Infusions · CMS status A
96413
Chemo IV infusion first hour
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug.
Work RVU
0.29
2026 Medicare pays
$157.99
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.29 + Practice 4.42 + Malpractice 0.02 = 4.73 total
Work (your effort)Practice expenseMalpractice
When to use it
Initial IV chemo infusion of the encounter, up to 1 hour.
Full guidance
Add 96415 for each additional hour, 96417 for additional drugs.
Documentation checklist
- ✓Start and stop time of each infusion.
- ✓Drug, dose, route.
- ✓Supervision documented.
Common pitfalls
- !Only one 'initial' per encounter — even if multiple drugs given.
- !Hydration concurrent with chemo is bundled.
Common modifiers
JWJZ
Common ICD-10 pairings
C50.911C18.9
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.