$129.08–$137.26
Both describe intra-arterial chemotherapy, but 96420 is for push administration. 96422 is for administration by infusion.
On this page
CMS RVU26D · Effective 2026-10-01
96420 Chemotherapy push Medicare reimbursement rates in Michigan
Reports chemotherapy delivered by a direct intra-arterial push, rather than by arterial infusion or an injection through another route. Compare 96420 office and facility rates across CMS payment localities in Michigan.
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 96420 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$96.99–$103.17
2 of 2 localities have a supported rate.
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 96420: Intra-arterial chemotherapy push administration
Reports chemotherapy delivered by a direct intra-arterial push, rather than by arterial infusion or an injection through another route.
96420 describes chemotherapy delivered directly into an artery using a push technique. It may be used when an oncology team administers a drug through an arterial catheter for regional treatment, such as chemotherapy directed to the liver through its arterial supply. The service is the drug administration, not the catheter placement. It is distinct from an infusion, in which medication is delivered over time.
Select the code based on the arterial route and push method documented for the encounter. The record should identify the drug, the route of administration, and that it was administered by push; report the drug separately when applicable. Medicare treats this as an incident-to service: it may be billed only when performed under physician supervision. The CMS facts supplied for this code identify no other payment rule.
CMS billing rules for 96420
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.17 · 5%
- Practice expense (office) RVU2.92 · 93%
- Malpractice RVU0.06 · 2%
85
Medicare services in 2024 · #5004 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.
96420 compared with similar codes
Office rates for Michigan, from the same CMS release.
$96.58–$102.61
Both describe chemotherapy delivered by push, but 96409 is intravenous and 96420 is intra-arterial.
$66.46–$70.51
96401 applies to subcutaneous or intramuscular chemotherapy administration; 96420 applies when chemotherapy is pushed into an artery.
Compare 96420 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$103.17
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$96.99
Facility
Unavailable
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96420 billing questions
When should 96420 be chosen instead of 96422?
Use 96420 for chemotherapy delivered into an artery by push. Use 96422 when the arterial administration is performed by infusion.
Is 96420 appropriate for an intravenous push?
No. 96420 is for the intra-arterial route; 96409 describes chemotherapy administered by intravenous push.
What documentation supports reporting 96420?
Document the chemotherapy drug, the arterial route, and that the drug was administered using a push technique. The record should also support the required physician supervision.
Does Medicare require physician supervision for this service?
Yes. CMS identifies 96420 as an incident-to service, so it is billed only when performed under physician supervision.
Does 96420 include the chemotherapy drug?
The code represents administration. Report the drug separately when applicable.
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.
12,80296415,,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
12,80496417,,Chemo iv infus each addl seq,A,,0.21,1.75,,1.75,NA,0.03,1.99,1.99,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,80596420,,Chemo ia push tecnique,A,,0.17,2.92,,2.92,NA,0.06,3.15,3.15,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,80696422,,Chemo ia infusion up to 1 hr,A,,0.17,3.96,,3.96,NA,0.07,4.20,4.20,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,80796423,,Chemo ia infuse each addl hr,A,,0.17,2.04,,2.04,NA,0.05,2.26,2.26,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,80896425,,Chemotherapy infusion method,A,,0.17,4.93,,4.93,NA,0.11,5.21,5.21,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00