Specialty rate rollup
Hematology & Oncology
Office evaluation, infusion and chemotherapy administration, injections, blood counts, and specimen collection.
A curated starter set for comparison—not a claim that every specialty bills every code, and not a utilization-weighted average.
At a glance
Q3 2026 compared with the prior available PFS release.
Conversion factor: 0.0% no change
Payable codes
6 / 8
Changed this release
0
Largest increase
None
Largest decrease
None
See the rates where you practice
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Current national rates Copy link
Q3 2026 releaseOffice (non-facility) and facility professional amounts, GPCI 1.000, before sequestration.
| Code and service | Status | Office (non-facility) | Facility |
|---|---|---|---|
| Visits and evaluation | |||
| 99213 Routine Follow-Up Office Visit | Active |
$95.19
$0.00 · 0.0% no change
|
$57.45
$0.00 · 0.0% no change
|
| 99214 Long Follow-Up Office Visit | Active |
$135.61
$0.00 · 0.0% no change
|
$84.50
$0.00 · 0.0% no change
|
| Treatment and ongoing management | |||
| 96365 Intravenous Therapeutic Infusion Administration | Active |
$67.14
$0.00 · 0.0% no change
|
$67.14
$0.00 · 0.0% no change
|
| 96372 Therapeutic Injection Administration | Active |
$15.36
$0.00 · 0.0% no change
|
$15.36
$0.00 · 0.0% no change
|
| 96413 Intravenous Antineoplastic Infusion Administration | Active |
$133.27
$0.00 · 0.0% no change
|
$133.27
$0.00 · 0.0% no change
|
| 96415 | Active |
$28.39
$0.00 · 0.0% no change
|
$28.39
$0.00 · 0.0% no change
|
| Testing and diagnostics | |||
| 85025 Blood Cell Count With Differential | Statutory exclusion |
—
|
—
|
| 36415 Blood Draw | Statutory exclusion |
—
|
—
|
Every code links to its contracted-rate (% of Medicare) table and a full RVU breakdown, plus billing-policy context and rate history.
Download this fee schedule (CSV) — free, no account needed.
How often these codes appear in Medicare Copy link
Across Original Medicare nationally in CY2024, the covered codes on this page accounted for the activity below. This is use by clinicians of all specialties—not a Hematology & Oncology utilization mix—and it is on a different publication cycle from the fee schedule.
Services
250.2M
Times these codes were billed
Allowed dollars
$18.9B
Across covered Medicare FFS services
Most used in this set
99214
103.7M services
Coverage: 8 of 8 displayed codes. HCPCS Level II and excluded drug codes may not appear in this utilization dataset.
Turn the list into contract math
Analyze a payer offer using these Hematology & Oncology codes
We’ll preload the code set in Contract Check. Add your annual volumes and ZIP to see the volume-weighted percentage of Medicare and annual-dollar difference.
Get notified when Hematology & Oncology rates change
Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 8 Hematology & Oncology codes on this page.
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Source & method Copy link
Amounts computed from the CMS Medicare Physician Fee Schedule Q3 2026 release , GPCI 1.000, before the ~2% sequestration cut. This is our own clean-room grouping by common clinical scenario, not the AMA’s code-family taxonomy. It is a curated starter set, not a utilization-weighted specialty mix. A code with no amount is either not separately payable under the PFS or absent from the release—never a fake $0.
This page covers PFS-priced professional and administration services. Cancer drug products and clinical laboratory tests use separate Medicare pricing systems, so an unpriced row here is not a $0 Medicare payment.