CPT code 96360: Hydration infusion, initial service2026 Medicare rate & RVUs

Reports an initial IV fluid infusion for clinically indicated hydration, such as fluid replacement for dehydration, when the documented infusion meets the required duration.

CMS RVU26DEffective Oct 1, 2026109 payment localities222.4K Medicare services in 2024

Medicare pays $33.40 for 96360 nationally in the office. Local office rates run $29.38–$45.98.

Medicare rate · 96360

Hydration infusion, initial service

Office or facility?

Work RVUs
0.17
Total RVUs
1.00
Global days
XXX

National rate · 2026

$33.40

Office setting, before claim adjustments.

See every locality for 96360 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 96360 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 96360 covers

96360 reports IV fluids given to replace fluid volume, such as hydration for documented dehydration after vomiting or poor oral intake. A nurse or other clinical staff member commonly administers the infusion in an office, clinic, or emergency department. The service is fluid replacement, not the administration of a therapeutic medication; fluid used only as a drug carrier or to keep an IV line open does not establish hydration as a separately reportable service.

Report 96360 for an infusion lasting 31 minutes through one hour, supported by the infusion record and documentation of the clinical need for hydration. Report it once as the initial hydration service; 96361 is the add-on code for qualifying additional hydration time. When a medication is infused, distinguish its administration from any separately medically necessary hydration. Medicare treats this as an incident-to service and permits billing only when performed under physician supervision.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 96360 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$29.38 to $45.98

$29.38$37.68$45.98
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

96360 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$29.83Unavailable
Alaska$37.87Unavailable
Arizona$32.50Unavailable
Arkansas$29.38Unavailable
Atlanta, GA$33.92Unavailable
Austin, TX$34.96Unavailable
Bakersfield, CA$36.01Unavailable
Baltimore area, MD$35.57Unavailable
Beaumont, TX$30.91Unavailable
Brazoria, TX$33.13Unavailable

96360 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$29.38

$40.97

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
96360 office rate range by state
State / territoryOffice rate rangeLocalities
AK$37.871
AL$29.831
AR$29.381
AZ$32.501
CA$35.97–$45.9829
CO$35.151
CT$35.691
DC$38.621
DE$33.071
FL$32.36–$35.033
GA$30.51–$33.922
GU$37.011
HI$37.011
IA$30.871
ID$31.031
IL$31.21–$34.444
IN$31.231
KS$30.611
KY$30.331
LA$30.24–$31.832
MA$34.88–$38.912
MD$33.76–$38.623
ME$31.08–$33.032
MI$31.06–$32.672
MN$33.961
MO$29.61–$32.093
MS$29.511
MT$33.401
NC$31.451
ND$33.201
NE$31.081
NH$34.481
NJ$36.18–$38.162
NM$31.191
NV$33.371
NY$31.93–$39.235
OH$31.021
OK$30.401
OR$33.19–$36.452
PA$31.14–$34.692
PR$33.701
RI$34.381
SC$31.271
SD$33.181
TN$30.751
TX$30.91–$34.968
UT$31.721
VA$32.84–$38.622
VI$33.701
VT$32.961
WA$34.85–$39.842
WI$32.021
WV$29.961
WY$33.311

How the 96360 rate is calculated

Each of 96360’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 96360

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.82

0.82 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.0000

Conversion factor

$33.4009

Medicare rate

$33.40

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 96360

The CMS indicators that decide how 96360 is paid alongside other services.

CMS payment indicators · 96360

Hydration infusion, initial service

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

96360 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 96360

    Hydration infusion, initial service0.17 wRVU

    $33.40

  • 96361

    IV hydration, each additional hour0.09 wRVU

    $13.03−$20.37

  • 96365

    IV drug infusion, initial, first hour0.21 wRVU

    $67.14+$33.74

  • 96374

    IV push, single or initial IV push0.18 wRVU

    $37.74+$4.34

How to choose

96361IV hydrationEach additional hour
96360 covers the initial hydration interval. 96361 reports qualifying additional hydration time and must accompany an appropriate initial service.
96365IV drug infusionInitial, first hour
Choose 96360 for fluid replacement as the purpose of the infusion; choose 96365 for an infused therapeutic, prophylactic, or diagnostic medication.
96374IV pushSingle or initial IV push
96360 reports an IV hydration infusion. 96374 reports administration of a medication by IV push.

96360 billing questions

How is 96360 different from 96365?

96360 is for IV fluid replacement for hydration. Use 96365 when the service is an infusion of a therapeutic, prophylactic, or diagnostic medication.

What infusion time supports 96360?

The initial hydration infusion must last at least 31 minutes and no more than one hour for 96360. Document the infusion duration in the administration record.

When is 96361 reported with 96360?

96361 is the add-on code for qualifying additional hydration time beyond the initial service. It is not reported by itself.

Can hydration be billed when medication is infused during the encounter?

Report hydration separately only when it is independently medically necessary and meets the hydration coding requirements. Fluid serving only as a medication carrier or line flush is not a separate hydration service.

What documentation supports 96360?

Document the clinical reason for fluid replacement, the fluid administered, and the infusion duration. Medicare billing also requires performance under physician supervision because this is an incident-to service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 96360PPRRVU2026_Oct_nonQPP.csv, line 12,777 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 96360 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 96360 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet