CPT code 96368: Concurrent infusion, additional IV substance2026 Medicare rate & RVUs in Connecticut

Reports a nonchemotherapy therapeutic, prophylactic, or diagnostic substance infused concurrently with another IV infusion during the same encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality129.6K Medicare services in 2024

In Connecticut, Medicare pays $22.02 for 96368 in the office.

$22.02Office (non-facility)
Not available in this settingHospital or facility
+6.3%vs the national office rate ($20.71)

Check a contract rate as a % of Medicare · 96368 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 96368 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 96368 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 96368 covers

CPT 96368 captures an additional therapeutic, prophylactic, or diagnostic substance running at the same time as another IV infusion, rather than after it. It is used in outpatient infusion settings such as physician offices and infusion centers, where nursing staff typically administer the medications under physician supervision. The code concerns concurrent administration through IV access; it is not a code for an IV push or a subcutaneous infusion.

Report 96368 only with a primary infusion procedure, not by itself. The record should identify the substances, infusion routes, and timing that establish that the administrations overlapped. Distinguish a concurrent infusion from a separate substance given sequentially, which may support a different add-on code. CMS classifies this as an add-on service, with payment included within the primary procedure’s global period. It is an incident-to service and is 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 96368

Across 109 of 109 payment localities, the office rate for 96368 runs from $18.47 in Arkansas to $27.67 in San Benito County, CA. Connecticut pays $22.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

96368 in Connecticut vs other payment areas
  1. Connecticut · this page$22.02
  2. Los Angeles, CA · California$23.52+$1.50
  3. Washington, DC area · District of Columbia$23.67+$1.65
  4. Miami, FL · Florida$21.82−$0.20
  5. Chicago, IL · Illinois$21.25−$0.77
  6. Manhattan, NY · New York$23.65+$1.63
  7. Alaska · Alaska$24.35+$2.33

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

Every other payment area

96368 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$18.73—
ArkansasArkansas$18.47—
ArizonaArizona$20.20—
Bakersfield, CACalifornia$22.10—
Chico, CACalifornia$22.06—
El Centro, CACalifornia$22.06—
Fresno, CACalifornia$22.06—
Hanford, CACalifornia$22.06—

96368 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.

$18.47

$24.87

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

View every state and territory as a table
96368 office rate range by state
State / territoryOffice rate rangeLocalities
AK$24.351
AL$18.731
AR$18.471
AZ$20.201
CA$22.06–$27.6729
CO$21.641
CT$22.021
DC$23.671
DE$20.531
FL$20.23–$21.823
GA$19.19–$21.032
GU$22.581
HI$22.581
IA$19.261
ID$19.361
IL$19.62–$21.404
IN$19.461
KS$19.131
KY$19.051
LA$19.00–$19.892
MA$21.51–$23.762
MD$20.91–$23.673
ME$19.41–$20.452
MI$19.47–$20.422
MN$20.901
MO$18.67–$20.003
MS$18.581
MT$20.711
NC$19.601
ND$20.511
NE$19.371
NH$21.271
NJ$22.32–$23.442
NM$19.561
NV$20.671
NY$19.87–$24.145
OH$19.431
OK$19.061
OR$20.55–$22.352
PA$19.49–$21.482
PR$20.871
RI$21.271
SC$19.541
SD$20.491
TN$19.221
TX$19.36–$21.538
UT$19.791
VA$20.36–$23.672
VI$20.871
VT$20.401
WA$21.48–$24.272
WI$19.861
WV$18.931
WY$20.621

See 96368 in every payment locality

How the 96368 rate is calculated

Each of 96368’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 · 96368

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.44

0.44 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.6200

Conversion factor

$33.4009

Medicare rate

$20.71

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

12,782

Code
96368
Physician work
0.17
Practice expense
0.44
Malpractice
0.01

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 96368 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0200.1734
Practice expense0.44× 1.0770.4739
Malpractice0.01× 1.2100.0121
Total RVUs0.6594
Conversion factor× 33.4009

Office rate, Connecticut$22.02

Office: (0.17 × 1.02 + 0.44 × 1.077 + 0.01 × 1.21) × $33.4009 = $22.02

Open 96368 in the RVU calculator

Payment rules and modifiers for 96368

The CMS indicators that decide how 96368 is paid alongside other services.

CMS payment indicators · 96368

Concurrent infusion, additional IV substance

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 96368 has changed in Connecticut

96368 · Office / nonfacility

$22.02

Effective 2026-10-01

The base rate is $2.25 higher than on 2025-10-01, moving from $19.77 to $22.02 (11.4%).

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

    $19.77changed to$22.02

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.39 changed to 0.44
    • 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

    $21.07changed to$19.77

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.41 changed to 0.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $20.73changed to$21.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $21.61changed to$20.73

    • Conversion factor 33.8872 changed to 32.7442
    • 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

    $22.62changed to$21.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.42 changed to 0.41
    • 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

    $23.19changed to$22.62

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.43 changed to 0.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $23.18changed to$23.19

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.41 changed to 0.43
    • 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

    $23.14changed to$23.18

    • 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

    $23.11changed to$23.14

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $22.72changed to$23.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.40 changed to 0.41
    • 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

    $22.73changed to$22.72

    • 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

    $22.81changed to$22.73

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $22.70changed to$22.81

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $22.27changed to$22.70

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.39 changed to 0.40
    • 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

    $20.32changed to$22.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.37 changed to 0.39
    • 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: $20.32

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$22.02Not available in this settingRVU26D
2026-07-01$22.02Not available in this settingRVU26C
2026-04-01$22.02Not available in this settingRVU26B
2026-01-01$22.02Not available in this settingRVU26A
2025-10-01$19.77Not available in this settingRVU25D
2025-07-01$19.77Not available in this settingRVU25C
2025-04-01$19.77Not available in this settingRVU25B
2025-01-01$19.77Not available in this settingRVU25A
2024-10-01$21.07Not available in this settingRVU24D
2024-07-01$21.07Not available in this settingRVU24C
2024-04-01$21.07Not available in this settingRVU24B
2024-03-09$21.07Not available in this settingRVU24AR
2024-01-01$20.73Not available in this settingRVU24A
2023-10-01$21.61Not available in this settingRVU23D
2023-07-01$21.61Not available in this settingRVU23C
2023-04-01$21.61Not available in this settingRVU23B
2023-01-01$21.61Not available in this settingRVU23A
2022-10-01$22.62Not available in this settingRVU22D
2022-07-01$22.62Not available in this settingRVU22C
2022-04-01$22.62Not available in this settingRVU22B
2022-01-01$22.62Not available in this settingRVU22A
2021-10-01$23.19Not available in this settingRVU21D
2021-07-01$23.19Not available in this settingRVU21C
2021-04-01$23.19Not available in this settingRVU21B
2021-01-01$23.19Not available in this settingRVU21A
2020-10-01$23.18Not available in this settingRVU20D
2020-07-01$23.18Not available in this settingRVU20C
2020-04-01$23.18Not available in this settingRVU20B
2020-01-01$23.18Not available in this settingRVU20A
2019-10-01$23.14Not available in this settingRVU19D
2019-07-01$23.14Not available in this settingRVU19C
2019-04-01$23.14Not available in this settingRVU19B
2019-01-01$23.14Not available in this settingRVU19A
2018-10-01$23.11Not available in this settingRVU18D
2018-07-01$23.11Not available in this settingRVU18C
2018-04-01$23.11Not available in this settingRVU18B
2018-01-01$23.11Not available in this settingRVU18AR1
2017-10-01$22.72Not available in this settingRVU17D
2017-07-01$22.72Not available in this settingRVU17C
2017-04-01$22.72Not available in this settingRVU17B
2017-01-01$22.72Not available in this settingRVU17A
2016-10-01$22.73Not available in this settingRVU16D
2016-07-01$22.73Not available in this settingRVU16C
2016-04-01$22.73Not available in this settingRVU16B
2016-01-01$22.73Not available in this settingRVU16A
2015-10-01$22.81Not available in this settingRVU15D
2015-07-01$22.81Not available in this settingRVU15C
2015-04-01$22.70Not available in this settingRVU15B
2015-01-01$22.70Not available in this settingRVU15A
2014-10-01$22.27Not available in this settingRVU14D
2014-07-01$22.27Not available in this settingRVU14C
2014-04-01$22.27Not available in this settingRVU14B
2014-01-01$22.27Not available in this settingRVU14A
2013-10-01$20.32Not available in this settingRVU13D
2013-07-01$20.32Not available in this settingRVU13C
2013-04-01$20.32Not available in this settingRVU13B
2013-01-01$20.32Not available in this settingRVU13AR

Price 96368 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

96368 billing questions

Can 96368 be billed by itself?

No. It is an add-on code and must be reported with a primary procedure; CMS payment is within that procedure’s global period.

How is 96368 different from 96367?

96368 describes an additional substance infused at the same time as another infusion. 96367 is used for an additional infusion administered sequentially.

What documentation supports 96368?

Document the substances administered, their IV routes, and the overlapping infusion times. The record should make clear that the additional substance ran concurrently rather than in sequence.

May 96368 be reported more than once for an encounter?

Report 96368 once for the encounter, even when more than one additional substance is infused concurrently.

What supervision is required for billing?

CMS treats 96368 as an incident-to service. It may be billed only when performed under physician supervision.

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 96368PPRRVU2026_Oct_nonQPP.csv, line 12,782 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 96368 pays in Connecticut?

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

Fee sheets · Coming soon

Put 96368 and the rest of your codes on one sheet

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

Join the waitlist