CPT code 96376: Same-drug IV push, facility add-on2026 Medicare rate & RVUs in Illinois
Facility-reported add-on for each qualifying later sequential intravenous push of the same medication or substance during an encounter.
CMS doesn’t publish an office rate for 96376 in Illinois.
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 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 in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | Unavailable |
| East St. Louis, IL | Unavailable | Unavailable |
| Rest of Illinois | Unavailable | Unavailable |
| Suburban Chicago, IL | Unavailable | Unavailable |
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.
How the rate is built · 96376
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 96376
The CMS indicators that decide how 96376 is paid alongside other services.
CMS payment indicators · 96376
Same-drug IV push, facility add-on
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 9 | The concept doesn’t apply. |
96376 compared with similar codes
Compare codes · National
4 codes, side by side
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.
96376 billing questions
When should a facility choose this code rather than 96375?
Use this code for a qualifying later sequential IV push of the same drug. Code 96375 describes a later sequential IV push of a different drug.
What code accompanies this add-on?
Report it with the applicable initial IV push service, generally 96374. It is not an initial administration code.
How are units counted?
Count each qualifying additional sequential push of the same drug as one additional administration. A same-drug push within 30 minutes of the initial or a previously reported push does not qualify.
Can a physician report this code?
This code is for facility reporting only; it is not reported by the physician as the facility’s repeat-push service.
How does Medicare treat this code?
Its physician fee schedule status is X, a statutory exclusion from payment as a physician service. When covered, payment is through another fee schedule or payment system.
Does this code represent the medication itself?
No. It represents the facility’s repeat IV push administration, not the drug product or its dose.
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
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