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CMS RVU26D · Effective 2026-10-01

96446 in El Centro

Office / nonfacility

$168.85

Base rate per service

Facility setting

$17.67

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Chemotherapy administration

About 96446: Intraperitoneal chemotherapy administration

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

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. Under the CMS rule supplied for this code, it is billed as an incident-to service only when performed under physician supervision.

CMS billing rules for 96446

Professional and technical components
Incident-to service: billed only when performed under physician supervision.

Where the value comes from

  • Work RVU0.37 · 8%
  • Practice expense (office) RVU4.21 · 90%
  • Malpractice RVU0.12 · 3%

32

Medicare services in 2024 · #5635 by national volume

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.

96446 compared with similar codes

Office rates for El Centro, from the same CMS release.

96440

Pleural chemotherapy

With thoracentesis

$833.05

The cavity determines the choice: 96446 is for intraperitoneal administration through an indwelling port or catheter, while 96440 is for administration into the pleural cavity.

96450

Chemotherapy administration

Into central nervous system

$169.82

Use 96446 for the peritoneal cavity. Code 96450 covers chemotherapy administration into the central nervous system.

96413

Chemo IV infusion

Initial drug, first hour

$144.03

Use 96446 when medication is delivered into the peritoneal cavity through an indwelling device; 96413 is for intravenous chemotherapy infusion.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 96446 is $169.15—$0.30 higher than the $168.85 rate in El Centro. Both use the same code, release and participation basis.

96446 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $168.85

  2. Bakersfield

    $169.15

    $0.30 higher than El Centro

  3. Chico

    $168.83

    $0.02 lower than El Centro

  4. Fresno

    $168.83

    $0.02 lower than El Centro

  5. Hanford-Corcoran

    $168.83

    $0.02 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $181.88

    $13.03 higher than El Centro

  7. Madera

    $168.83

    $0.02 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 96446 ranges from $135.21 in Arkansas to $218.64 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 96446

    Office

    $168.83

    Facility

    $17.65

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · 96446

    Office

    $168.83

    Facility

    $17.65

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · 96446

    Office

    $200.51

    Facility

    $18.69

    $31.66 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 96446

    Office

    $181.41

    Facility

    $18.36

    $12.56 higher than El Centro for the office setting.

  • Redding

    California · 96446

    Office

    $168.83

    Facility

    $17.65

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · 96446

    Office

    $168.83

    Facility

    $17.65

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 96446

    Office

    $170.12

    Facility

    $18.93

    $1.27 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 96446

    Office

    $178.49

    Facility

    $18.06

    $9.64 higher than El Centro for the office setting.

  • Salinas

    California · 96446

    Office

    $177.87

    Facility

    $17.99

    $9.02 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 96446

    Office

    $183.08

    Facility

    $18.10

    $14.23 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 96446

    Office

    $213.64

    Facility

    $19.14

    $44.79 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 96446

    Office

    $213.51

    Facility

    $19.00

    $44.66 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 96446

    Office

    $218.64

    Facility

    $19.72

    $49.79 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 96446

    Office

    $218.08

    Facility

    $19.16

    $49.23 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 96446

    Office

    $174.88

    Facility

    $17.76

    $6.03 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 96446

    Office

    $185.62

    Facility

    $18.01

    $16.77 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 96446

    Office

    $178.81

    Facility

    $17.97

    $9.96 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 96446

    Office

    $187.56

    Facility

    $18.16

    $18.71 higher than El Centro for the office setting.

  • Stockton

    California · 96446

    Office

    $168.83

    Facility

    $17.65

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · 96446

    Office

    $200.31

    Facility

    $18.50

    $31.46 higher than El Centro for the office setting.

  • Visalia

    California · 96446

    Office

    $168.83

    Facility

    $17.65

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · 96446

    Office

    $168.83

    Facility

    $17.65

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 96446

    Office

    $183.13

    Facility

    $20.63

    $14.28 higher than El Centro for the office setting.

  • Miami

    Florida · 96446

    Office

    $168.88

    Facility

    $25.28

    $0.03 higher than El Centro for the office setting.

  • Chicago

    Illinois · 96446

    Office

    $162.96

    Facility

    $24.33

    $5.89 lower than El Centro for the office setting.

  • Manhattan

    New York · 96446

    Office

    $182.90

    Facility

    $22.61

    $14.05 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 96446

    Office

    $170.50

    Facility

    $23.59

    $1.65 higher than El Centro for the office setting.

  • Alabama

    Alabama · 96446

    Office

    $137.67

    Facility

    $16.96

    $31.18 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 96446

    Office

    $135.21

    Facility

    $16.72

    $33.64 lower than El Centro for the office setting.

  • Arizona

    Arizona · 96446

    Office

    $152.05

    Facility

    $18.38

    $16.80 lower than El Centro for the office setting.

  • Colorado

    Colorado · 96446

    Office

    $165.25

    Facility

    $18.48

    $3.60 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 96446

    Office

    $168.90

    Facility

    $20.33

    $0.05 higher than El Centro for the office setting.

  • Delaware

    Delaware · 96446

    Office

    $154.95

    Facility

    $18.66

    $13.90 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 96446

    Office

    $162.05

    Facility

    $22.31

    $6.80 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 96446

    Office

    $152.81

    Facility

    $20.94

    $16.04 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 96446

    Office

    $160.08

    Facility

    $19.92

    $8.77 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 96446

    Office

    $142.57

    Facility

    $19.52

    $26.28 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 96446

    Office

    $174.56

    Facility

    $17.72

    $5.71 higher than El Centro for the office setting.

  • Iowa

    Iowa · 96446

    Office

    $142.61

    Facility

    $16.39

    $26.24 lower than El Centro for the office setting.

  • Idaho

    Idaho · 96446

    Office

    $143.62

    Facility

    $16.71

    $25.23 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 96446

    Office

    $149.80

    Facility

    $22.89

    $19.05 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 96446

    Office

    $147.01

    Facility

    $21.06

    $21.84 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 96446

    Office

    $163.96

    Facility

    $22.29

    $4.89 lower than El Centro for the office setting.

  • Indiana

    Indiana · 96446

    Office

    $144.66

    Facility

    $16.78

    $24.19 lower than El Centro for the office setting.

  • Kansas

    Kansas · 96446

    Office

    $141.50

    Facility

    $16.79

    $27.35 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 96446

    Office

    $141.03

    Facility

    $18.40

    $27.82 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 96446

    Office

    $149.23

    Facility

    $19.43

    $19.62 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 96446

    Office

    $140.64

    Facility

    $18.56

    $28.21 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 96446

    Office

    $184.33

    Facility

    $19.62

    $15.48 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 96446

    Office

    $163.82

    Facility

    $18.56

    $5.03 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 96446

    Office

    $168.40

    Facility

    $20.38

    $0.45 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 96446

    Office

    $158.47

    Facility

    $18.87

    $10.38 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 96446

    Office

    $144.22

    Facility

    $17.31

    $24.63 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 96446

    Office

    $154.24

    Facility

    $17.54

    $14.61 lower than El Centro for the office setting.

  • Detroit

    Michigan · 96446

    Office

    $154.81

    Facility

    $21.69

    $14.04 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 96446

    Office

    $145.27

    Facility

    $19.32

    $23.58 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 96446

    Office

    $158.24

    Facility

    $16.29

    $10.61 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 96446

    Office

    $148.31

    Facility

    $18.78

    $20.54 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 96446

    Office

    $150.24

    Facility

    $18.92

    $18.61 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 96446

    Office

    $137.47

    Facility

    $18.57

    $31.38 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 96446

    Office

    $136.39

    Facility

    $17.62

    $32.46 lower than El Centro for the office setting.

  • Montana**

    Montana · 96446

    Office

    $156.98

    Facility

    $19.03

    $11.87 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 96446

    Office

    $146.12

    Facility

    $17.41

    $22.73 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 96446

    Office

    $154.60

    Facility

    $16.66

    $14.25 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 96446

    Office

    $143.66

    Facility

    $16.34

    $25.19 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 96446

    Office

    $162.25

    Facility

    $18.65

    $6.60 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 96446

    Office

    $180.53

    Facility

    $20.52

    $11.68 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 96446

    Office

    $170.80

    Facility

    $20.17

    $1.95 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 96446

    Office

    $146.12

    Facility

    $19.62

    $22.73 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 96446

    Office

    $156.46

    Facility

    $18.37

    $12.39 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 96446

    Office

    $187.79

    Facility

    $23.77

    $18.94 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 96446

    Office

    $171.74

    Facility

    $20.69

    $2.89 higher than El Centro for the office setting.

  • Queens

    New York · 96446

    Office

    $185.14

    Facility

    $22.09

    $16.29 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 96446

    Office

    $148.76

    Facility

    $17.71

    $20.09 lower than El Centro for the office setting.

  • Ohio

    Ohio · 96446

    Office

    $144.78

    Facility

    $18.84

    $24.07 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 96446

    Office

    $141.04

    Facility

    $17.86

    $27.81 lower than El Centro for the office setting.

  • Portland

    Oregon · 96446

    Office

    $171.76

    Facility

    $18.51

    $2.91 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 96446

    Office

    $155.23

    Facility

    $17.84

    $13.62 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 96446

    Office

    $163.75

    Facility

    $20.14

    $5.10 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 96446

    Office

    $145.23

    Facility

    $18.60

    $23.62 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 96446

    Office

    $158.47

    Facility

    $19.01

    $10.38 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 96446

    Office

    $161.43

    Facility

    $18.93

    $7.42 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 96446

    Office

    $145.70

    Facility

    $18.23

    $23.15 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 96446

    Office

    $154.32

    Facility

    $16.38

    $14.53 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 96446

    Office

    $142.33

    Facility

    $16.94

    $26.52 lower than El Centro for the office setting.

  • Austin

    Texas · 96446

    Office

    $164.71

    Facility

    $18.76

    $4.14 lower than El Centro for the office setting.

  • Beaumont

    Texas · 96446

    Office

    $144.04

    Facility

    $18.51

    $24.81 lower than El Centro for the office setting.

  • Brazoria

    Texas · 96446

    Office

    $154.94

    Facility

    $18.23

    $13.91 lower than El Centro for the office setting.

  • Dallas

    Texas · 96446

    Office

    $155.96

    Facility

    $18.57

    $12.89 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 96446

    Office

    $154.61

    Facility

    $18.60

    $14.24 lower than El Centro for the office setting.

  • Galveston

    Texas · 96446

    Office

    $155.41

    Facility

    $18.43

    $13.44 lower than El Centro for the office setting.

  • Houston

    Texas · 96446

    Office

    $157.61

    Facility

    $20.63

    $11.24 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 96446

    Office

    $149.42

    Facility

    $18.51

    $19.43 lower than El Centro for the office setting.

  • Utah

    Utah · 96446

    Office

    $148.14

    Facility

    $18.47

    $20.71 lower than El Centro for the office setting.

  • Virginia

    Virginia · 96446

    Office

    $153.42

    Facility

    $17.81

    $15.43 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 96446

    Office

    $158.47

    Facility

    $19.01

    $10.38 lower than El Centro for the office setting.

  • Vermont

    Vermont · 96446

    Office

    $153.60

    Facility

    $17.03

    $15.25 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 96446

    Office

    $163.64

    Facility

    $18.38

    $5.21 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 96446

    Office

    $188.79

    Facility

    $19.53

    $19.94 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 96446

    Office

    $148.30

    Facility

    $16.15

    $20.55 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 96446

    Office

    $140.29

    Facility

    $20.42

    $28.56 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 96446

    Office

    $155.94

    Facility

    $18.00

    $12.91 lower than El Centro for the office setting.

See how rates vary across the country

96446 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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 all state and territory rates as a table
State / territoryRate 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

Explore 96446 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 96446 in El Centro, the physician’s office rate is $168.85 and the facility-setting rate is $17.67: a difference of $151.18.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 96446 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$185.74

$168.85 × 110% = $185.74

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 96446 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

12,810

Code
96446
Physician work
0.37
Practice expense
4.21
Malpractice
0.12

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 96446 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0170.3763
Practice expense4.21× 1.0964.6142
Malpractice0.12× 0.5410.0649
Total RVUs5.0554
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$168.85

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 96446 in the RVU calculator →

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Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.371.017
Practice expense4.211.096
Malpractice0.120.541

(0.37 × 1.017 + 4.21 × 1.096 + 0.12 × 0.541) × $33.4009 = $168.85

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.371.017
Practice expense0.081.096
Malpractice0.120.541

(0.37 × 1.017 + 0.08 × 1.096 + 0.12 × 0.541) × $33.4009 = $17.67

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

96446 · Office / nonfacility

$168.85

Effective 2026-10-01

The base rate is $10.28 higher than on 2025-10-01, moving from $158.57 to $168.85 (6.5%).

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

    $158.57changed to$168.85

    • 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
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $158.57

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$168.85$17.67RVU26D
2026-07-01$168.85$17.67RVU26C
2026-04-01$168.85$17.67RVU26B
2026-01-01$168.85$17.67RVU26A
2025-10-01$158.57$18.56RVU25D
2025-07-01$158.57$18.56RVU25C
2025-04-01$158.57$18.56RVU25B
2025-01-01$158.57$18.56RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 96446PPRRVU2026_Oct_nonQPP.csv, line 12,810 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet