No office rate
96547 reports the initial 60 minutes of intraoperative HIPEC. 96548 reports additional 30-minute periods and is used with 96547.
On this page
CMS RVU26D · Effective 2026-10-01
96548 HIPEC Medicare reimbursement rates in Kentucky
Reports each additional 30 minutes of intraoperative heated chemotherapy perfusion after the initial HIPEC period during surgery for peritoneal disease. Compare 96548 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 96548 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
$146.53
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.
Chemotherapy administration
About 96548: Additional intraoperative HIPEC time
Reports each additional 30 minutes of intraoperative heated chemotherapy perfusion after the initial HIPEC period during surgery for peritoneal disease.
This add-on captures additional time spent delivering hyperthermic intraperitoneal chemotherapy during an operation. HIPEC circulates heated chemotherapy through the abdominal cavity, commonly as part of cytoreductive surgery for peritoneal surface malignancy. A surgical oncologist or other physician directing the intraoperative treatment performs the service in an operating room, with the surgical and anesthesia teams supporting the procedure.
Report 96548 with 96547, which covers the initial 60 minutes; it is not a standalone service. Use it for each additional 30-minute period supported by the operative record. Documentation should identify the HIPEC duration beyond the initial period and describe the chemotherapy administration, perfusion, and monitoring. CMS treats this as an add-on billed only with its primary procedure, with payment made within that procedure’s global period.
CMS billing rules for 96548
- 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 RVU3.00 · 66%
- Practice expense (office) RVU0.85 · 19%
- Malpractice RVU0.69 · 15%
285
Medicare services in 2024 · #4033 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.
96548 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$141.03
96446 describes intraperitoneal chemotherapy delivered through an indwelling port or catheter; 96548 is for additional time during intraoperative hyperthermic perfusion.
96549
No office rateUnlisted chemotherapy px
96549 is an unlisted chemotherapy procedure code. Use the specific HIPEC codes 96547 and 96548 when they describe the documented service.
Compare 96548 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
$146.53
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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 96548 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
12,817
- Code
- 96548
- Physician work
- 3.00
- Practice expense
- 0.85
- Malpractice
- 0.69
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.00 | × 1.000 | 3.0000 |
| Practice expense | 0.85 | × 0.889 | 0.7557 |
| Malpractice | 0.69 | × 0.915 | 0.6313 |
| Total RVUs | 4.3870 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$146.53
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3 | 1 |
| Practice expense | 0.85 | 0.889 |
| Malpractice | 0.69 | 0.915 |
(3 × 1 + 0.85 × 0.889 + 0.69 × 0.915) × $33.4009 = $146.53
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.
96548 billing questions
Which code must accompany 96548?
Report 96548 only with 96547, the primary code for the initial 60 minutes of intraoperative HIPEC.
When does the additional time begin?
Use 96548 for HIPEC time beyond the initial 60 minutes represented by 96547. The record should support each additional 30-minute period reported.
Can 96548 be reported for chemotherapy through an implanted abdominal port?
No. 96548 describes additional time for intraoperative hyperthermic perfusion; 96446 describes intraperitoneal chemotherapy delivered through an indwelling port or catheter.
What documentation supports an additional unit?
Document the duration of intraoperative HIPEC beyond the initial period, along with the chemotherapy administration, perfusion, and monitoring performed.
Is 96548 paid outside the primary procedure's global period?
No. CMS identifies 96548 as an add-on billed with a primary procedure and paid within that procedure’s global period.
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.
12,81496523,,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
12,82096570,,Photodynmc tx 30 min add-on,A,,1.10,0.39,,0.20,,0.08,1.57,1.38,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,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