CPT code 96361: IV hydration, each additional hour2026 Medicare rate & RVUs in Tennessee
Reports each additional hour of medically necessary intravenous fluid hydration beyond the initial hydration service, when supported by documented infusion time.
In Tennessee, Medicare pays $11.99 for 96361 in the office.
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.
On this page 11 sections
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 Tennessee 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. Tennessee pays $11.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Tennessee · this page$11.99
- Los Angeles, CA · California$14.81+$2.82
- Washington, DC area · District of Columbia$14.95+$2.96
- Miami, FL · Florida$13.93+$1.94
- Chicago, IL · Illinois$13.53+$1.54
- Manhattan, NY · New York$14.98+$2.99
- Alaska · Alaska$15.01+$3.02
Other areas in Tennessee first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $13.85 | — |
| Merced, CACalifornia | $13.85 | — |
| Modesto, CACalifornia | $13.85 | — |
| Napa, CACalifornia | $16.13 | — |
| Oxnard, CACalifornia | $14.75 | — |
| Redding, CACalifornia | $13.85 | — |
| Rest of CaliforniaCalifornia | $13.85 | — |
| Riverside, CACalifornia | $13.96 | — |
| Sacramento, CACalifornia | $14.56 | — |
| Salinas, CACalifornia | $14.50 | — |
| San Diego, CACalifornia | $14.86 | — |
| Marin County, CACalifornia | $17.10 | — |
| San Francisco, CACalifornia | $17.09 | — |
| San Benito County, CACalifornia | $17.48 | — |
| Santa Clara County, CACalifornia | $17.44 | — |
| San Luis Obispo, CACalifornia | $14.27 | — |
| Santa Cruz, CACalifornia | $15.02 | — |
| Santa Maria, CACalifornia | $14.56 | — |
| Santa Rosa, CACalifornia | $15.17 | — |
| Stockton, CACalifornia | $13.85 | — |
| Vallejo, CACalifornia | $16.12 | — |
| Visalia, CACalifornia | $13.85 | — |
| Yuba City, CACalifornia | $13.85 | — |
| ColoradoColorado | $13.61 | — |
| ConnecticutConnecticut | $13.90 | — |
| DelawareDelaware | $12.89 | — |
| Fort Lauderdale, FLFlorida | $13.42 | — |
| Rest of FloridaFlorida | $12.77 | — |
| Atlanta, GAGeorgia | $13.26 | — |
| Rest of GeorgiaGeorgia | $12.04 | — |
| Hawaii, Guam, HIHawaii | $14.21 | — |
| IowaIowa | $12.00 | — |
| IdahoIdaho | $12.08 | — |
| East St. Louis, ILIllinois | $12.59 | — |
| Rest of IllinoisIllinois | $12.37 | — |
| Suburban Chicago, ILIllinois | $13.57 | — |
| IndianaIndiana | $12.15 | — |
| KansasKansas | $11.93 | — |
| KentuckyKentucky | $11.92 | — |
| New Orleans, LALouisiana | $12.50 | — |
| Rest of LouisianaLouisiana | $11.90 | — |
| Metropolitan Boston, MAMassachusetts | $14.99 | — |
| Rest of MassachusettsMassachusetts | $13.52 | — |
| Baltimore area, MDMaryland | $13.86 | — |
| Rest of MarylandMaryland | $13.15 | — |
| Rest of MaineMaine | $12.13 | — |
| Southern Maine, MEMaine | $12.82 | — |
| Detroit, MIMichigan | $12.92 | — |
| Rest of MichiganMichigan | $12.23 | — |
| MinnesotaMinnesota | $13.07 | — |
| Metropolitan Kansas City, MOMissouri | $12.43 | — |
| Metropolitan St. Louis, MOMissouri | $12.56 | — |
| Rest of MissouriMissouri | $11.68 | — |
| MississippiMississippi | $11.59 | — |
| MontanaMontana | $13.03 | — |
| North CarolinaNorth Carolina | $12.26 | — |
| North DakotaNorth Dakota | $12.83 | — |
| NebraskaNebraska | $12.07 | — |
| New HampshireNew Hampshire | $13.38 | — |
| Northern New JerseyNew Jersey | $14.79 | — |
| Rest of New JerseyNew Jersey | $14.07 | — |
| New MexicoNew Mexico | $12.29 | — |
| NevadaNevada | $12.98 | — |
| NYC suburbs and Long Island, NYNew York | $15.34 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $14.15 | — |
| Queens, NYNew York | $15.13 | — |
| Rest of New YorkNew York | $12.44 | — |
| OhioOhio | $12.19 | — |
| OklahomaOklahoma | $11.92 | — |
| Portland, OROregon | $14.06 | — |
| Rest of OregonOregon | $12.89 | — |
| Metropolitan Philadelphia, PAPennsylvania | $13.54 | — |
| Rest of PennsylvaniaPennsylvania | $12.21 | — |
| Puerto RicoPuerto Rico | $13.13 | — |
| Rhode IslandRhode Island | $13.37 | — |
| South CarolinaSouth Carolina | $12.24 | — |
| South DakotaSouth Dakota | $12.80 | — |
| Austin, TXTexas | $13.56 | — |
| Beaumont, TXTexas | $12.13 | — |
| Brazoria, TXTexas | $12.89 | — |
| Dallas, TXTexas | $12.97 | — |
| Fort Worth, TXTexas | $12.87 | — |
| Galveston, TXTexas | $12.93 | — |
| Houston, TXTexas | $13.11 | — |
| Rest of TexasTexas | $12.50 | — |
| UtahUtah | $12.41 | — |
| VirginiaVirginia | $12.76 | — |
| Virgin Islands, VIUnited States Virgin Islands | $13.13 | — |
| VermontVermont | $12.76 | — |
| Rest of WashingtonWashington | $13.50 | — |
| King County, WAWashington | $15.31 | — |
| WisconsinWisconsin | $12.39 | — |
| West VirginiaWest Virginia | $11.90 | — |
| WyomingWyoming | $12.94 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $15.01 | 1 |
| AL | $11.67 | 1 |
| AR | $11.50 | 1 |
| AZ | $12.68 | 1 |
| CA | $13.85–$17.48 | 29 |
| CO | $13.61 | 1 |
| CT | $13.90 | 1 |
| DC | $14.95 | 1 |
| DE | $12.89 | 1 |
| FL | $12.77–$13.93 | 3 |
| GA | $12.04–$13.26 | 2 |
| GU | $14.21 | 1 |
| HI | $14.21 | 1 |
| IA | $12.00 | 1 |
| ID | $12.08 | 1 |
| IL | $12.37–$13.57 | 4 |
| IN | $12.15 | 1 |
| KS | $11.93 | 1 |
| KY | $11.92 | 1 |
| LA | $11.90–$12.50 | 2 |
| MA | $13.52–$14.99 | 2 |
| MD | $13.15–$14.95 | 3 |
| ME | $12.13–$12.82 | 2 |
| MI | $12.23–$12.92 | 2 |
| MN | $13.07 | 1 |
| MO | $11.68–$12.56 | 3 |
| MS | $11.59 | 1 |
| MT | $13.03 | 1 |
| NC | $12.26 | 1 |
| ND | $12.83 | 1 |
| NE | $12.07 | 1 |
| NH | $13.38 | 1 |
| NJ | $14.07–$14.79 | 2 |
| NM | $12.29 | 1 |
| NV | $12.98 | 1 |
| NY | $12.44–$15.34 | 5 |
| OH | $12.19 | 1 |
| OK | $11.92 | 1 |
| OR | $12.89–$14.06 | 2 |
| PA | $12.21–$13.54 | 2 |
| PR | $13.13 | 1 |
| RI | $13.37 | 1 |
| SC | $12.24 | 1 |
| SD | $12.80 | 1 |
| TN | $11.99 | 1 |
| TX | $12.13–$13.56 | 8 |
| UT | $12.41 | 1 |
| VA | $12.76–$14.95 | 2 |
| VI | $13.13 | 1 |
| VT | $12.76 | 1 |
| WA | $13.50–$15.31 | 2 |
| WI | $12.39 | 1 |
| WV | $11.90 | 1 |
| WY | $12.94 | 1 |
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
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 Tennessee 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
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.09 | × 1.000 | 0.0900 |
| Practice expense | 0.29 | × 0.909 | 0.2636 |
| Malpractice | 0.01 | × 0.537 | 0.0054 |
| Total RVUs | 0.3590 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Tennessee$11.99
Office: (0.09 × 1 + 0.29 × 0.909 + 0.01 × 0.537) × $33.4009 = $11.99
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
How 96361 has changed in Tennessee
96361 · Office / nonfacility
$11.99
Effective 2026-10-01
The base rate is $1.37 higher than on 2025-10-01, moving from $10.62 to $11.99 (12.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$10.62changed to$11.99
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.26 changed to 0.29
- Practice expense GPCI 0.896 changed to 0.909
- Malpractice GPCI 0.544 changed to 0.537
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$11.23changed to$10.62
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.27 changed to 0.26
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$11.05changed to$11.23
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$11.71changed to$11.05
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.28 changed to 0.27
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.518 changed to 0.544
January 1, 2023
RVU23A
$11.93changed to$11.71
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.892 changed to 0.894
- Malpractice GPCI 0.492 changed to 0.518
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$12.65changed to$11.93
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.30 changed to 0.28
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$12.50changed to$12.65
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.28 changed to 0.30
- Practice expense GPCI 0.897 changed to 0.892
- Malpractice GPCI 0.509 changed to 0.492
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$12.53changed to$12.50
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.901 changed to 0.897
- Malpractice GPCI 0.526 changed to 0.509
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$12.84changed to$12.53
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.29 changed to 0.28
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$12.84
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $11.99 | Not available in this setting | RVU26D |
| 2026-07-01 | $11.99 | Not available in this setting | RVU26C |
| 2026-04-01 | $11.99 | Not available in this setting | RVU26B |
| 2026-01-01 | $11.99 | Not available in this setting | RVU26A |
| 2025-10-01 | $10.62 | Not available in this setting | RVU25D |
| 2025-07-01 | $10.62 | Not available in this setting | RVU25C |
| 2025-04-01 | $10.62 | Not available in this setting | RVU25B |
| 2025-01-01 | $10.62 | Not available in this setting | RVU25A |
| 2024-10-01 | $11.23 | Not available in this setting | RVU24D |
| 2024-07-01 | $11.23 | Not available in this setting | RVU24C |
| 2024-04-01 | $11.23 | Not available in this setting | RVU24B |
| 2024-03-09 | $11.23 | Not available in this setting | RVU24AR |
| 2024-01-01 | $11.05 | Not available in this setting | RVU24A |
| 2023-10-01 | $11.71 | Not available in this setting | RVU23D |
| 2023-07-01 | $11.71 | Not available in this setting | RVU23C |
| 2023-04-01 | $11.71 | Not available in this setting | RVU23B |
| 2023-01-01 | $11.71 | Not available in this setting | RVU23A |
| 2022-10-01 | $11.93 | Not available in this setting | RVU22D |
| 2022-07-01 | $11.93 | Not available in this setting | RVU22C |
| 2022-04-01 | $11.93 | Not available in this setting | RVU22B |
| 2022-01-01 | $11.93 | Not available in this setting | RVU22A |
| 2021-10-01 | $12.65 | Not available in this setting | RVU21D |
| 2021-07-01 | $12.65 | Not available in this setting | RVU21C |
| 2021-04-01 | $12.65 | Not available in this setting | RVU21B |
| 2021-01-01 | $12.65 | Not available in this setting | RVU21A |
| 2020-10-01 | $12.50 | Not available in this setting | RVU20D |
| 2020-07-01 | $12.50 | Not available in this setting | RVU20C |
| 2020-04-01 | $12.50 | Not available in this setting | RVU20B |
| 2020-01-01 | $12.50 | Not available in this setting | RVU20A |
| 2019-10-01 | $12.53 | Not available in this setting | RVU19D |
| 2019-07-01 | $12.53 | Not available in this setting | RVU19C |
| 2019-04-01 | $12.53 | Not available in this setting | RVU19B |
| 2019-01-01 | $12.53 | Not available in this setting | RVU19A |
| 2018-10-01 | $12.84 | Not available in this setting | RVU18D |
| 2018-07-01 | $12.84 | Not available in this setting | RVU18C |
| 2018-04-01 | $12.84 | Not available in this setting | RVU18B |
| 2018-01-01 | Rate data unavailable | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Not available in this setting | RVU17D |
| 2017-07-01 | Rate data unavailable | Not available in this setting | RVU17C |
| 2017-04-01 | Rate data unavailable | Not available in this setting | RVU17B |
| 2017-01-01 | Rate data unavailable | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Tennessee rate applies
Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.
- Adams
- Adamsville
- Alamo
- Alcoa
- Alexandria
- Algood
- Allardt
- Altamont
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
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