CPT code 96372: SC/IM injection, therapeutic, prophylactic, or diagnostic2026 Medicare rate & RVUs in Nebraska
Report an injection of a therapeutic, preventive, or diagnostic drug into subcutaneous tissue or muscle, such as an intramuscular ceftriaxone dose.
In Nebraska, Medicare pays $14.44 for 96372 in the office.
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.
On this page 11 sections
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 Nebraska 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. Nebraska pays $14.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nebraska · this page$14.44
- Los Angeles, CA · California$17.20+$2.76
- Washington, DC area · District of Columbia$17.37+$2.93
- Miami, FL · Florida$16.26+$1.82
- Chicago, IL · Illinois$15.88+$1.44
- Manhattan, NY · New York$17.44+$3.00
- Alaska · Alaska$18.66+$4.22
Other areas in Nebraska first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $16.20 | — |
| Merced, CACalifornia | $16.20 | — |
| Modesto, CACalifornia | $16.20 | — |
| Napa, CACalifornia | $18.53 | — |
| Oxnard, CACalifornia | $17.10 | — |
| Redding, CACalifornia | $16.20 | — |
| Rest of CaliforniaCalifornia | $16.20 | — |
| Riverside, CACalifornia | $16.32 | — |
| Sacramento, CACalifornia | $16.94 | — |
| Salinas, CACalifornia | $16.87 | — |
| San Diego, CACalifornia | $17.21 | — |
| Marin County, CACalifornia | $19.56 | — |
| San Francisco, CACalifornia | $19.55 | — |
| San Benito County, CACalifornia | $19.97 | — |
| Santa Clara County, CACalifornia | $19.92 | — |
| San Luis Obispo, CACalifornia | $16.61 | — |
| Santa Cruz, CACalifornia | $17.34 | — |
| Santa Maria, CACalifornia | $16.92 | — |
| Santa Rosa, CACalifornia | $17.51 | — |
| Stockton, CACalifornia | $16.20 | — |
| Vallejo, CACalifornia | $18.52 | — |
| Visalia, CACalifornia | $16.20 | — |
| Yuba City, CACalifornia | $16.20 | — |
| ColoradoColorado | $15.96 | — |
| ConnecticutConnecticut | $16.27 | — |
| DelawareDelaware | $15.25 | — |
| Fort Lauderdale, FLFlorida | $15.76 | — |
| Rest of FloridaFlorida | $15.12 | — |
| Atlanta, GAGeorgia | $15.60 | — |
| Rest of GeorgiaGeorgia | $14.42 | — |
| Hawaii, Guam, HIHawaii | $16.51 | — |
| IowaIowa | $14.37 | — |
| IdahoIdaho | $14.44 | — |
| East St. Louis, ILIllinois | $14.95 | — |
| Rest of IllinoisIllinois | $14.74 | — |
| Suburban Chicago, ILIllinois | $15.91 | — |
| IndianaIndiana | $14.51 | — |
| KansasKansas | $14.30 | — |
| KentuckyKentucky | $14.30 | — |
| New Orleans, LALouisiana | $14.86 | — |
| Rest of LouisianaLouisiana | $14.27 | — |
| Metropolitan Boston, MAMassachusetts | $17.37 | — |
| Rest of MassachusettsMassachusetts | $15.88 | — |
| Baltimore area, MDMaryland | $16.22 | — |
| Rest of MarylandMaryland | $15.51 | — |
| Rest of MaineMaine | $14.49 | — |
| Southern Maine, MEMaine | $15.16 | — |
| Detroit, MIMichigan | $15.27 | — |
| Rest of MichiganMichigan | $14.59 | — |
| MinnesotaMinnesota | $15.40 | — |
| Metropolitan Kansas City, MOMissouri | $14.79 | — |
| Metropolitan St. Louis, MOMissouri | $14.92 | — |
| Rest of MissouriMissouri | $14.07 | — |
| MississippiMississippi | $13.98 | — |
| MontanaMontana | $15.36 | — |
| North CarolinaNorth Carolina | $14.62 | — |
| North DakotaNorth Dakota | $15.17 | — |
| New HampshireNew Hampshire | $15.71 | — |
| Northern New JerseyNew Jersey | $17.24 | — |
| Rest of New JerseyNew Jersey | $16.48 | — |
| New MexicoNew Mexico | $14.66 | — |
| NevadaNevada | $15.32 | — |
| NYC suburbs and Long Island, NYNew York | $17.78 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $16.58 | — |
| Queens, NYNew York | $17.58 | — |
| Rest of New YorkNew York | $14.80 | — |
| OhioOhio | $14.55 | — |
| OklahomaOklahoma | $14.29 | — |
| Portland, OROregon | $16.41 | — |
| Rest of OregonOregon | $15.23 | — |
| Metropolitan Philadelphia, PAPennsylvania | $15.91 | — |
| Rest of PennsylvaniaPennsylvania | $14.58 | — |
| Puerto RicoPuerto Rico | $15.46 | — |
| Rhode IslandRhode Island | $15.74 | — |
| South CarolinaSouth Carolina | $14.60 | — |
| South DakotaSouth Dakota | $15.14 | — |
| TennesseeTennessee | $14.36 | — |
| Austin, TXTexas | $15.88 | — |
| Beaumont, TXTexas | $14.50 | — |
| Brazoria, TXTexas | $15.25 | — |
| Dallas, TXTexas | $15.33 | — |
| Fort Worth, TXTexas | $15.24 | — |
| Galveston, TXTexas | $15.29 | — |
| Houston, TXTexas | $15.47 | — |
| Rest of TexasTexas | $14.86 | — |
| UtahUtah | $14.77 | — |
| VirginiaVirginia | $15.11 | — |
| Virgin Islands, VIUnited States Virgin Islands | $15.46 | — |
| VermontVermont | $15.11 | — |
| Rest of WashingtonWashington | $15.85 | — |
| King County, WAWashington | $17.71 | — |
| WisconsinWisconsin | $14.74 | — |
| West VirginiaWest Virginia | $14.28 | — |
| WyomingWyoming | $15.28 | — |
96372 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.
$13.88
$18.66
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $18.66 | 1 |
| AL | $14.05 | 1 |
| AR | $13.88 | 1 |
| AZ | $15.03 | 1 |
| CA | $16.20–$19.97 | 29 |
| CO | $15.96 | 1 |
| CT | $16.27 | 1 |
| DC | $17.37 | 1 |
| DE | $15.25 | 1 |
| FL | $15.12–$16.26 | 3 |
| GA | $14.42–$15.60 | 2 |
| GU | $16.51 | 1 |
| HI | $16.51 | 1 |
| IA | $14.37 | 1 |
| ID | $14.44 | 1 |
| IL | $14.74–$15.91 | 4 |
| IN | $14.51 | 1 |
| KS | $14.30 | 1 |
| KY | $14.30 | 1 |
| LA | $14.27–$14.86 | 2 |
| MA | $15.88–$17.37 | 2 |
| MD | $15.51–$17.37 | 3 |
| ME | $14.49–$15.16 | 2 |
| MI | $14.59–$15.27 | 2 |
| MN | $15.40 | 1 |
| MO | $14.07–$14.92 | 3 |
| MS | $13.98 | 1 |
| MT | $15.36 | 1 |
| NC | $14.62 | 1 |
| ND | $15.17 | 1 |
| NE | $14.44 | 1 |
| NH | $15.71 | 1 |
| NJ | $16.48–$17.24 | 2 |
| NM | $14.66 | 1 |
| NV | $15.32 | 1 |
| NY | $14.80–$17.78 | 5 |
| OH | $14.55 | 1 |
| OK | $14.29 | 1 |
| OR | $15.23–$16.41 | 2 |
| PA | $14.58–$15.91 | 2 |
| PR | $15.46 | 1 |
| RI | $15.74 | 1 |
| SC | $14.60 | 1 |
| SD | $15.14 | 1 |
| TN | $14.36 | 1 |
| TX | $14.50–$15.88 | 8 |
| UT | $14.77 | 1 |
| VA | $15.11–$17.37 | 2 |
| VI | $15.46 | 1 |
| VT | $15.11 | 1 |
| WA | $15.85–$17.71 | 2 |
| WI | $14.74 | 1 |
| WV | $14.28 | 1 |
| WY | $15.28 | 1 |
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
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 Nebraska 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
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.28 | × 0.923 | 0.2584 |
| Malpractice | 0.01 | × 0.378 | 0.0038 |
| Total RVUs | 0.4322 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nebraska$14.44
Office: (0.17 × 1 + 0.28 × 0.923 + 0.01 × 0.378) × $33.4009 = $14.44
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
How 96372 has changed in Nebraska
96372 · Office / nonfacility
$14.44
Effective 2026-10-01
The base rate is $1.43 higher than on 2025-10-01, moving from $13.01 to $14.44 (11.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$13.01changed to$14.44
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.25 changed to 0.28
- Practice expense GPCI 0.917 changed to 0.923
- Malpractice GPCI 0.304 changed to 0.378
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$13.39changed to$13.01
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$13.17changed to$13.39
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$13.28changed to$13.17
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.24 changed to 0.25
- Practice expense GPCI 0.913 changed to 0.917
- Malpractice GPCI 0.269 changed to 0.304
January 1, 2023
RVU23A
$13.51changed to$13.28
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.235 changed to 0.269
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$13.30changed to$13.51
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.23 changed to 0.24
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$13.45changed to$13.30
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.22 changed to 0.23
- Practice expense GPCI 0.909 changed to 0.908
- Malpractice GPCI 0.277 changed to 0.235
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$15.75changed to$13.45
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.29 changed to 0.22
- Practice expense GPCI 0.910 changed to 0.909
- Malpractice GPCI 0.318 changed to 0.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$19.34changed to$15.75
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.40 changed to 0.29
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$23.84changed to$19.34
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.54 changed to 0.40
- Practice expense GPCI 0.909 changed to 0.910
- Malpractice GPCI 0.340 changed to 0.318
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$23.45changed to$23.84
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.53 changed to 0.54
- Practice expense GPCI 0.908 changed to 0.909
- Malpractice GPCI 0.362 changed to 0.340
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$23.53changed to$23.45
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$23.41changed to$23.53
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$23.09changed to$23.41
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.52 changed to 0.53
- Practice expense GPCI 0.906 changed to 0.908
- Malpractice GPCI 0.342 changed to 0.362
Held through RVU15B.
January 1, 2014
RVU14A
$23.73changed to$23.09
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.58 changed to 0.52
- Practice expense GPCI 0.904 changed to 0.906
- Malpractice GPCI 0.322 changed to 0.342
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $23.73
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $14.44 | Not available in this setting | RVU26D |
| 2026-07-01 | $14.44 | Not available in this setting | RVU26C |
| 2026-04-01 | $14.44 | Not available in this setting | RVU26B |
| 2026-01-01 | $14.44 | Not available in this setting | RVU26A |
| 2025-10-01 | $13.01 | Not available in this setting | RVU25D |
| 2025-07-01 | $13.01 | Not available in this setting | RVU25C |
| 2025-04-01 | $13.01 | Not available in this setting | RVU25B |
| 2025-01-01 | $13.01 | Not available in this setting | RVU25A |
| 2024-10-01 | $13.39 | Not available in this setting | RVU24D |
| 2024-07-01 | $13.39 | Not available in this setting | RVU24C |
| 2024-04-01 | $13.39 | Not available in this setting | RVU24B |
| 2024-03-09 | $13.39 | Not available in this setting | RVU24AR |
| 2024-01-01 | $13.17 | Not available in this setting | RVU24A |
| 2023-10-01 | $13.28 | Not available in this setting | RVU23D |
| 2023-07-01 | $13.28 | Not available in this setting | RVU23C |
| 2023-04-01 | $13.28 | Not available in this setting | RVU23B |
| 2023-01-01 | $13.28 | Not available in this setting | RVU23A |
| 2022-10-01 | $13.51 | Not available in this setting | RVU22D |
| 2022-07-01 | $13.51 | Not available in this setting | RVU22C |
| 2022-04-01 | $13.51 | Not available in this setting | RVU22B |
| 2022-01-01 | $13.51 | Not available in this setting | RVU22A |
| 2021-10-01 | $13.30 | Not available in this setting | RVU21D |
| 2021-07-01 | $13.30 | Not available in this setting | RVU21C |
| 2021-04-01 | $13.30 | Not available in this setting | RVU21B |
| 2021-01-01 | $13.30 | Not available in this setting | RVU21A |
| 2020-10-01 | $13.45 | Not available in this setting | RVU20D |
| 2020-07-01 | $13.45 | Not available in this setting | RVU20C |
| 2020-04-01 | $13.45 | Not available in this setting | RVU20B |
| 2020-01-01 | $13.45 | Not available in this setting | RVU20A |
| 2019-10-01 | $15.75 | Not available in this setting | RVU19D |
| 2019-07-01 | $15.75 | Not available in this setting | RVU19C |
| 2019-04-01 | $15.75 | Not available in this setting | RVU19B |
| 2019-01-01 | $15.75 | Not available in this setting | RVU19A |
| 2018-10-01 | $19.34 | Not available in this setting | RVU18D |
| 2018-07-01 | $19.34 | Not available in this setting | RVU18C |
| 2018-04-01 | $19.34 | Not available in this setting | RVU18B |
| 2018-01-01 | $19.34 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $23.84 | Not available in this setting | RVU17D |
| 2017-07-01 | $23.84 | Not available in this setting | RVU17C |
| 2017-04-01 | $23.84 | Not available in this setting | RVU17B |
| 2017-01-01 | $23.84 | Not available in this setting | RVU17A |
| 2016-10-01 | $23.45 | Not available in this setting | RVU16D |
| 2016-07-01 | $23.45 | Not available in this setting | RVU16C |
| 2016-04-01 | $23.45 | Not available in this setting | RVU16B |
| 2016-01-01 | $23.45 | Not available in this setting | RVU16A |
| 2015-10-01 | $23.53 | Not available in this setting | RVU15D |
| 2015-07-01 | $23.53 | Not available in this setting | RVU15C |
| 2015-04-01 | $23.41 | Not available in this setting | RVU15B |
| 2015-01-01 | $23.41 | Not available in this setting | RVU15A |
| 2014-10-01 | $23.09 | Not available in this setting | RVU14D |
| 2014-07-01 | $23.09 | Not available in this setting | RVU14C |
| 2014-04-01 | $23.09 | Not available in this setting | RVU14B |
| 2014-01-01 | $23.09 | Not available in this setting | RVU14A |
| 2013-10-01 | $23.73 | Not available in this setting | RVU13D |
| 2013-07-01 | $23.73 | Not available in this setting | RVU13C |
| 2013-04-01 | $23.73 | Not available in this setting | RVU13B |
| 2013-01-01 | $23.73 | Not available in this setting | RVU13AR |
Where the Nebraska rate applies
Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.
- Abie
- Adams
- Agnew
- Ainsworth
- Albion
- Alda
- Alexandria
- Allen
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
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