$704.93–$807.30
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.
On this page
CMS RVU26D · Effective 2026-10-01
96446 Chemotherapy administration Medicare reimbursement rates in Texas
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 Texas.
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 Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$144.04–$164.71
8 of 8 localities have a 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.
Where 96446 pays more and less in Texas
8 payment localities
$144.04 to $164.71
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 Texas, from the same CMS release.
$151.19–$166.66
Use 96446 for the peritoneal cavity. Code 96450 covers chemotherapy administration into the central nervous system.
$122.16–$140.07
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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $164.71 | Facility $18.76 |
| Beaumont | Office $144.04 | Facility $18.51 |
| Brazoria | Office $154.94 | Facility $18.23 |
| Dallas | Office $155.96 | Facility $18.57 |
| Fort Worth | Office $154.61 | Facility $18.60 |
| Galveston | Office $155.41 | Facility $18.43 |
| Houston | Office $157.61 | Facility $20.63 |
| Rest Of Texas | Office $149.42 | Facility $18.51 |
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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.
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
12,80996440,,Chmotx admn plrl cav thrcnts,A,,2.12,20.72,,1.22,,0.14,22.98,3.48,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81096446,,Chemotx admn pertl cav impl,A,,0.37,4.21,,0.08,,0.12,4.70,0.57,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81196450,,Chemotherapy into cns,A,,1.53,3.15,,0.32,,0.14,4.82,1.99,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81296521,,Refill/maint portable pump,A,,0.21,4.02,,4.02,NA,0.07,4.30,4.30,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81396522,,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