96413
InfusionsCMS status: AChemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug.
Work RVU
0.29
Practice RVU
4.42
Malpractice RVU
0.02
Total RVU
4.73
2026 Medicare payment
$157.99
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 96413 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Initial IV chemo infusion of the encounter, up to 1 hour. 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.