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
Billing guidance for 96413 is locked
- When to use it: the exact clinical situations that support billing 96413
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 2 mistakes that get 96413 downcoded or denied
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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.