CPT code 96361: IV hydration, each additional hour2026 Medicare rate & RVUs in Connecticut

Reports each additional hour of medically necessary intravenous fluid hydration beyond the initial hydration service, when supported by documented infusion time.

CMS RVU26DEffective Oct 1, 2026One payment locality322.5K Medicare services in 2024

In Connecticut, Medicare pays $13.90 for 96361 in the office.

$13.90Office (non-facility)
Not available in this settingHospital or facility
+6.7%vs the national office rate ($13.03)

Check a contract rate as a % of Medicare · 96361 nationwide

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

We’ll open 96361 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 96361 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 96361 covers

This add-on represents continued intravenous hydration after the initial hydration service, such as fluid replacement for dehydration or volume depletion. It is commonly administered by nursing staff in an outpatient office or emergency department under a clinician’s order. The fluids are given to replenish volume or hydration, not merely to deliver a medication or keep an IV line open.

Report units from the documented hydration time under CPT infusion time rules, not from the number of bags or access sites. The record should identify the fluids, clinical reason, and infusion start and stop times; when medication administration occurs during the encounter, distinguish hydration time from drug-infusion time. CMS classifies 96361 as an add-on that must be billed with a primary procedure and is paid within that procedure’s global period. It is an incident-to service and may be billed 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.

How Connecticut compares for 96361

Across 109 of 109 payment localities, the office rate for 96361 runs from $11.50 in Arkansas to $17.48 in San Benito County, CA. Connecticut pays $13.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

96361 in Connecticut vs other payment areas
  1. Connecticut · this page$13.90
  2. Los Angeles, CA · California$14.81+$0.91
  3. Washington, DC area · District of Columbia$14.95+$1.05
  4. Miami, FL · Florida$13.93+$0.03
  5. Chicago, IL · Illinois$13.53−$0.37
  6. Manhattan, NY · New York$14.98+$1.08
  7. Alaska · Alaska$15.01+$1.11

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

96361 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$11.67—
ArkansasArkansas$11.50—
ArizonaArizona$12.68—
Bakersfield, CACalifornia$13.88—
Chico, CACalifornia$13.85—
El Centro, CACalifornia$13.85—
Fresno, CACalifornia$13.85—
Hanford, CACalifornia$13.85—

96361 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.

$11.50

$15.67

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

View every state and territory as a table
96361 office rate range by state
State / territoryOffice rate rangeLocalities
AK$15.011
AL$11.671
AR$11.501
AZ$12.681
CA$13.85–$17.4829
CO$13.611
CT$13.901
DC$14.951
DE$12.891
FL$12.77–$13.933
GA$12.04–$13.262
GU$14.211
HI$14.211
IA$12.001
ID$12.081
IL$12.37–$13.574
IN$12.151
KS$11.931
KY$11.921
LA$11.90–$12.502
MA$13.52–$14.992
MD$13.15–$14.953
ME$12.13–$12.822
MI$12.23–$12.922
MN$13.071
MO$11.68–$12.563
MS$11.591
MT$13.031
NC$12.261
ND$12.831
NE$12.071
NH$13.381
NJ$14.07–$14.792
NM$12.291
NV$12.981
NY$12.44–$15.345
OH$12.191
OK$11.921
OR$12.89–$14.062
PA$12.21–$13.542
PR$13.131
RI$13.371
SC$12.241
SD$12.801
TN$11.991
TX$12.13–$13.568
UT$12.411
VA$12.76–$14.952
VI$13.131
VT$12.761
WA$13.50–$15.312
WI$12.391
WV$11.901
WY$12.941

See 96361 in every payment locality

How the 96361 rate is calculated

Each of 96361’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 · 96361

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.09

0.09 RVUs× 1.000 GPCI

Practice expense0.29

0.29 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.3900

Conversion factor

$33.4009

Medicare rate

$13.03

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,778

Code
96361
Physician work
0.09
Practice expense
0.29
Malpractice
0.01

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 96361 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.09× 1.0200.0918
Practice expense0.29× 1.0770.3123
Malpractice0.01× 1.2100.0121
Total RVUs0.4162
Conversion factor× 33.4009

Office rate, Connecticut$13.90

Office: (0.09 × 1.02 + 0.29 × 1.077 + 0.01 × 1.21) × $33.4009 = $13.90

Open 96361 in the RVU calculator

Payment rules and modifiers for 96361

The CMS indicators that decide how 96361 is paid alongside other services.

CMS payment indicators · 96361

IV hydration, each additional hour

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
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.

How 96361 has changed in Connecticut

96361 · Office / nonfacility

$13.90

Effective 2026-10-01

The base rate is $1.36 higher than on 2025-10-01, moving from $12.54 to $13.90 (10.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $12.54changed to$13.90

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.26 changed to 0.29
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $13.27changed to$12.54

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.27 changed to 0.26

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $13.05changed to$13.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $13.96changed to$13.05

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.28 changed to 0.27
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207
  5. January 1, 2023

    RVU23A

    $14.35changed to$13.96

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $15.24changed to$14.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.30 changed to 0.28

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $14.98changed to$15.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.28 changed to 0.30
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $14.99changed to$14.98

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $15.37changed to$14.99

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.29 changed to 0.28

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $16.98changed to$15.37

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.33 changed to 0.29
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $16.99changed to$16.98

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $17.05changed to$16.99

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $16.96changed to$17.05

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $16.54changed to$16.96

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.32 changed to 0.33
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $16.77changed to$16.54

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.35 changed to 0.32
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $16.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$13.90Not available in this settingRVU26D
2026-07-01$13.90Not available in this settingRVU26C
2026-04-01$13.90Not available in this settingRVU26B
2026-01-01$13.90Not available in this settingRVU26A
2025-10-01$12.54Not available in this settingRVU25D
2025-07-01$12.54Not available in this settingRVU25C
2025-04-01$12.54Not available in this settingRVU25B
2025-01-01$12.54Not available in this settingRVU25A
2024-10-01$13.27Not available in this settingRVU24D
2024-07-01$13.27Not available in this settingRVU24C
2024-04-01$13.27Not available in this settingRVU24B
2024-03-09$13.27Not available in this settingRVU24AR
2024-01-01$13.05Not available in this settingRVU24A
2023-10-01$13.96Not available in this settingRVU23D
2023-07-01$13.96Not available in this settingRVU23C
2023-04-01$13.96Not available in this settingRVU23B
2023-01-01$13.96Not available in this settingRVU23A
2022-10-01$14.35Not available in this settingRVU22D
2022-07-01$14.35Not available in this settingRVU22C
2022-04-01$14.35Not available in this settingRVU22B
2022-01-01$14.35Not available in this settingRVU22A
2021-10-01$15.24Not available in this settingRVU21D
2021-07-01$15.24Not available in this settingRVU21C
2021-04-01$15.24Not available in this settingRVU21B
2021-01-01$15.24Not available in this settingRVU21A
2020-10-01$14.98Not available in this settingRVU20D
2020-07-01$14.98Not available in this settingRVU20C
2020-04-01$14.98Not available in this settingRVU20B
2020-01-01$14.98Not available in this settingRVU20A
2019-10-01$14.99Not available in this settingRVU19D
2019-07-01$14.99Not available in this settingRVU19C
2019-04-01$14.99Not available in this settingRVU19B
2019-01-01$14.99Not available in this settingRVU19A
2018-10-01$15.37Not available in this settingRVU18D
2018-07-01$15.37Not available in this settingRVU18C
2018-04-01$15.37Not available in this settingRVU18B
2018-01-01$15.37Not available in this settingRVU18AR1
2017-10-01$16.98Not available in this settingRVU17D
2017-07-01$16.98Not available in this settingRVU17C
2017-04-01$16.98Not available in this settingRVU17B
2017-01-01$16.98Not available in this settingRVU17A
2016-10-01$16.99Not available in this settingRVU16D
2016-07-01$16.99Not available in this settingRVU16C
2016-04-01$16.99Not available in this settingRVU16B
2016-01-01$16.99Not available in this settingRVU16A
2015-10-01$17.05Not available in this settingRVU15D
2015-07-01$17.05Not available in this settingRVU15C
2015-04-01$16.96Not available in this settingRVU15B
2015-01-01$16.96Not available in this settingRVU15A
2014-10-01$16.54Not available in this settingRVU14D
2014-07-01$16.54Not available in this settingRVU14C
2014-04-01$16.54Not available in this settingRVU14B
2014-01-01$16.54Not available in this settingRVU14A
2013-10-01$16.77Not available in this settingRVU13D
2013-07-01$16.77Not available in this settingRVU13C
2013-04-01$16.77Not available in this settingRVU13B
2013-01-01$16.77Not available in this settingRVU13AR

Price 96361 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

96361 billing questions

Can 96361 be billed by itself?

No. It is an add-on and must be reported with a primary procedure.

Does each fluid bag count as a unit?

No. Units are based on documented hydration infusion time under CPT time rules, not the number of containers.

Can 96361 be reported during a medication infusion encounter?

Yes, when hydration is separately medically necessary and its time is distinct from the medication infusion. Fluid used only as a medication carrier or to keep the line open does not establish separate hydration service.

How does 96361 differ from 96366?

96361 represents additional time for IV hydration. 96366 represents additional time for a therapeutic, prophylactic, or diagnostic drug infusion.

What documentation supports 96361?

Document the reason for hydration, the fluid administered, and start and stop times sufficient to support the additional time reported. The service must also meet the physician-supervision condition for incident-to billing.

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 96361PPRRVU2026_Oct_nonQPP.csv, line 12,778 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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