CPT code 96365: IV drug infusion, initial, first hour2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $62.53 for 96365 in the office.

Check a contract rate as a % of Medicare · 96365 nationwide

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

What 96365 covers

This code covers the initial hour of a therapeutic, preventive, or diagnostic IV drug infusion, such as an IV antibiotic or iron infusion lasting more than 15 minutes. Infusion nurses or other clinical staff commonly perform it in physician offices and infusion suites. IV access, routine flushes, tubing, and monitoring are included in the administration service. Staff document the drug, dose, route, and infusion start and stop times.

Select the initial administration code using the drug administration hierarchy, not simply the drug given first or the visit’s chief reason. Usually, one initial administration service is reported per encounter; a protocol requiring distinct IV sites may support another. Report 96366 when the same infusion reaches 91 minutes, 96367 for a subsequent infusion of a different drug, or 96368 for a concurrent infusion when each code’s requirements are met. Report the drug supply separately when applicable. Under the CMS incident-to rule, the service is billed only when performed under physician supervision. Most Medicare services for this code are billed in offices.

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 New Mexico compares for 96365

Across 109 of 109 payment localities, the office rate for 96365 runs from $58.20 in Arkansas to $93.27 in San Benito County, CA. New Mexico pays $62.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

96365 rates by state

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

See 96365 in every payment locality

How the 96365 rate is calculated

Each of 96365’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.

Payment rules and modifiers for 96365

The CMS indicators that decide how 96365 is paid alongside other services.

Codes related to 96365

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 96365 has changed in New Mexico

Price 96365 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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

Open CMS sourceHow we calculate rates