$33.04–$51.82
This code covers injection into subcutaneous tissue or muscle; 96374 covers a drug given by IV push.
On this page
CMS RVU26D · Effective 2026-10-01
96372 SC/IM injection Medicare reimbursement rates
Report an injection of a therapeutic, preventive, or diagnostic drug into subcutaneous tissue or muscle, such as an intramuscular ceftriaxone dose. Compare 96372 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 96372?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$13.88–$19.97
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $6.09 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 96372 pays more and less
109 payment localities
$13.88 to $19.97
Drug administration
About 96372: Subcutaneous or intramuscular drug injection
Report an injection of a therapeutic, preventive, or diagnostic drug into subcutaneous tissue or muscle, such as an intramuscular ceftriaxone dose.
This service involves giving a drug by needle into subcutaneous tissue or muscle for treatment, prevention, or diagnosis. Examples include intramuscular ceftriaxone, ketorolac for acute pain, vitamin B12, and medroxyprogesterone for contraception. Nurses or medical assistants commonly give these injections in physician offices, urgent care centers, and clinics. The service includes preparing the drug, selecting the site, administering the injection, and brief observation.
Report one unit for each separate injection, not for each unit of drug supplied. When the practice supplies a separately billable drug, report its appropriate HCPCS code, such as J3420 for vitamin B12 or J0696 for ceftriaxone. Document the drug, dose, route, site, administrator, and any distinct injections supporting multiple units. CMS identifies this as an incident-to service billed only when performed under physician supervision. Vaccine, allergen immunotherapy, and antineoplastic drug injections have separate administration codes; a local anesthetic injection integral to another procedure is included in that procedure.
CMS billing rules for 96372
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.17 · 37%
- Practice expense (office) RVU0.28 · 61%
- Malpractice RVU0.01 · 2%
6.9M
Medicare services in 2024 · #28 by national volume
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.
96372 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$19.62–$29.60
Use a vaccine administration code such as 90471 when applicable, rather than this code. Medicare-covered influenza, pneumococcal, and hepatitis B vaccines have specific administration G codes.
$33.95–$53.16
Choose 96402 for SC or IM administration of a hormonal antineoplastic drug such as leuprolide for prostate cancer. A non-antineoplastic hormone injection, such as medroxyprogesterone for contraception, uses this code.
$17.04–$25.27
96377 covers applying an on-body injector that delivers the drug later; this code covers a direct needle injection given at the visit.
See how rates vary across the country
96372 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$13.88
$18.66
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $18.66 | 1 |
| AL | $14.05 | 1 |
| AR | $13.88 | 1 |
| AZ | $15.03 | 1 |
| CA | $16.20–$19.97 | 29 |
| CO | $15.96 | 1 |
| CT | $16.27 | 1 |
| DC | $17.37 | 1 |
| DE | $15.25 | 1 |
| FL | $15.12–$16.26 | 3 |
| GA | $14.42–$15.60 | 2 |
| GU | $16.51 | 1 |
| HI | $16.51 | 1 |
| IA | $14.37 | 1 |
| ID | $14.44 | 1 |
| IL | $14.74–$15.91 | 4 |
| IN | $14.51 | 1 |
| KS | $14.30 | 1 |
| KY | $14.30 | 1 |
| LA | $14.27–$14.86 | 2 |
| MA | $15.88–$17.37 | 2 |
| MD | $15.51–$17.37 | 3 |
| ME | $14.49–$15.16 | 2 |
| MI | $14.59–$15.27 | 2 |
| MN | $15.40 | 1 |
| MO | $14.07–$14.92 | 3 |
| MS | $13.98 | 1 |
| MT | $15.36 | 1 |
| NC | $14.62 | 1 |
| ND | $15.17 | 1 |
| NE | $14.44 | 1 |
| NH | $15.71 | 1 |
| NJ | $16.48–$17.24 | 2 |
| NM | $14.66 | 1 |
| NV | $15.32 | 1 |
| NY | $14.80–$17.78 | 5 |
| OH | $14.55 | 1 |
| OK | $14.29 | 1 |
| OR | $15.23–$16.41 | 2 |
| PA | $14.58–$15.91 | 2 |
| PR | $15.46 | 1 |
| RI | $15.74 | 1 |
| SC | $14.60 | 1 |
| SD | $15.14 | 1 |
| TN | $14.36 | 1 |
| TX | $14.50–$15.88 | 8 |
| UT | $14.77 | 1 |
| VA | $15.11–$17.37 | 2 |
| VI | $15.46 | 1 |
| VT | $15.11 | 1 |
| WA | $15.85–$17.71 | 2 |
| WI | $14.74 | 1 |
| WV | $14.28 | 1 |
| WY | $15.28 | 1 |
Compare 96372 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $14.05 | Facility Unavailable |
| Alaska* | Office $18.66 | Facility Unavailable |
| Arizona | Office $15.03 | Facility Unavailable |
| Arkansas | Office $13.88 | Facility Unavailable |
| Atlanta | Office $15.60 | Facility Unavailable |
| Austin | Office $15.88 | Facility Unavailable |
| Bakersfield | Office $16.24 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $16.22 | Facility Unavailable |
| Beaumont | Office $14.50 | Facility Unavailable |
| Brazoria | Office $15.25 | Facility Unavailable |
| Chicago | Office $15.88 | Facility Unavailable |
| Chico | Office $16.20 | Facility Unavailable |
| Colorado | Office $15.96 | Facility Unavailable |
| Connecticut | Office $16.27 | Facility Unavailable |
| Dallas | Office $15.33 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $17.37 | Facility Unavailable |
| Delaware | Office $15.25 | Facility Unavailable |
| Detroit | Office $15.27 | Facility Unavailable |
| East St. Louis | Office $14.95 | Facility Unavailable |
| El Centro | Office $16.21 | Facility Unavailable |
| Fort Lauderdale | Office $15.76 | Facility Unavailable |
| Fort Worth | Office $15.24 | Facility Unavailable |
| Fresno | Office $16.20 | Facility Unavailable |
| Galveston | Office $15.29 | Facility Unavailable |
| Hanford-Corcoran | Office $16.20 | Facility Unavailable |
| Hawaii, Guam | Office $16.51 | Facility Unavailable |
| Houston | Office $15.47 | Facility Unavailable |
| Idaho | Office $14.44 | Facility Unavailable |
| Indiana | Office $14.51 | Facility Unavailable |
| Iowa | Office $14.37 | Facility Unavailable |
| Kansas | Office $14.30 | Facility Unavailable |
| Kentucky | Office $14.30 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $17.20 | Facility Unavailable |
| Madera | Office $16.20 | Facility Unavailable |
| Manhattan | Office $17.44 | Facility Unavailable |
| Merced | Office $16.20 | Facility Unavailable |
| Metropolitan Boston | Office $17.37 | Facility Unavailable |
| Metropolitan Kansas City | Office $14.79 | Facility Unavailable |
| Metropolitan Philadelphia | Office $15.91 | Facility Unavailable |
| Metropolitan St. Louis | Office $14.92 | Facility Unavailable |
| Miami | Office $16.26 | Facility Unavailable |
| Minnesota | Office $15.40 | Facility Unavailable |
| Mississippi | Office $13.98 | Facility Unavailable |
| Modesto | Office $16.20 | Facility Unavailable |
| Montana** | Office $15.36 | Facility Unavailable |
| Napa | Office $18.53 | Facility Unavailable |
| Nebraska | Office $14.44 | Facility Unavailable |
| Nevada** | Office $15.32 | Facility Unavailable |
| New Hampshire | Office $15.71 | Facility Unavailable |
| New Mexico | Office $14.66 | Facility Unavailable |
| New Orleans | Office $14.86 | Facility Unavailable |
| North Carolina | Office $14.62 | Facility Unavailable |
| North Dakota** | Office $15.17 | Facility Unavailable |
| Northern Nj | Office $17.24 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $17.78 | Facility Unavailable |
| Ohio | Office $14.55 | Facility Unavailable |
| Oklahoma | Office $14.29 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $17.10 | Facility Unavailable |
| Portland | Office $16.41 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $16.58 | Facility Unavailable |
| Puerto Rico | Office $15.46 | Facility Unavailable |
| Queens | Office $17.58 | Facility Unavailable |
| Redding | Office $16.20 | Facility Unavailable |
| Rest Of California | Office $16.20 | Facility Unavailable |
| Rest Of Florida | Office $15.12 | Facility Unavailable |
| Rest Of Georgia | Office $14.42 | Facility Unavailable |
| Rest Of Illinois | Office $14.74 | Facility Unavailable |
| Rest Of Louisiana | Office $14.27 | Facility Unavailable |
| Rest Of Maine | Office $14.49 | Facility Unavailable |
| Rest Of Maryland | Office $15.51 | Facility Unavailable |
| Rest Of Massachusetts | Office $15.88 | Facility Unavailable |
| Rest Of Michigan | Office $14.59 | Facility Unavailable |
| Rest Of Missouri | Office $14.07 | Facility Unavailable |
| Rest Of New Jersey | Office $16.48 | Facility Unavailable |
| Rest Of New York | Office $14.80 | Facility Unavailable |
| Rest Of Oregon | Office $15.23 | Facility Unavailable |
| Rest Of Pennsylvania | Office $14.58 | Facility Unavailable |
| Rest Of Texas | Office $14.86 | Facility Unavailable |
| Rest Of Washington | Office $15.85 | Facility Unavailable |
| Rhode Island | Office $15.74 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $16.32 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $16.94 | Facility Unavailable |
| Salinas | Office $16.87 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $17.21 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $19.56 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $19.55 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $19.97 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $19.92 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $16.61 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $17.34 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $16.92 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $17.51 | Facility Unavailable |
| Seattle (King Cnty) | Office $17.71 | Facility Unavailable |
| South Carolina | Office $14.60 | Facility Unavailable |
| South Dakota** | Office $15.14 | Facility Unavailable |
| Southern Maine | Office $15.16 | Facility Unavailable |
| Stockton | Office $16.20 | Facility Unavailable |
| Suburban Chicago | Office $15.91 | Facility Unavailable |
| Tennessee | Office $14.36 | Facility Unavailable |
| Utah | Office $14.77 | Facility Unavailable |
| Vallejo | Office $18.52 | Facility Unavailable |
| Vermont | Office $15.11 | Facility Unavailable |
| Virgin Islands | Office $15.46 | Facility Unavailable |
| Virginia | Office $15.11 | Facility Unavailable |
| Visalia | Office $16.20 | Facility Unavailable |
| West Virginia | Office $14.28 | Facility Unavailable |
| Wisconsin | Office $14.74 | Facility Unavailable |
| Wyoming** | Office $15.28 | Facility Unavailable |
| Yuba City | Office $16.20 | Facility Unavailable |
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96372 billing questions
Can an E/M visit be billed on the same day as this injection?
Yes, if the provider performs a significant, separately identifiable E/M service, append modifier 25 to the E/M code. Do not report 99211 with the drug administration service.
How are two injections given at the same visit reported?
Report one unit for each separate injection and document each drug, dose, route, and site. Do not count drug supply units as injection units or append modifier 59 or XU solely because two injections occurred.
Is this code used for flu shots or other vaccines?
No. Vaccine administration uses immunization codes, such as 90471 or 90472 when applicable. Medicare uses G0008 for influenza, G0009 for pneumococcal, and G0010 for hepatitis B vaccine administration.
What supervision is required for Medicare to pay it in the office?
CMS identifies this as an incident-to service billed only when performed under physician supervision. Document who administered the injection and the supervision arrangement when office staff perform it.
Should a testosterone or denosumab injection be billed here or with a chemotherapy administration code?
Use this code for subcutaneous or intramuscular administration of non-antineoplastic drugs such as testosterone cypionate or denosumab. Use 96402 for subcutaneous or intramuscular administration of a hormonal antineoplastic agent such as leuprolide for prostate cancer.
Is a local anesthetic injection before a procedure reported with this code?
No. Local anesthesia given as part of a laceration repair or lesion excision is included in that procedure rather than reported as a separate drug administration service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,78396369,,Sc ther infusion up to 1 hr,A,,0.21,4.10,,4.10,NA,0.03,4.34,4.34,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78496370,,Sc ther infusion addl hr,A,,0.18,0.32,,0.32,NA,0.01,0.51,0.51,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78596371,,Sc ther infusion reset pump,A,,0.00,1.69,,1.69,NA,0.00,1.69,1.69,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78696372,,Ther/proph/diag inj sc/im,A,,0.17,0.28,,0.28,NA,0.01,0.46,0.46,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78796373,,Ther/proph/diag inj ia,A,,0.17,0.41,,0.41,NA,0.01,0.59,0.59,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78896374,,Ther/proph/diag inj iv push,A,,0.18,0.93,,0.93,NA,0.02,1.13,1.13,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78996375,,Tx/pro/dx inj new drug addon,A,,0.10,0.36,,0.36,NA,0.01,0.47,0.47,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00