Billing code 96367: Sequential IV infusionMedicare rate & RVUs

Medicare pays $29.73 for 96367 nationally in the office. Local office rates run $26.32–$40.46.

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

What 96367 covers

This service covers a second or later IV infusion of a different drug or infusate mix, administered in sequence during the same encounter. A typical office or infusion-suite example is one IV antibiotic followed by a different IV medication through the same access. Nurses or other clinical staff usually administer and monitor the infusion under physician supervision. Administration lasting 15 minutes or less is classified as an IV push rather than an infusion.

Report 96367 with a qualifying primary administration code, such as 96365, 96374, 96409, or 96413; the initial code is selected under administration coding hierarchy, not simply by which drug ran first. CMS pays this add-on within the primary procedure’s global period. Each distinct sequential drug or infusate mix supports a unit; additional time on that infusion may support 96366 when it exceeds the first hour by more than 30 minutes. Document each drug, route, sequence, and start and stop times. In the office, this incident-to service requires physician supervision. A separately reportable drug may also have its own HCPCS code.

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 96367 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

96367 rates by state

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

How the 96367 rate is calculated

Each of 96367’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 96367

The CMS indicators that decide how 96367 is paid alongside other services.

96367 compared with similar codes

How to choose

96366IV infusion add-on hour

Use 96366 for additional infusion time, including a sequential infusion that exceeds its first hour by more than 30 minutes. Use 96367 to identify the additional drug infused in sequence.

96368Concurrent infusion

96368 describes an additional drug infused concurrently with another infusion and is reported once per encounter. 96367 describes a different drug infused in sequence.

96375IV push add-on

96375 describes a new sequential drug given by IV push, including administration lasting 15 minutes or less. 96367 requires an infusion lasting longer than 15 minutes.

96361IV hydration

96361 captures additional hydration time after an initial hydration infusion. 96367 identifies a different therapeutic, prophylactic, or diagnostic drug infused in sequence.

Codes related to 96367

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