$110.25
96409 reports the primary or initial IV push. 96411 is the add-on for a distinct additional drug pushed sequentially.
On this page
CMS RVU26D · Effective 2026-10-01
96411 IV chemotherapy push Medicare reimbursement rates in Colorado
Reports an additional sequential intravenous push of a distinct chemotherapy drug after the primary IV push during the same treatment encounter. Compare 96411 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 96411 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$60.14
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Chemotherapy administration
About 96411: Additional sequential intravenous chemotherapy push
Reports an additional sequential intravenous push of a distinct chemotherapy drug after the primary IV push during the same treatment encounter.
This add-on reports an additional sequential IV push of a distinct chemotherapy drug after the initial IV push. It is used in oncology practices and infusion settings when a second or subsequent drug is administered by the IV push method during the same treatment encounter. A nurse or other qualified clinical staff member typically administers the medication under physician supervision.
Report 96411 with the primary IV push administration, commonly 96409; it is not a standalone service. The record should identify each drug, its IV push route and sequence, and the administration supporting the additional push. Do not count each syringe or repeated push of the same drug as a separate additional drug. CMS classifies this as an incident-to service, so it is billed only when performed under physician supervision. As an add-on code, it is paid within the primary procedure's global period.
CMS billing rules for 96411
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.20 · 12%
- Practice expense (office) RVU1.48 · 87%
- Malpractice RVU0.03 · 2%
108.8K
Medicare services in 2024 · #531 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.
96411 compared with similar codes
Office rates for Colorado, from the same CMS release.
$140.65
96413 describes chemotherapy administered by IV infusion. Use 96411 when the additional drug is administered by IV push instead.
$70.07
96417 reports an additional sequential chemotherapy infusion. 96411 is for an additional sequential IV push.
$75.67
96401 applies to subcutaneous or intramuscular chemotherapy administration; 96411 requires the additional drug to be given by IV push.
Compare 96411 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$60.14
Facility
Unavailable
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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 96411 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
12,800
- Code
- 96411
- Physician work
- 0.20
- Practice expense
- 1.48
- Malpractice
- 0.03
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.20 | × 1.012 | 0.2024 |
| Practice expense | 1.48 | × 1.064 | 1.5747 |
| Malpractice | 0.03 | × 0.781 | 0.0234 |
| Total RVUs | 1.8006 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$60.14
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.2 | 1.012 |
| Practice expense | 1.48 | 1.064 |
| Malpractice | 0.03 | 0.781 |
(0.2 × 1.012 + 1.48 × 1.064 + 0.03 × 0.781) × $33.4009 = $60.14
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.
96411 billing questions
When is 96411 reported instead of 96409?
Use 96409 for the primary or initial IV push. Add 96411 for each additional distinct drug administered sequentially by IV push during that encounter.
Can 96411 be billed by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure, commonly 96409.
Does each syringe or repeated push count as another unit?
No. The additional service is based on another distinct drug administered by sequential IV push, not the number of syringes or repeated pushes of the same drug.
What documentation supports an additional unit?
Document the distinct drug, IV push route, sequence, and administration details, along with the primary push and physician supervision.
Can 96411 be used for a drug given by infusion?
No. It describes an additional IV push; an additional sequential chemotherapy infusion is represented by the infusion code that matches the service.
May clinical staff perform the service?
Yes, but CMS classifies the service as incident-to, so 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.
12,79796405,,Chemo intralesional up to 7,A,,0.52,1.98,,0.16,,0.03,2.53,0.71,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,79896406,,Chemo intralesional over 7,A,,0.80,3.09,,0.26,,0.06,3.95,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,79996409,,Chemo iv push sngl drug,A,,0.24,2.83,,2.83,NA,0.06,3.13,3.13,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,80096411,,Chemo iv push addl drug,A,,0.20,1.48,,1.48,NA,0.03,1.71,1.71,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,80196413,,Chemo iv infusion 1 hr,A,,0.28,3.64,,3.64,NA,0.07,3.99,3.99,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,80296415,,Chemo iv infusion addl hr,A,,0.19,0.64,,0.64,NA,0.02,0.85,0.85,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,80396416,,Chemo prolong infuse w/pump,A,,0.21,3.71,,3.71,NA,0.07,3.99,3.99,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899