96446 Chemotx admn pertl cav impl
What 96446 is
CMS fee schedule short descriptor: Chemotx admn pertl cav impl.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 96446 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.37 | 4.21 | 0.12 | 4.70 | $156.98 |
| Facility (hospital, ASC) | 0.37 | 0.08 | 0.12 | 0.57 | $19.04 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 96446 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 96446? These codes are bundled into it
96446 is a Column 1 code in 133 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0873T | Revj subq prtl asct pmp sys | 0 - no modifier bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
11900 | Inject skin lesions </w 7 | 1 - modifier may bypass | Check pair |
11901 | Inject skin lesions >7 | 1 - modifier may bypass | Check pair |
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36400 | Vnpnxr<3yrs phy/qhp fem/jug | 1 - modifier may bypass | Check pair |
36405 | Vnpnxr<3yrs phy/qhp scalp vn | 1 - modifier may bypass | Check pair |
36406 | Vnpnxr<3yrs phy/qhp other vn | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36420 | Venipuncture cutdown < 1 yr | 1 - modifier may bypass | Check pair |
36425 | Venipuncture cutdown 1 yr/> | 1 - modifier may bypass | Check pair |
36430 | Transfusion bld/bld compnt | 1 - modifier may bypass | Check pair |
36440 | Bld push tfuj 2 yr/< | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
36600 | Withdrawal of arterial blood | 1 - modifier may bypass | Check pair |
36640 | Insertion catheter artery | 1 - modifier may bypass | Check pair |
43752 | Nasal/orogastric w/tube plmt | 1 - modifier may bypass | Check pair |
49421 | Ins tun ip cath for dial opn | 1 - modifier may bypass | Check pair |
51701 | Insert bladder catheter | 1 - modifier may bypass | Check pair |
51702 | Insert temp bladder cath | 1 - modifier may bypass | Check pair |
51703 | Insert bladder cath complex | 1 - modifier may bypass | Check pair |
Showing 30 of 133 column 2 codes. Use the pair checker for any specific combination.
96446 is bundled into these codes
96446 appears as a Column 2 code in 65 active edits. Reported with one of these Column 1 codes on the same date of service, 96446 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
99221 | 1st hosp ip/obs sf/low 40 | 1 | Check pair |
99222 | 1st hosp ip/obs moderate 55 | 1 | Check pair |
99223 | 1st hosp ip/obs high 75 | 1 | Check pair |
99231 | Sbsq hosp ip/obs sf/low 25 | 1 | Check pair |
99232 | Sbsq hosp ip/obs moderate 35 | 1 | Check pair |
99233 | Sbsq hosp ip/obs high 50 | 1 | Check pair |
99234 | Hosp ip/obs sm dt sf/low 45 | 1 | Check pair |
99235 | Hosp ip/obs same date mod 70 | 1 | Check pair |
99236 | Hosp ip/obs same date hi 85 | 1 | Check pair |
99238 | Hosp ip/obs dschrg mgmt 30/< | 1 | Check pair |
99239 | Hosp ip/obs dschrg mgmt >30 | 1 | Check pair |
99281 | Emr dpt vst mayx req phy/qhp | 1 | Check pair |
99282 | Emergency dept visit sf mdm | 1 | Check pair |
99283 | Emergency dept visit low mdm | 1 | Check pair |
99284 | Emergency dept visit mod mdm | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.