CPT code 96372: SC/IM injection, therapeutic, prophylactic, or diagnostic2026 Medicare rate & RVUs

Medicare pays $15.36 for 96372 nationally in the office. Local office rates run $13.88–$19.97.

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

What 96372 covers

This service involves giving a drug by needle into subcutaneous tissue or muscle for treatment, prevention, or diagnosis. Examples include intramuscular ceftriaxone, ketorolac for acute pain, vitamin B12, and medroxyprogesterone for contraception. Nurses or medical assistants commonly give these injections in physician offices, urgent care centers, and clinics. The service includes preparing the drug, selecting the site, administering the injection, and brief observation.

Report one unit for each separate injection, not for each unit of drug supplied. When the practice supplies a separately billable drug, report its appropriate HCPCS code, such as J3420 for vitamin B12 or J0696 for ceftriaxone. Document the drug, dose, route, site, administrator, and any distinct injections supporting multiple units. CMS identifies this as an incident-to service billed only when performed under physician supervision. Vaccine, allergen immunotherapy, and antineoplastic drug injections have separate administration codes; a local anesthetic injection integral to another procedure is included in that procedure.

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.

Where 96372 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

96372 rates by state

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

How the 96372 rate is calculated

Each of 96372’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 96372

The CMS indicators that decide how 96372 is paid alongside other services.

96372 compared with similar codes

How to choose

96374IV pushSingle or initial IV push

This code covers injection into subcutaneous tissue or muscle; 96374 covers a drug given by IV push.

90471Immunization administrationFirst injectable vaccine

Use a vaccine administration code such as 90471 when applicable, rather than this code. Medicare-covered influenza, pneumococcal, and hepatitis B vaccines have specific administration G codes.

96402Hormonal therapy injectionSubcutaneous or intramuscular

Choose 96402 for SC or IM administration of a hormonal antineoplastic drug such as leuprolide for prostate cancer. A non-antineoplastic hormone injection, such as medroxyprogesterone for contraception, uses this code.

96377Injector applicationTimed subcutaneous delivery

96377 covers applying an on-body injector that delivers the drug later; this code covers a direct needle injection given at the visit.

Codes related to 96372

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

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