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CMS RVU26D · Effective 2026-10-01

96446 Chemotherapy administration Medicare reimbursement rates in Minnesota

Reports antineoplastic medication administration into the peritoneal cavity through an indwelling port or catheter, such as for treatment of peritoneal malignancy. Compare 96446 office and facility rates across CMS payment localities in Minnesota.

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 96446 in Minnesota?

Minnesota 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

$158.24

1 of 1 localities have a supported rate.

Payment area: Minnesota

One mapped payment locality.

Facility setting

$16.29

1 of 1 localities have a supported rate.

Payment area: Minnesota

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.

Find 96446 in your payment locality →

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 Minnesota, from the same CMS release.

96440

Pleural chemotherapy

With thoracentesis

$784.33

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

$160.75

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

96413

Chemo IV infusion

Initial drug, first hour

$135.15

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

Compare 96446 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

Office and facility base rates · shared scale starting at $0

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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 96446 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

12,810

Code
96446
Physician work
0.37
Practice expense
4.21
Malpractice
0.12

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office / nonfacility calculation for 96446 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0000.3700
Practice expense4.21× 1.0294.3321
Malpractice0.12× 0.2960.0355
Total RVUs4.7376
Conversion factor× 33.4009

Office / nonfacility rate, Minnesota$158.24

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.371
Practice expense4.211.029
Malpractice0.120.296

(0.37 × 1 + 4.21 × 1.029 + 0.12 × 0.296) × $33.4009 = $158.24

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.371
Practice expense0.081.029
Malpractice0.120.296

(0.37 × 1 + 0.08 × 1.029 + 0.12 × 0.296) × $33.4009 = $16.29

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.

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 MinnesotaGPCI2026.csv, line 66 (RVU26D)