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

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 Virgin Islands, VI, Medicare pays $158.47 for 96446 in the office and $19.01 when it’s performed in a hospital or facility.

$158.47Office (non-facility)
$19.01Hospital or facility
+0.9%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 Virgin Islands, VI
  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 Virgin Islands, VI 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. Virgin Islands, VI pays $158.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

96446 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$158.47
  2. Los Angeles, CA · California$181.88+$23.41
  3. Washington, DC area · District of Columbia$183.13+$24.66
  4. Miami, FL · Florida$168.88+$10.41
  5. Chicago, IL · Illinois$162.96+$4.49
  6. Manhattan, NY · New York$182.90+$24.43
  7. Alaska · Alaska$170.50+$12.03

Other areas in United States Virgin Islands 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 Virgin Islands, VI 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

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 96446 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0000.3700
Practice expense4.21× 1.0114.2563
Malpractice0.12× 0.9850.1182
Total RVUs4.7445
Conversion factor× 33.4009

Office rate, Virgin Islands, VI$158.47

Office: (0.37 × 1 + 4.21 × 1.011 + 0.12 × 0.985) × $33.4009 = $158.47

Facility: (0.37 × 1 + 0.08 × 1.011 + 0.12 × 0.985) × $33.4009 = $19.01

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, Virgin Islands, VI
Used instead
96440Pleural chemotherapy, with thoracentesisFor chemotherapy administration into the pleural cavity rather than the peritoneal cavity.$775.10
96450Chemotherapy administration, into central nervous systemFor chemotherapy administration into the central nervous system rather than the peritoneal cavity.$162.08
96413Chemo IV infusion, initial drug, first hourFor chemotherapy administered by intravenous infusion rather than through a peritoneal catheter.$134.57
96401Chemotherapy injection, subcutaneous or intramuscular, nonhormonalFor chemotherapy administered subcutaneously or intramuscularly rather than intraperitoneally.$72.49

How 96446 has changed in Virgin Islands, VI

96446 · Office / nonfacility

$158.47

Effective 2026-10-01

The base rate is $10.41 higher than on 2025-10-01, moving from $148.06 to $158.47 (7.0%).

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

    $148.06changed to$158.47

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $160.40changed to$148.06

    • 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

    $157.78changed to$160.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $194.12changed to$157.78

    • 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 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $192.82changed to$194.12

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $205.20changed to$192.82

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $217.14changed to$205.20

    • 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.

  8. January 1, 2021

    RVU21A

    $206.41changed to$217.14

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.15 changed to 5.65
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $209.53changed to$206.41

    • 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 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $213.27changed to$209.53

    • 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.

  11. January 1, 2018

    RVU18AR1

    $206.67changed to$213.27

    • 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 1.006 changed to 1.007
    • Malpractice GPCI 0.993 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $195.42changed to$206.67

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.02 changed to 5.09
    • Practice expense GPCI 0.960 changed to 1.006
    • Malpractice GPCI 0.996 changed to 0.993

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $196.14changed to$195.42

    • 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.

  14. July 1, 2015

    RVU15C

    $195.17changed to$196.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $194.16changed to$195.17

    • 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
    • Practice expense GPCI 1.004 changed to 0.960
    • Malpractice GPCI 1.003 changed to 0.996

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $200.45changed to$194.16

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.44 changed to 4.96
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 1.010 changed to 1.003

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $200.45

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$158.47$19.01RVU26D
2026-07-01$158.47$19.01RVU26C
2026-04-01$158.47$19.01RVU26B
2026-01-01$158.47$19.01RVU26A
2025-10-01$148.06$19.07RVU25D
2025-07-01$148.06$19.07RVU25C
2025-04-01$148.06$19.07RVU25B
2025-01-01$148.06$19.07RVU25A
2024-10-01$160.40$20.29RVU24D
2024-07-01$160.40$20.29RVU24C
2024-04-01$160.40$20.29RVU24B
2024-03-09$160.40$20.29RVU24AR
2024-01-01$157.78$19.96RVU24A
2023-10-01$194.12$25.38RVU23D
2023-07-01$192.82$25.42RVU23C
2023-04-01$192.82$25.42RVU23B
2023-01-01$192.82$25.42RVU23A
2022-10-01$205.20$27.30RVU22D
2022-07-01$205.20$27.30RVU22C
2022-04-01$205.20$27.30RVU22B
2022-01-01$205.20$27.30RVU22A
2021-10-01$217.14$25.80RVU21D
2021-07-01$217.14$25.80RVU21C
2021-04-01$217.14$25.80RVU21B
2021-01-01$217.14$25.80RVU21A
2020-10-01$206.41$26.33RVU20D
2020-07-01$206.41$26.33RVU20C
2020-04-01$206.41$26.33RVU20B
2020-01-01$206.41$26.33RVU20A
2019-10-01$209.53$28.44RVU19D
2019-07-01$209.53$28.44RVU19C
2019-04-01$209.53$28.44RVU19B
2019-01-01$209.53$28.44RVU19A
2018-10-01$213.27$29.47RVU18D
2018-07-01$213.27$29.47RVU18C
2018-04-01$213.27$29.47RVU18B
2018-01-01$213.27$29.47RVU18AR1
2017-10-01$206.67$29.40RVU17D
2017-07-01$206.67$29.40RVU17C
2017-04-01$206.67$29.40RVU17B
2017-01-01$206.67$29.40RVU17A
2016-10-01$195.42$29.06RVU16D
2016-07-01$195.42$29.06RVU16C
2016-04-01$195.42$29.06RVU16B
2016-01-01$195.42$29.06RVU16A
2015-10-01$196.14$29.53RVU15D
2015-07-01$196.14$29.53RVU15C
2015-04-01$195.17$29.38RVU15B
2015-01-01$195.17$29.38RVU15A
2014-10-01$194.16$22.24RVU14D
2014-07-01$194.16$22.24RVU14C
2014-04-01$194.16$22.24RVU14B
2014-01-01$194.16$22.24RVU14A
2013-10-01$200.45$21.47RVU13D
2013-07-01$200.45$21.47RVU13C
2013-04-01$200.45$21.47RVU13B
2013-01-01$200.45$21.47RVU13AR

Price 96446 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

  • Charlotte Amalie
  • Charlotte Amalie East
  • Charlotte Amalie West
  • Christiansted
  • Coral Bay
  • Cruz Bay
  • Frederiksted
  • Frederiksted Southeast

Browse all communities in United States Virgin Islands

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 Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

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