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

Report an injection of a therapeutic, preventive, or diagnostic drug into subcutaneous tissue or muscle, such as an intramuscular ceftriaxone dose.

CMS RVU26DEffective Oct 1, 2026One payment locality6.9M Medicare services in 2024

In Kansas, Medicare pays $14.30 for 96372 in the office.

$14.30Office (non-facility)
Not available in this settingHospital or facility
−6.9%vs the national office rate ($15.36)

Check a contract rate as a % of Medicare · 96372 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 96372 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 96372 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 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.

How Kansas compares for 96372

Across 109 of 109 payment localities, the office rate for 96372 runs from $13.88 in Arkansas to $19.97 in San Benito County, CA. Kansas pays $14.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

96372 in Kansas vs other payment areas
  1. Kansas · this page$14.30
  2. Los Angeles, CA · California$17.20+$2.90
  3. Washington, DC area · District of Columbia$17.37+$3.07
  4. Miami, FL · Florida$16.26+$1.96
  5. Chicago, IL · Illinois$15.88+$1.58
  6. Manhattan, NY · New York$17.44+$3.14
  7. Alaska · Alaska$18.66+$4.36

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

Every other payment area

96372 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$14.05—
ArkansasArkansas$13.88—
ArizonaArizona$15.03—
Bakersfield, CACalifornia$16.24—
Chico, CACalifornia$16.20—
El Centro, CACalifornia$16.21—
Fresno, CACalifornia$16.20—
Hanford, CACalifornia$16.20—

96372 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.

$13.88

$18.66

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

View every state and territory as a table
96372 office rate range by state
State / territoryOffice rate rangeLocalities
AK$18.661
AL$14.051
AR$13.881
AZ$15.031
CA$16.20–$19.9729
CO$15.961
CT$16.271
DC$17.371
DE$15.251
FL$15.12–$16.263
GA$14.42–$15.602
GU$16.511
HI$16.511
IA$14.371
ID$14.441
IL$14.74–$15.914
IN$14.511
KS$14.301
KY$14.301
LA$14.27–$14.862
MA$15.88–$17.372
MD$15.51–$17.373
ME$14.49–$15.162
MI$14.59–$15.272
MN$15.401
MO$14.07–$14.923
MS$13.981
MT$15.361
NC$14.621
ND$15.171
NE$14.441
NH$15.711
NJ$16.48–$17.242
NM$14.661
NV$15.321
NY$14.80–$17.785
OH$14.551
OK$14.291
OR$15.23–$16.412
PA$14.58–$15.912
PR$15.461
RI$15.741
SC$14.601
SD$15.141
TN$14.361
TX$14.50–$15.888
UT$14.771
VA$15.11–$17.372
VI$15.461
VT$15.111
WA$15.85–$17.712
WI$14.741
WV$14.281
WY$15.281

See 96372 in every payment locality

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.

How the rate is built · 96372

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.28

0.28 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.4600

Conversion factor

$33.4009

Medicare rate

$15.36

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,786

Code
96372
Physician work
0.17
Practice expense
0.28
Malpractice
0.01

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 96372 in Kansas
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.28× 0.9040.2531
Malpractice0.01× 0.5040.0050
Total RVUs0.4282
Conversion factor× 33.4009

Office rate, Kansas$14.30

Office: (0.17 × 1 + 0.28 × 0.904 + 0.01 × 0.504) × $33.4009 = $14.30

Open 96372 in the RVU calculator

Payment rules and modifiers for 96372

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

CMS payment indicators · 96372

SC/IM injection, therapeutic, prophylactic, or diagnostic

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
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 96372

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

Codes related to 96372
CodeHow it relatesOffice range, Kansas
Used instead
96374IV push, single or initial IV pushUsed when the drug is given as an IV push instead of SC or IM.$34.43
96373Injection administration, intra-arterial routeUsed for an intra-arterial injection instead of an SC or IM injection.$18.23
96402Hormonal therapy injection, subcutaneous or intramuscularReported for SC or IM hormonal antineoplastic drugs instead of this code.$35.37
96401Chemotherapy injection, subcutaneous or intramuscular, nonhormonalReported for SC or IM non-hormonal antineoplastic chemotherapy instead of this code.$65.06
90471Immunization administration, first injectable vaccineUsed for vaccine administration instead of this code when applicable.$20.34
95115Allergy shot, single injection, extract not includedUsed for a single allergen immunotherapy injection instead of this code.$9.23
Often billed with
J3420Vitamin B12 injection, up to 1,000 mcgVitamin B12 drug supply code reported when the practice supplies a separately billable dose.No office rate
99213Office visit, established patient, low complexityOffice visit billed the same day with modifier 25 when separately identifiable.$89.02

How 96372 has changed in Kansas

96372 · Office / nonfacility

$14.30

Effective 2026-10-01

The base rate is $1.30 higher than on 2025-10-01, moving from $13.00 to $14.30 (10.0%).

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

    $13.00changed to$14.30

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.25 changed to 0.28
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $13.38changed to$13.00

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $13.16changed to$13.38

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $13.31changed to$13.16

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.24 changed to 0.25
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540

  5. January 1, 2023

    RVU23A

    $13.58changed to$13.31

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $13.38changed to$13.58

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.23 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $13.55changed to$13.38

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.22 changed to 0.23
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $15.87changed to$13.55

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.29 changed to 0.22
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $19.46changed to$15.87

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.40 changed to 0.29

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $23.91changed to$19.46

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.54 changed to 0.40
    • Practice expense GPCI 0.907 changed to 0.911
    • Malpractice GPCI 0.639 changed to 0.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $23.46changed to$23.91

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.53 changed to 0.54
    • Practice expense GPCI 0.903 changed to 0.907
    • Malpractice GPCI 0.662 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $23.54changed to$23.46

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $23.43changed to$23.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $23.13changed to$23.43

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.52 changed to 0.53
    • Practice expense GPCI 0.899 changed to 0.903
    • Malpractice GPCI 0.810 changed to 0.662

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $23.75changed to$23.13

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.58 changed to 0.52
    • Practice expense GPCI 0.894 changed to 0.899
    • Malpractice GPCI 0.957 changed to 0.810

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $23.75

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$14.30Not available in this settingRVU26D
2026-07-01$14.30Not available in this settingRVU26C
2026-04-01$14.30Not available in this settingRVU26B
2026-01-01$14.30Not available in this settingRVU26A
2025-10-01$13.00Not available in this settingRVU25D
2025-07-01$13.00Not available in this settingRVU25C
2025-04-01$13.00Not available in this settingRVU25B
2025-01-01$13.00Not available in this settingRVU25A
2024-10-01$13.38Not available in this settingRVU24D
2024-07-01$13.38Not available in this settingRVU24C
2024-04-01$13.38Not available in this settingRVU24B
2024-03-09$13.38Not available in this settingRVU24AR
2024-01-01$13.16Not available in this settingRVU24A
2023-10-01$13.31Not available in this settingRVU23D
2023-07-01$13.31Not available in this settingRVU23C
2023-04-01$13.31Not available in this settingRVU23B
2023-01-01$13.31Not available in this settingRVU23A
2022-10-01$13.58Not available in this settingRVU22D
2022-07-01$13.58Not available in this settingRVU22C
2022-04-01$13.58Not available in this settingRVU22B
2022-01-01$13.58Not available in this settingRVU22A
2021-10-01$13.38Not available in this settingRVU21D
2021-07-01$13.38Not available in this settingRVU21C
2021-04-01$13.38Not available in this settingRVU21B
2021-01-01$13.38Not available in this settingRVU21A
2020-10-01$13.55Not available in this settingRVU20D
2020-07-01$13.55Not available in this settingRVU20C
2020-04-01$13.55Not available in this settingRVU20B
2020-01-01$13.55Not available in this settingRVU20A
2019-10-01$15.87Not available in this settingRVU19D
2019-07-01$15.87Not available in this settingRVU19C
2019-04-01$15.87Not available in this settingRVU19B
2019-01-01$15.87Not available in this settingRVU19A
2018-10-01$19.46Not available in this settingRVU18D
2018-07-01$19.46Not available in this settingRVU18C
2018-04-01$19.46Not available in this settingRVU18B
2018-01-01$19.46Not available in this settingRVU18AR1
2017-10-01$23.91Not available in this settingRVU17D
2017-07-01$23.91Not available in this settingRVU17C
2017-04-01$23.91Not available in this settingRVU17B
2017-01-01$23.91Not available in this settingRVU17A
2016-10-01$23.46Not available in this settingRVU16D
2016-07-01$23.46Not available in this settingRVU16C
2016-04-01$23.46Not available in this settingRVU16B
2016-01-01$23.46Not available in this settingRVU16A
2015-10-01$23.54Not available in this settingRVU15D
2015-07-01$23.54Not available in this settingRVU15C
2015-04-01$23.43Not available in this settingRVU15B
2015-01-01$23.43Not available in this settingRVU15A
2014-10-01$23.13Not available in this settingRVU14D
2014-07-01$23.13Not available in this settingRVU14C
2014-04-01$23.13Not available in this settingRVU14B
2014-01-01$23.13Not available in this settingRVU14A
2013-10-01$23.75Not available in this settingRVU13D
2013-07-01$23.75Not available in this settingRVU13C
2013-04-01$23.75Not available in this settingRVU13B
2013-01-01$23.75Not available in this settingRVU13AR

Price 96372 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

96372 billing questions

Can an E/M visit be billed on the same day as this injection?

Yes, if the provider performs a significant, separately identifiable E/M service, append modifier 25 to the E/M code. Do not report 99211 with the drug administration service.

How are two injections given at the same visit reported?

Report one unit for each separate injection and document each drug, dose, route, and site. Do not count drug supply units as injection units or append modifier 59 or XU solely because two injections occurred.

Is this code used for flu shots or other vaccines?

No. Vaccine administration uses immunization codes, such as 90471 or 90472 when applicable. Medicare uses G0008 for influenza, G0009 for pneumococcal, and G0010 for hepatitis B vaccine administration.

What supervision is required for Medicare to pay it in the office?

CMS identifies this as an incident-to service billed only when performed under physician supervision. Document who administered the injection and the supervision arrangement when office staff perform it.

Should a testosterone or denosumab injection be billed here or with a chemotherapy administration code?

Use this code for subcutaneous or intramuscular administration of non-antineoplastic drugs such as testosterone cypionate or denosumab. Use 96402 for subcutaneous or intramuscular administration of a hormonal antineoplastic agent such as leuprolide for prostate cancer.

Is a local anesthetic injection before a procedure reported with this code?

No. Local anesthesia given as part of a laceration repair or lesion excision is included in that procedure rather than reported as a separate drug administration service.

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 96372PPRRVU2026_Oct_nonQPP.csv, line 12,786 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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