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CPT code 96367: Sequential IV infusion, additional drug, up to one hour2026 Medicare rate & RVUs in Connecticut

Report this add-on for a different therapeutic, prophylactic, or diagnostic drug infused through an IV after another drug during the same encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality930.3K Medicare services in 2024

In Connecticut, Medicare pays $31.70 for 96367 in the office.

$31.70Office (non-facility)
Not available in this settingHospital or facility
+6.6%vs the national office rate ($29.73)

Check a contract rate as a % of Medicare · 96367 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 96367 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 96367 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 96367 covers

This service covers a second or later IV infusion of a different drug or infusate mix, administered in sequence during the same encounter. A typical office or infusion-suite example is one IV antibiotic followed by a different IV medication through the same access. Nurses or other clinical staff usually administer and monitor the infusion under physician supervision. Administration lasting 15 minutes or less is classified as an IV push rather than an infusion.

Report 96367 with a qualifying primary administration code, such as 96365, 96374, 96409, or 96413; the initial code is selected under administration coding hierarchy, not simply by which drug ran first. CMS pays this add-on within the primary procedure’s global period. Each distinct sequential drug or infusate mix supports a unit; additional time on that infusion may support 96366 when it exceeds the first hour by more than 30 minutes. Document each drug, route, sequence, and start and stop times. In the office, this incident-to service requires physician supervision. A separately reportable drug may also have its own HCPCS code.

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 96367

Across 109 of 109 payment localities, the office rate for 96367 runs from $26.32 in Arkansas to $40.46 in San Benito County, CA. Connecticut pays $31.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

96367 in Connecticut vs other payment areas
  1. Connecticut · this page$31.70
  2. Los Angeles, CA · California$34.09+$2.39
  3. Washington, DC area · District of Columbia$34.21+$2.51
  4. Miami, FL · Florida$31.18−$0.52
  5. Chicago, IL · Illinois$30.32−$1.38
  6. Manhattan, NY · New York$34.06+$2.36
  7. Alaska · Alaska$34.25+$2.55

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

Every other payment area

96367 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$26.70—
ArkansasArkansas$26.32—
ArizonaArizona$28.96—
Bakersfield, CACalifornia$31.93—
Chico, CACalifornia$31.89—
El Centro, CACalifornia$31.89—
Fresno, CACalifornia$31.89—
Hanford, CACalifornia$31.89—

96367 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$26.32

$36.18

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

View every state and territory as a table
96367 office rate range by state
State / territoryOffice rate rangeLocalities
AK$34.251
AL$26.701
AR$26.321
AZ$28.961
CA$31.89–$40.4629
CO$31.201
CT$31.701
DC$34.211
DE$29.451
FL$28.88–$31.183
GA$27.30–$30.182
GU$32.741
HI$32.741
IA$27.571
ID$27.711
IL$27.91–$30.654
IN$27.871
KS$27.351
KY$27.141
LA$27.06–$28.412
MA$30.98–$34.422
MD$30.04–$34.213
ME$27.76–$29.402
MI$27.76–$29.152
MN$30.161
MO$26.54–$28.623
MS$26.441
MT$29.731
NC$28.061
ND$29.531
NE$27.741
NH$30.631
NJ$32.13–$33.842
NM$27.881
NV$29.691
NY$28.48–$34.785
OH$27.721
OK$27.191
OR$29.54–$32.302
PA$27.82–$30.852
PR$29.981
RI$30.571
SC$27.931
SD$29.511
TN$27.471
TX$27.63–$31.048
UT$28.311
VA$29.24–$34.212
VI$29.981
VT$29.331
WA$30.95–$35.212
WI$28.531
WV$26.851
WY$29.641

See 96367 in every payment locality

How the 96367 rate is calculated

Each of 96367’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 · 96367

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.19

0.19 RVUs× 1.000 GPCI

Practice expense0.69

0.69 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.8900

Conversion factor

$33.4009

Medicare rate

$29.73

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

12,781

Code
96367
Physician work
0.19
Practice expense
0.69
Malpractice
0.01

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 96367 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.19× 1.0200.1938
Practice expense0.69× 1.0770.7431
Malpractice0.01× 1.2100.0121
Total RVUs0.9490
Conversion factor× 33.4009

Office rate, Connecticut$31.70

Office: (0.19 × 1.02 + 0.69 × 1.077 + 0.01 × 1.21) × $33.4009 = $31.70

Open 96367 in the RVU calculator

Payment rules and modifiers for 96367

The CMS indicators that decide how 96367 is paid alongside other services.

CMS payment indicators · 96367

Sequential IV infusion, additional drug, up to one 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.

Codes related to 96367

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

Codes related to 96367
CodeHow it relatesOffice range, Connecticut
Primary code
96365IV drug infusion, initial, first hourInitial therapeutic IV infusion; a common primary code when another drug is infused in sequence.$72.08
96374IV push, single or initial IV pushInitial IV push that can serve as the primary code for a sequential infusion.$40.40
96413Chemo IV infusion, initial drug, first hourInitial chemotherapy infusion; a nonchemotherapy drug infused in sequence may use 96367.$143.31
96409Chemotherapy push, single or initial drugInitial chemotherapy IV push that can serve as the primary code for 96367.$112.40
Add-on codes
96366IV infusion add-on hour, therapeutic or diagnostic, each additional hourAdditional infusion time may be reported when the sequential infusion exceeds its first hour by more than 30 minutes.$22.72
Used instead
96368Concurrent infusion, additional IV substanceDescribes an additional drug infused concurrently with another infusion rather than in sequence.$22.02
96375IV push add-on, each additional new drug, sequentialDescribes a new drug given by sequential IV push rather than by infusion.$16.76

How 96367 has changed in Connecticut

96367 · Office / nonfacility

$31.70

Effective 2026-10-01

The base rate is $3.15 higher than on 2025-10-01, moving from $28.55 to $31.70 (11.0%).

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

    $28.55changed to$31.70

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.62 changed to 0.69
    • 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

    $30.47changed to$28.55

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.65 changed to 0.62

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $29.97changed to$30.47

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $31.64changed to$29.97

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.66 changed to 0.65
    • 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

    $33.68changed to$31.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.68 changed to 0.66
    • Malpractice RVU 0.02 changed to 0.01
    • 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

    $35.13changed to$33.68

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.71 changed to 0.68

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $34.36changed to$35.13

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.66 changed to 0.71
    • 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

    $34.75changed to$34.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.67 changed to 0.66
    • 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

    $35.11changed to$34.75

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.68 changed to 0.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $34.33changed to$35.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.66 changed to 0.68
    • 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

    $33.94changed to$34.33

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.65 changed to 0.66
    • 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

    $33.62changed to$33.94

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.01 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $33.45changed to$33.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $33.00changed to$33.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.64 changed to 0.65
    • 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

    $34.99changed to$33.00

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.74 changed to 0.64
    • 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: $34.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$31.70Not available in this settingRVU26D
2026-07-01$31.70Not available in this settingRVU26C
2026-04-01$31.70Not available in this settingRVU26B
2026-01-01$31.70Not available in this settingRVU26A
2025-10-01$28.55Not available in this settingRVU25D
2025-07-01$28.55Not available in this settingRVU25C
2025-04-01$28.55Not available in this settingRVU25B
2025-01-01$28.55Not available in this settingRVU25A
2024-10-01$30.47Not available in this settingRVU24D
2024-07-01$30.47Not available in this settingRVU24C
2024-04-01$30.47Not available in this settingRVU24B
2024-03-09$30.47Not available in this settingRVU24AR
2024-01-01$29.97Not available in this settingRVU24A
2023-10-01$31.64Not available in this settingRVU23D
2023-07-01$31.64Not available in this settingRVU23C
2023-04-01$31.64Not available in this settingRVU23B
2023-01-01$31.64Not available in this settingRVU23A
2022-10-01$33.68Not available in this settingRVU22D
2022-07-01$33.68Not available in this settingRVU22C
2022-04-01$33.68Not available in this settingRVU22B
2022-01-01$33.68Not available in this settingRVU22A
2021-10-01$35.13Not available in this settingRVU21D
2021-07-01$35.13Not available in this settingRVU21C
2021-04-01$35.13Not available in this settingRVU21B
2021-01-01$35.13Not available in this settingRVU21A
2020-10-01$34.36Not available in this settingRVU20D
2020-07-01$34.36Not available in this settingRVU20C
2020-04-01$34.36Not available in this settingRVU20B
2020-01-01$34.36Not available in this settingRVU20A
2019-10-01$34.75Not available in this settingRVU19D
2019-07-01$34.75Not available in this settingRVU19C
2019-04-01$34.75Not available in this settingRVU19B
2019-01-01$34.75Not available in this settingRVU19A
2018-10-01$35.11Not available in this settingRVU18D
2018-07-01$35.11Not available in this settingRVU18C
2018-04-01$35.11Not available in this settingRVU18B
2018-01-01$35.11Not available in this settingRVU18AR1
2017-10-01$34.33Not available in this settingRVU17D
2017-07-01$34.33Not available in this settingRVU17C
2017-04-01$34.33Not available in this settingRVU17B
2017-01-01$34.33Not available in this settingRVU17A
2016-10-01$33.94Not available in this settingRVU16D
2016-07-01$33.94Not available in this settingRVU16C
2016-04-01$33.94Not available in this settingRVU16B
2016-01-01$33.94Not available in this settingRVU16A
2015-10-01$33.62Not available in this settingRVU15D
2015-07-01$33.62Not available in this settingRVU15C
2015-04-01$33.45Not available in this settingRVU15B
2015-01-01$33.45Not available in this settingRVU15A
2014-10-01$33.00Not available in this settingRVU14D
2014-07-01$33.00Not available in this settingRVU14C
2014-04-01$33.00Not available in this settingRVU14B
2014-01-01$33.00Not available in this settingRVU14A
2013-10-01$34.99Not available in this settingRVU13D
2013-07-01$34.99Not available in this settingRVU13C
2013-04-01$34.99Not available in this settingRVU13B
2013-01-01$34.99Not available in this settingRVU13AR

Price 96367 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

96367 billing questions

Which primary codes can 96367 be reported with?

Qualifying initial administration codes include therapeutic infusion 96365, IV push 96374, chemotherapy push 96409, and chemotherapy infusion 96413. Select the initial code by administration coding hierarchy; 96367 cannot stand alone.

How is 96367 different from 96366?

96367 identifies an additional drug infused in sequence. 96366 captures additional infusion time, including time on a sequential infusion that exceeds its first hour by more than 30 minutes.

What if the second drug is administered over 15 minutes or less?

Administration lasting 15 minutes or less is classified as an IV push. For a new drug given in sequence, report 96375 rather than 96367.

Can 96367 be reported more than once per encounter?

Yes. Report a unit for each distinct drug or infusate mix infused in sequence; several drugs administered together as one mix constitute one infusion.

Is an E/M visit billable on the same day?

A significant, separately identifiable provider evaluation may be reported with modifier 25 on the E/M code. Routine staff assessment related to the infusion is part of administration.

Who can perform the service in the office?

Clinical staff such as infusion nurses usually administer and monitor the drug. For Medicare incident-to billing, the required physician supervision must be met.

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 96367PPRRVU2026_Oct_nonQPP.csv, line 12,781 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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