CPT code 96375: IV push add-on, each additional new drug, sequential2026 Medicare rate & RVUs in Louisiana
Report 96375 for each additional sequential IV push of a different therapeutic, prophylactic, or diagnostic drug after a qualifying initial administration.
Medicare pays $14.30–$15.03 for 96375 in the office in Louisiana, from Rest of Louisiana to New Orleans, LA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 96375 covers
This add-on captures a subsequent IV push of a different therapeutic, prophylactic, or diagnostic drug during the encounter. An IV push may be an injection administered and observed by a clinician throughout, or an administration lasting 15 minutes or less. In an oncology office or infusion suite, for example, a nurse might push ondansetron and then dexamethasone as separate supportive medications under physician supervision.
Report one unit for each different drug given by sequential IV push after a qualifying initial administration, such as an initial therapeutic infusion or IV push. A nonchemotherapy push may also follow an initial chemotherapy administration. Select the initial service under the drug-administration hierarchy rather than by the order in which drugs were given. Record each drug, route, administration time, and administering clinician. As an add-on, 96375 is billed with a primary procedure and paid within that procedure’s global period. Medicare treats it as an incident-to service billed only when performed under physician supervision. Report separately billable drug supplies with the appropriate drug codes.
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 96375 pays more and less in Louisiana
| Payment locality | Office | Facility |
|---|---|---|
| New Orleans, LA | $15.03 | Unavailable |
| Rest of Louisiana | $14.30 | Unavailable |
How the 96375 rate is calculated
Each of 96375’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 · 96375
RVUs × geographic indexes × conversion factor
Work0.10
0.10 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.4700
Conversion factor
$33.4009
Medicare rate
$15.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 96375
The CMS indicators that decide how 96375 is paid alongside other services.
CMS payment indicators · 96375
IV push add-on, each additional new drug, sequential
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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. |
96375 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 96374IV pushSingle or initial IV push
- 96374 identifies an initial therapeutic IV push selected under the drug-administration hierarchy. Use 96375 for an additional sequential push of a different drug.
- 96376Same-drug IV pushFacility add-on
- 96376 describes a repeat push of the same drug more than 30 minutes after the prior push, for facility reporting. Code 96375 requires a different drug.
- 96367Sequential IV infusionAdditional drug, up to one hour
- Choose 96367 when an additional new drug is given by sequential IV infusion for more than 15 minutes. Use 96375 for a sequential IV push or an administration lasting 15 minutes or less.
- 96372SC/IM injectionTherapeutic, prophylactic, or diagnostic
- 96372 describes a subcutaneous or intramuscular injection. Code 96375 requires an additional sequential IV push after a qualifying initial administration.
96375 billing questions
Which primary codes can 96375 be reported with?
Examples include an initial therapeutic IV infusion (96365), therapeutic IV push (96374), chemotherapy IV push (96409), or chemotherapy infusion (96413). Code 96375 cannot be billed alone.
How many units of 96375 can be billed in one encounter?
Report one unit for each different drug or substance administered by an additional sequential IV push. Repeating a push of the same drug does not create another unit of 96375.
What if the same drug is pushed again later in the visit?
A repeat push of the same drug does not qualify for 96375. In a facility, 96376 describes an additional push of that drug when it occurs more than 30 minutes after the prior push.
If the first administration is an IV push, is it reported with 96374 or 96375?
Select the initial service under the drug-administration hierarchy, not simply by administration order. If the encounter involves only therapeutic IV pushes, report 96374 for the initial drug and 96375 for each additional different drug.
Is an E/M visit separately billable on the same day?
A significant, separately identifiable E/M service beyond the usual pre-administration assessment may be reported with modifier 25 on the E/M code.
Does 96375 apply to chemotherapy drugs pushed after the initial chemotherapy service?
No. An additional sequential IV push of a chemotherapy or highly complex biologic drug is reported with 96411. Code 96375 describes an additional push of a nonchemotherapy therapeutic, prophylactic, or diagnostic drug.
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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