Billing code 96375: IV push add-onMedicare rate & RVUs

Medicare pays $15.70 for 96375 nationally in the office. Local office rates run $13.84–$21.23.

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

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

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

96375 rates by state

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

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.

Payment rules and modifiers for 96375

The CMS indicators that decide how 96375 is paid alongside other services.

96375 compared with similar codes

How to choose

96374IV 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.

96376Tx/pro/dx inj same drug adon

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 infusion

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 injection

96372 describes a subcutaneous or intramuscular injection. Code 96375 requires an additional sequential IV push after a qualifying initial administration.

Codes related to 96375

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