No office rate
96547 covers the initial 60 minutes of HIPEC; 96548 reports each additional 30 minutes after that initial period.
On this page
CMS RVU26D · Effective 2026-10-01
96547 Intraoperative HIPEC Medicare reimbursement rates in Kentucky
Reports the initial 60 minutes of heated chemotherapy perfusion in the abdominal cavity during cytoreductive surgery for peritoneal surface malignancy. Compare 96547 office and facility rates across CMS payment localities in Kentucky.
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 96547 in Kentucky?
Kentucky 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
No supported rate
Facility setting
$318.60
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
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.
Intraoperative chemotherapy
About 96547: Intraoperative HIPEC, initial hour
Reports the initial 60 minutes of heated chemotherapy perfusion in the abdominal cavity during cytoreductive surgery for peritoneal surface malignancy.
Code 96547 describes the initial hour of intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC), in which heated chemotherapy is circulated within the abdominal cavity. It is typically performed in the operating room by a surgical oncology team after cytoreductive surgery for peritoneal surface malignancy. The treatment is distinct from a routine chemotherapy injection or an infusion through an implanted pump.
Report 96547 with a primary procedure; it is not a stand-alone service. Record the perfusion time and operative details showing that HIPEC was performed. When perfusion continues beyond the initial hour, use 96548 for each additional 30 minutes. CMS treats this add-on payment within the primary procedure’s global period, so the HIPEC service is paid in relation to that operation rather than as an independent procedure.
CMS billing rules for 96547
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU6.53 · 66%
- Practice expense (office) RVU1.82 · 18%
- Malpractice RVU1.52 · 15%
292
Medicare services in 2024 · #4017 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.
96547 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$122.20
96542 describes a chemotherapy injection. Choose 96547 for heated chemotherapy perfused inside the abdominal cavity during surgery.
96549
No office rateUnlisted chemotherapy px
96549 is for an unlisted chemotherapy procedure when no specific code describes the service. Use 96547 when the service is the initial hour of intraoperative HIPEC.
Compare 96547 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$318.60
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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 96547 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
12,816
- Code
- 96547
- Physician work
- 6.53
- Practice expense
- 1.82
- Malpractice
- 1.52
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.53 | × 1.000 | 6.5300 |
| Practice expense | 1.82 | × 0.889 | 1.6180 |
| Malpractice | 1.52 | × 0.915 | 1.3908 |
| Total RVUs | 9.5388 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$318.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.53 | 1 |
| Practice expense | 1.82 | 0.889 |
| Malpractice | 1.52 | 0.915 |
(6.53 × 1 + 1.82 × 0.889 + 1.52 × 0.915) × $33.4009 = $318.60
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.
96547 billing questions
Can 96547 be reported by itself?
No. It is an add-on code and must be billed with a primary procedure.
When is 96548 used with 96547?
Use 96547 for the initial 60 minutes of HIPEC. Report 96548 for each additional 30 minutes when perfusion continues beyond that initial period.
How is 96547 different from chemotherapy injection code 96542?
96547 represents heated chemotherapy perfused inside the abdominal cavity during surgery. Code 96542 describes a chemotherapy injection, not intraoperative HIPEC.
What documentation supports reporting 96547?
The operative record should describe the intraoperative HIPEC and document the perfusion time, including support for the initial 60-minute service.
How does the primary procedure affect payment?
CMS identifies 96547 as an add-on paid within the primary procedure’s global period. The primary procedure must be billed with it.
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.
12,81396522,,Refill/maint pump/resvr syst,A,,0.21,3.47,,3.47,NA,0.07,3.75,3.75,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81496523,,Irrig drug delivery device,T,,0.04,0.73,,0.73,NA,0.01,0.78,0.78,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81596542,,Chemotherapy injection,A,,0.75,3.21,,0.26,,0.06,4.02,1.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81696547,,Intraop hipec px 1st 60 min,A,,6.53,1.82,NA,1.82,,1.52,9.87,9.87,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81796548,,Ntraop hipec px ea add 30min,A,,3.00,0.85,NA,0.85,,0.69,4.54,4.54,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81896549,,Unlisted chemotherapy px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81996567,,Pdt dstr prmlg les skn,A,,0.00,3.86,,3.86,NA,0.01,3.87,3.87,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631