# CPT 96413

> Medicare paid $139.61 for CPT 96413 in the office (non-facility) setting and $139.61 in a facility under the Q1 2017 Physician Fee Schedule, effective January 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 2.3% increase from the previous quarter.

## What it is

Intravenous infusion of a chemotherapy drug — or another agent complex enough to need the same level of monitoring — covering the first hour of the drip. The work bundled here is the whole nursing episode: preparing the agent, starting and running the line, watching the patient for reactions while it goes in, and flushing at the end. This is the opening code for an infusion visit; a drip that runs well past an hour, or a second agent given the same day, is captured by separate companion codes.

## Selected release

- Release: Q1 2017 (2017 A)
- Effective: January 1 – March 31, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $139.61
- Facility national allowed amount: $139.61
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.28
- Office (non-facility) practice expense RVU: 3.53
- Facility practice expense RVU: 3.53
- Malpractice RVU: 0.08
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17a.zip
- Parsed file: PPRRVU17_V1219.csv, row 16,152
- Canonical page: https://localishealth.com/cpt/96413/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/96413/2017/A
- Last significant update: 2026-08-04T03:07:28+00:00