CPT code 96373: Injection administration, intra-arterial route2026 Medicare rate & RVUs in Delaware

Report this service for administering a therapeutic, preventive, or diagnostic drug by injection into an artery, rather than by intravenous, intramuscular, or subcutaneous route.

CMS RVU26DEffective Oct 1, 2026One payment locality2.2K Medicare services in 2024

In Delaware, Medicare pays $19.54 for 96373 in the office.

$19.54Office (non-facility)
Not available in this settingHospital or facility
−0.9%vs the national office rate ($19.71)

Check a contract rate as a % of Medicare · 96373 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 96373 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 96373 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 96373 covers

This service represents administration of a therapeutic, prophylactic, or diagnostic substance directly into an artery. In a physician office, a physician or clinical staff member may perform the injection as part of treatment or a diagnostic service. The defining feature is the intra-arterial route, including administration through an arterial access device when the drug is injected into the artery; the code describes the administration, not the access device itself.

Select the code based on the documented route and injection service, not the drug name, dose, or reason for treatment alone. The record should identify the substance, the intra-arterial route, the clinical purpose, and who performed the injection. For Medicare, when the service is furnished as an incident-to service, it is billed only when performed under physician supervision. This code is not an infusion-time measure; document the injection performed rather than elapsed infusion time.

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 Delaware compares for 96373

Across 109 of 109 payment localities, the office rate for 96373 runs from $17.61 in Arkansas to $26.23 in San Benito County, CA. Delaware pays $19.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

96373 in Delaware vs other payment areas
  1. Delaware · this page$19.54
  2. Los Angeles, CA · California$22.33+$2.79
  3. Washington, DC area · District of Columbia$22.49+$2.95
  4. Miami, FL · Florida$20.78+$1.24
  5. Chicago, IL · Illinois$20.25+$0.71
  6. Manhattan, NY · New York$22.48+$2.94
  7. Alaska · Alaska$23.29+$3.75

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

Every other payment area

96373 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$17.85—
ArkansasArkansas$17.61—
ArizonaArizona$19.23—
Bakersfield, CACalifornia$21.00—
Chico, CACalifornia$20.96—
El Centro, CACalifornia$20.96—
Fresno, CACalifornia$20.96—
Hanford, CACalifornia$20.96—

96373 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.

$17.61

$23.60

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

View every state and territory as a table
96373 office rate range by state
State / territoryOffice rate rangeLocalities
AK$23.291
AL$17.851
AR$17.611
AZ$19.231
CA$20.96–$26.2329
CO$20.581
CT$20.941
DC$22.491
DE$19.541
FL$19.27–$20.783
GA$18.29–$20.012
GU$21.441
HI$21.441
IA$18.341
ID$18.431
IL$18.70–$20.374
IN$18.541
KS$18.231
KY$18.161
LA$18.12–$18.942
MA$20.46–$22.562
MD$19.90–$22.493
ME$18.48–$19.462
MI$18.56–$19.462
MN$19.871
MO$17.81–$19.053
MS$17.721
MT$19.711
NC$18.671
ND$19.511
NE$18.441
NH$20.231
NJ$21.23–$22.282
NM$18.641
NV$19.661
NY$18.92–$22.945
OH$18.521
OK$18.171
OR$19.55–$21.232
PA$18.57–$20.432
PR$19.851
RI$20.231
SC$18.621
SD$19.481
TN$18.311
TX$18.45–$20.478
UT$18.851
VA$19.38–$22.492
VI$19.851
VT$19.401
WA$20.43–$23.042
WI$18.901
WV$18.061
WY$19.621

See 96373 in every payment locality

How the 96373 rate is calculated

Each of 96373’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 · 96373

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.41

0.41 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.5900

Conversion factor

$33.4009

Medicare rate

$19.71

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,787

Code
96373
Physician work
0.17
Practice expense
0.41
Malpractice
0.01

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 96373 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0050.1709
Practice expense0.41× 0.9880.4051
Malpractice0.01× 0.8990.0090
Total RVUs0.5849
Conversion factor× 33.4009

Office rate, Delaware$19.54

Office: (0.17 × 1.005 + 0.41 × 0.988 + 0.01 × 0.899) × $33.4009 = $19.54

Open 96373 in the RVU calculator

Payment rules and modifiers for 96373

The CMS indicators that decide how 96373 is paid alongside other services.

CMS payment indicators · 96373

Injection administration, intra-arterial route

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.

How 96373 has changed in Delaware

96373 · Office / nonfacility

$19.54

Effective 2026-10-01

The base rate is $1.17 higher than on 2025-10-01, moving from $18.37 to $19.54 (6.4%).

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

    $18.37changed to$19.54

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.39 changed to 0.41
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $18.57changed to$18.37

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.38 changed to 0.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $18.27changed to$18.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $18.40changed to$18.27

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.36 changed to 0.38
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949
  5. January 1, 2023

    RVU23A

    $18.61changed to$18.40

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.35 changed to 0.36
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $18.77changed to$18.61

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $19.07changed to$18.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.34 changed to 0.35
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $19.43changed to$19.07

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.35 changed to 0.34
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $19.77changed to$19.43

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.36 changed to 0.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $19.80changed to$19.77

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $20.21changed to$19.80

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.37 changed to 0.36
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $20.28changed to$20.21

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $20.18changed to$20.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $19.86changed to$20.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.36 changed to 0.37
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $20.65changed to$19.86

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.41 changed to 0.36
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $20.65

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$19.54Not available in this settingRVU26D
2026-07-01$19.54Not available in this settingRVU26C
2026-04-01$19.54Not available in this settingRVU26B
2026-01-01$19.54Not available in this settingRVU26A
2025-10-01$18.37Not available in this settingRVU25D
2025-07-01$18.37Not available in this settingRVU25C
2025-04-01$18.37Not available in this settingRVU25B
2025-01-01$18.37Not available in this settingRVU25A
2024-10-01$18.57Not available in this settingRVU24D
2024-07-01$18.57Not available in this settingRVU24C
2024-04-01$18.57Not available in this settingRVU24B
2024-03-09$18.57Not available in this settingRVU24AR
2024-01-01$18.27Not available in this settingRVU24A
2023-10-01$18.40Not available in this settingRVU23D
2023-07-01$18.40Not available in this settingRVU23C
2023-04-01$18.40Not available in this settingRVU23B
2023-01-01$18.40Not available in this settingRVU23A
2022-10-01$18.61Not available in this settingRVU22D
2022-07-01$18.61Not available in this settingRVU22C
2022-04-01$18.61Not available in this settingRVU22B
2022-01-01$18.61Not available in this settingRVU22A
2021-10-01$18.77Not available in this settingRVU21D
2021-07-01$18.77Not available in this settingRVU21C
2021-04-01$18.77Not available in this settingRVU21B
2021-01-01$18.77Not available in this settingRVU21A
2020-10-01$19.07Not available in this settingRVU20D
2020-07-01$19.07Not available in this settingRVU20C
2020-04-01$19.07Not available in this settingRVU20B
2020-01-01$19.07Not available in this settingRVU20A
2019-10-01$19.43Not available in this settingRVU19D
2019-07-01$19.43Not available in this settingRVU19C
2019-04-01$19.43Not available in this settingRVU19B
2019-01-01$19.43Not available in this settingRVU19A
2018-10-01$19.77Not available in this settingRVU18D
2018-07-01$19.77Not available in this settingRVU18C
2018-04-01$19.77Not available in this settingRVU18B
2018-01-01$19.77Not available in this settingRVU18AR1
2017-10-01$19.80Not available in this settingRVU17D
2017-07-01$19.80Not available in this settingRVU17C
2017-04-01$19.80Not available in this settingRVU17B
2017-01-01$19.80Not available in this settingRVU17A
2016-10-01$20.21Not available in this settingRVU16D
2016-07-01$20.21Not available in this settingRVU16C
2016-04-01$20.21Not available in this settingRVU16B
2016-01-01$20.21Not available in this settingRVU16A
2015-10-01$20.28Not available in this settingRVU15D
2015-07-01$20.28Not available in this settingRVU15C
2015-04-01$20.18Not available in this settingRVU15B
2015-01-01$20.18Not available in this settingRVU15A
2014-10-01$19.86Not available in this settingRVU14D
2014-07-01$19.86Not available in this settingRVU14C
2014-04-01$19.86Not available in this settingRVU14B
2014-01-01$19.86Not available in this settingRVU14A
2013-10-01$20.65Not available in this settingRVU13D
2013-07-01$20.65Not available in this settingRVU13C
2013-04-01$20.65Not available in this settingRVU13B
2013-01-01$20.65Not available in this settingRVU13AR

Price 96373 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

96373 billing questions

How does this differ from 96374?

96373 is for an intra-arterial injection. Use 96374 when the therapeutic, prophylactic, or diagnostic injection is given by intravenous push.

How does this differ from 96372?

96372 describes administration by the subcutaneous or intramuscular route. The route documented for the administration distinguishes it from this intra-arterial service.

What documentation supports reporting 96373?

Document the substance administered, that it was injected intra-arterially, the clinical purpose, and the person who performed the service. For Medicare incident-to billing, the service must be performed under physician supervision.

Is this an hourly infusion code?

No. It represents an injection, not a service selected by infusion duration. Do not use elapsed infusion time as the basis for reporting it.

Can this code describe arterial access or catheter placement?

It describes the drug administration by intra-arterial injection. The documentation should establish that the injection occurred; access or catheter placement alone is not the service represented by this code.

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 96373PPRRVU2026_Oct_nonQPP.csv, line 12,787 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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