ME | $144.22–$154.24 | 2 |
| MI | $145.27–$154.81 | 2 |
| MN | $158.24 | 1 |
| MO | $137.47–$150.24 | 3 |
| MS | $136.39 | 1 |
| MT | $156.98 | 1 |
| NC | $146.12 | 1 |
| ND | $154.60 | 1 |
| NE | $143.66 | 1 |
| NH | $162.25 | 1 |
| NJ | $170.80–$180.53 | 2 |
| NM | $146.12 | 1 |
| NV | $156.46 | 1 |
| NY | $148.76–$187.79 | 5 |
| OH | $144.78 | 1 |
| OK | $141.04 | 1 |
| OR | $155.23–$171.76 | 2 |
| PA | $145.23–$163.75 | 2 |
| PR | $158.47 | 1 |
| RI | $161.43 | 1 |
| SC | $145.70 | 1 |
| SD | $154.32 | 1 |
| TN | $142.33 | 1 |
| TX | $144.04–$164.71 | 8 |
| UT | $148.14 | 1 |
| VA | $153.42–$183.13 | 2 |
| VI | $158.47 | 1 |
| VT | $153.60 | 1 |
| WA | $163.64–$188.79 | 2 |
| WI | $148.30 | 1 |
| WV | $140.29 | 1 |
| WY | $155.94 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.37 | × 1.000 | 0.3700 |
| Practice expense | 4.21 | × 1.000 | 4.2100 |
| Malpractice | 0.12 | × 0.336 | 0.0403 |
| Total RVUs | 4.6203 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$154.32
Office: (0.37 × 1 + 4.21 × 1 + 0.12 × 0.336) × $33.4009 = $154.32
Facility: (0.37 × 1 + 0.08 × 1 + 0.12 × 0.336) × $33.4009 = $16.38
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| 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 96446 has changed in South Dakota
96446 · Office / nonfacility
$154.32
Effective 2026-10-01
The base rate is $8.74 higher than on 2025-10-01, moving from $145.58 to $154.32 (6.0%).
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
$145.58changed to$154.32
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$157.60changed to$145.58
- 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.
March 9, 2024
RVU24AR
$155.02changed to$157.60
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$189.15changed to$155.02
- 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
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$199.08changed to$189.15
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$211.99changed to$199.08
- 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.
January 1, 2021
RVU21A
$201.34changed to$211.99
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.15 changed to 5.65
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$203.24changed to$201.34
- 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
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$206.32changed to$203.24
- 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.
January 1, 2018
RVU18AR1
$199.78changed to$206.32
- 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
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$196.85changed to$199.78
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.02 changed to 5.09
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$197.35changed to$196.85
- 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.
July 1, 2015
RVU15C
$196.36changed to$197.35
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$191.98changed to$196.36
- 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 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$198.70changed to$191.98
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 5.44 changed to 4.96
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $198.70
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $154.32 | $16.38 | RVU26D |
| 2026-07-01 | $154.32 | $16.38 | RVU26C |
| 2026-04-01 | $154.32 | $16.38 | RVU26B |
| 2026-01-01 | $154.32 | $16.38 | RVU26A |
| 2025-10-01 | $145.58 | $17.49 | RVU25D |
| 2025-07-01 | $145.58 | $17.49 | RVU25C |
| 2025-04-01 | $145.58 | $17.49 | RVU25B |
| 2025-01-01 | $145.58 | $17.49 | RVU25A |
| 2024-10-01 | $157.60 | $18.45 | RVU24D |
| 2024-07-01 | $157.60 | $18.45 | RVU24C |
| 2024-04-01 | $157.60 | $18.45 | RVU24B |
| 2024-03-09 | $157.60 | $18.45 | RVU24AR |
| 2024-01-01 | $155.02 | $18.15 | RVU24A |
| 2023-10-01 | $189.15 | $21.75 | RVU23D |
| 2023-07-01 | $189.15 | $21.75 | RVU23C |
| 2023-04-01 | $189.15 | $21.75 | RVU23B |
| 2023-01-01 | $189.15 | $21.75 | RVU23A |
| 2022-10-01 | $199.08 | $22.59 | RVU22D |
| 2022-07-01 | $199.08 | $22.59 | RVU22C |
| 2022-04-01 | $199.08 | $22.59 | RVU22B |
| 2022-01-01 | $199.08 | $22.59 | RVU22A |
| 2021-10-01 | $211.99 | $22.18 | RVU21D |
| 2021-07-01 | $211.99 | $22.18 | RVU21C |
| 2021-04-01 | $211.99 | $22.18 | RVU21B |
| 2021-01-01 | $211.99 | $22.18 | RVU21A |
| 2020-10-01 | $201.34 | $22.70 | RVU20D |
| 2020-07-01 | $201.34 | $22.70 | RVU20C |
| 2020-04-01 | $201.34 | $22.70 | RVU20B |
| 2020-01-01 | $201.34 | $22.70 | RVU20A |
| 2019-10-01 | $203.24 | $23.41 | RVU19D |
| 2019-07-01 | $203.24 | $23.41 | RVU19C |
| 2019-04-01 | $203.24 | $23.41 | RVU19B |
| 2019-01-01 | $203.24 | $23.41 | RVU19A |
| 2018-10-01 | $206.32 | $23.80 | RVU18D |
| 2018-07-01 | $206.32 | $23.80 | RVU18C |
| 2018-04-01 | $206.32 | $23.80 | RVU18B |
| 2018-01-01 | $206.32 | $23.80 | RVU18AR1 |
| 2017-10-01 | $199.78 | $23.57 | RVU17D |
| 2017-07-01 | $199.78 | $23.57 | RVU17C |
| 2017-04-01 | $199.78 | $23.57 | RVU17B |
| 2017-01-01 | $199.78 | $23.57 | RVU17A |
| 2016-10-01 | $196.85 | $23.56 | RVU16D |
| 2016-07-01 | $196.85 | $23.56 | RVU16C |
| 2016-04-01 | $196.85 | $23.56 | RVU16B |
| 2016-01-01 | $196.85 | $23.56 | RVU16A |
| 2015-10-01 | $197.35 | $23.79 | RVU15D |
| 2015-07-01 | $197.35 | $23.79 | RVU15C |
| 2015-04-01 | $196.36 | $23.67 | RVU15B |
| 2015-01-01 | $196.36 | $23.67 | RVU15A |
| 2014-10-01 | $191.98 | $20.75 | RVU14D |
| 2014-07-01 | $191.98 | $20.75 | RVU14C |
| 2014-04-01 | $191.98 | $20.75 | RVU14B |
| 2014-01-01 | $191.98 | $20.75 | RVU14A |
| 2013-10-01 | $198.70 | $20.08 | RVU13D |
| 2013-07-01 | $198.70 | $20.08 | RVU13C |
| 2013-04-01 | $198.70 | $20.08 | RVU13B |
| 2013-01-01 | $198.70 | $20.08 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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