CPT Code 96547Complete Billing & Coding Guide (2026)Intraop hipec px 1st 60 min
About CPT 96547
CPT 96547 is a Current Procedural Terminology code in the Infusion/Chemotherapy category maintained by the American Medical Association. The CMS short descriptor reads "Intraop hipec px 1st 60 min". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
Add-on codes cannot be billed alone and inherit their global period from the primary procedure. Payer scrubbers will reject add-on codes submitted without a valid base code on the same claim.
Verify the current CMS National Physician Fee Schedule and any local Medicare Administrative Contractor LCDs before billing 96547. Commercial payer medical policies can impose additional bundling, prior authorization, or documentation requirements beyond national rules.
Code Properties
RVU Breakdown
Every CPT code’s Medicare payment is calculated from three Relative Value Unit components: physician work, practice expense, and malpractice. Together they multiply by the conversion factor to produce the payment amount.
Payment = Total RVU × Conversion Factor ($33.4009) × Geographic Adjustment (GPCI). National averages shown. Actual payment varies by locality.
Medicare Payment by State
Medicare adjusts payment by locality based on GPCI (Geographic Practice Cost Index). Higher cost-of-living areas like California and New York pay more. Rural states pay less. Top 12 states shown.
Showing top 12 of 53 states. Full locality data available in CMS PFS Locality file.
Applicable Modifiers
Modifiers commonly paired with 96547 based on its category. Apply only when the clinical circumstance warrants. Incorrect modifier use is a top audit target.
Modifier audits catch what scrubbers miss. Our AAPC-certified team reviews every modifier choice on 96547 against the chart documentation before submission, surfacing missed and misapplied modifiers across the practice.
Find the revenue leakage in your 96547 claims.
Wrong modifier, missing documentation, bundling without justification, stale ICD-10 linkage: these are the silent revenue killers on Infusion/Chemotherapy claims. Our AAPC-certified team audits your last 90 days of 96547 claims, surfaces the recoverable dollars, and appeals them. Free, no obligation.
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Related CPT Codes
Codes in the same family as 96547
Everything about CPT 96547
What does CPT code 96547 cover?
CPT 96547 is a Current Procedural Terminology code in the Infusion/Chemotherapy category maintained by the American Medical Association. The CMS short descriptor reads "Intraop hipec px 1st 60 min". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
What is the Medicare payment for CPT 96547?
The national average Medicare payment for CPT 96547 is approximately $329.67 in a non-facility setting and $329.67 in a facility setting. Actual payment varies by locality based on GPCI adjustments. Total RVU is 9.87 with a conversion factor of $33.4009.
What is the global period for CPT 96547?
CPT 96547 is an add-on code (indicator ZZZ). Its global period matches the base procedure it's billed with. Cannot be billed alone. Must be paired with a primary code per CPT guidelines.
CPT codes and descriptions are copyright of the American Medical Association. RVU values reflect current CMS publications. Actual payment varies by locality. Commercial payer rates vary by contract.
Free 90-Day AR Recovery Audit
We audit your last 90 days of claims and surface the revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.