CPT code 96376: Same-drug IV push, facility add-on2026 Medicare rate & RVUs

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

What 96376 covers

This add-on identifies a later sequential intravenous push of the same medication or substance after an earlier push. It is used for facility reporting, such as by a hospital facility administering repeat IV push doses during an encounter. It distinguishes a repeat push of the same drug from an additional push involving a different drug.

Report it with the applicable initial IV push service, not as a stand-alone initial administration. Each separately qualifying later push is counted as an additional administration; a repeat push of the same drug within 30 minutes of the initial or a previously reported push does not qualify. Medicare assigns this code physician fee schedule status X: it is excluded from payment as a physician service under the Medicare statute. When covered, payment is through another fee schedule or payment system.

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 96376 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

96376 rates by state

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

How the 96376 rate is calculated

Each of 96376’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 96376

The CMS indicators that decide how 96376 is paid alongside other services.

96376 compared with similar codes

How to choose

96374IV pushSingle or initial IV push

96374 identifies the initial IV push administration. This code is for a qualifying later sequential push of the same drug in a facility.

96375IV push add-onEach additional new drug, sequential

96375 applies to a later sequential IV push of a different drug; this code applies when the later push uses the same drug.

96372SC/IM injectionTherapeutic, prophylactic, or diagnostic

96372 describes a subcutaneous or intramuscular injection. This code is limited to a later sequential intravenous push of the same drug in a facility.

Codes related to 96376

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