Injections, infusions & immunizations
96413 - RVUs & Medicare payment (2026)
Chemotherapy IV infusion, first hour.
| Component | Non-facility | Facility |
|---|---|---|
| Work RVU | 0.28 | 0.28 |
| Practice expense RVU | 3.64 | 3.64 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVUs | 3.99 | 3.99 |
| National payment (CF $33.4009) | $133.27 | $133.27 |
| Qualifying APM payment (CF $33.5675) | $133.93 | $133.93 |
How 96413 payment varies by locality
Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 96413 ranges from $114.99 in Arkansas (AR) to $186.95 in San Jose-Sunnyvale-Santa Clara (CA); calculate 96413 for your locality.
Global period: XXX
No global period: the global surgery concept does not apply to this code.
Related codes - injections, infusions & immunizations
- 96372 · therapeutic injection, subcutaneous or intramuscular
- 96365 · iv infusion for therapy, initial hour
- 96374 · iv push, single or initial drug
- 96401 · chemotherapy injection, subcutaneous or intramuscular
- 90471 · immunization administration, first vaccine
- 90472 · immunization administration, each additional vaccine
- 90460 · immunization administration with counseling, under 19, first component
Frequently asked questions
How much does Medicare pay for 96413 in 2026?
What is the work RVU for 96413?
Why are the facility and non-facility amounts different?
Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.