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CMS RVU26D · Effective 2026-10-01

96372 in Chico

Office / nonfacility

$16.20

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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.

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 rates for Chico, from the same CMS release.

96374

IV push

Single or initial IV push

$40.52

This code covers injection into subcutaneous tissue or muscle; 96374 covers a drug given by IV push.

90471

Immunization administration

First injectable vaccine

$23.53

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.

96402

Hormonal therapy injection

Subcutaneous or intramuscular

$41.59

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.

96377

Injector application

Timed subcutaneous delivery

$20.23

96377 covers applying an on-body injector that delivers the drug later; this code covers a direct needle injection given at the visit.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 96372 is $16.24—$0.04 higher than the $16.20 rate in Chico. Both use the same code, release and participation basis.

96372 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $16.20

  2. Bakersfield

    $16.24

    $0.04 higher than Chico

  3. El Centro

    $16.21

    $0.01 higher than Chico

  4. Fresno

    $16.20

    The same base rate than Chico

  5. Hanford-Corcoran

    $16.20

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $17.20

    $1.00 higher than Chico

  7. Madera

    $16.20

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 96372 ranges from $13.88 in Arkansas to $19.97 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 96372

    Office

    $16.20

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Modesto

    California · 96372

    Office

    $16.20

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Napa

    California · 96372

    Office

    $18.53

    Facility

    Unavailable

    $2.33 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 96372

    Office

    $17.10

    Facility

    Unavailable

    $0.90 higher than Chico for the office setting.

  • Redding

    California · 96372

    Office

    $16.20

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 96372

    Office

    $16.20

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 96372

    Office

    $16.32

    Facility

    Unavailable

    $0.12 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 96372

    Office

    $16.94

    Facility

    Unavailable

    $0.74 higher than Chico for the office setting.

  • Salinas

    California · 96372

    Office

    $16.87

    Facility

    Unavailable

    $0.67 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 96372

    Office

    $17.21

    Facility

    Unavailable

    $1.01 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 96372

    Office

    $19.56

    Facility

    Unavailable

    $3.36 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 96372

    Office

    $19.55

    Facility

    Unavailable

    $3.35 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 96372

    Office

    $19.97

    Facility

    Unavailable

    $3.77 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 96372

    Office

    $19.92

    Facility

    Unavailable

    $3.72 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 96372

    Office

    $16.61

    Facility

    Unavailable

    $0.41 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 96372

    Office

    $17.34

    Facility

    Unavailable

    $1.14 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 96372

    Office

    $16.92

    Facility

    Unavailable

    $0.72 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 96372

    Office

    $17.51

    Facility

    Unavailable

    $1.31 higher than Chico for the office setting.

  • Stockton

    California · 96372

    Office

    $16.20

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 96372

    Office

    $18.52

    Facility

    Unavailable

    $2.32 higher than Chico for the office setting.

  • Visalia

    California · 96372

    Office

    $16.20

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 96372

    Office

    $16.20

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 96372

    Office

    $17.37

    Facility

    Unavailable

    $1.17 higher than Chico for the office setting.

  • Miami

    Florida · 96372

    Office

    $16.26

    Facility

    Unavailable

    $0.06 higher than Chico for the office setting.

  • Chicago

    Illinois · 96372

    Office

    $15.88

    Facility

    Unavailable

    $0.32 lower than Chico for the office setting.

  • Manhattan

    New York · 96372

    Office

    $17.44

    Facility

    Unavailable

    $1.24 higher than Chico for the office setting.

  • Alaska*

    Alaska · 96372

    Office

    $18.66

    Facility

    Unavailable

    $2.46 higher than Chico for the office setting.

  • Alabama

    Alabama · 96372

    Office

    $14.05

    Facility

    Unavailable

    $2.15 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 96372

    Office

    $13.88

    Facility

    Unavailable

    $2.32 lower than Chico for the office setting.

  • Arizona

    Arizona · 96372

    Office

    $15.03

    Facility

    Unavailable

    $1.17 lower than Chico for the office setting.

  • Colorado

    Colorado · 96372

    Office

    $15.96

    Facility

    Unavailable

    $0.24 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 96372

    Office

    $16.27

    Facility

    Unavailable

    $0.07 higher than Chico for the office setting.

  • Delaware

    Delaware · 96372

    Office

    $15.25

    Facility

    Unavailable

    $0.95 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 96372

    Office

    $15.76

    Facility

    Unavailable

    $0.44 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 96372

    Office

    $15.12

    Facility

    Unavailable

    $1.08 lower than Chico for the office setting.

  • Atlanta

    Georgia · 96372

    Office

    $15.60

    Facility

    Unavailable

    $0.60 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 96372

    Office

    $14.42

    Facility

    Unavailable

    $1.78 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 96372

    Office

    $16.51

    Facility

    Unavailable

    $0.31 higher than Chico for the office setting.

  • Iowa

    Iowa · 96372

    Office

    $14.37

    Facility

    Unavailable

    $1.83 lower than Chico for the office setting.

  • Idaho

    Idaho · 96372

    Office

    $14.44

    Facility

    Unavailable

    $1.76 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 96372

    Office

    $14.95

    Facility

    Unavailable

    $1.25 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 96372

    Office

    $14.74

    Facility

    Unavailable

    $1.46 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 96372

    Office

    $15.91

    Facility

    Unavailable

    $0.29 lower than Chico for the office setting.

  • Indiana

    Indiana · 96372

    Office

    $14.51

    Facility

    Unavailable

    $1.69 lower than Chico for the office setting.

  • Kansas

    Kansas · 96372

    Office

    $14.30

    Facility

    Unavailable

    $1.90 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 96372

    Office

    $14.30

    Facility

    Unavailable

    $1.90 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 96372

    Office

    $14.86

    Facility

    Unavailable

    $1.34 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 96372

    Office

    $14.27

    Facility

    Unavailable

    $1.93 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 96372

    Office

    $17.37

    Facility

    Unavailable

    $1.17 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 96372

    Office

    $15.88

    Facility

    Unavailable

    $0.32 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 96372

    Office

    $16.22

    Facility

    Unavailable

    $0.02 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 96372

    Office

    $15.51

    Facility

    Unavailable

    $0.69 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 96372

    Office

    $14.49

    Facility

    Unavailable

    $1.71 lower than Chico for the office setting.

  • Southern Maine

    Maine · 96372

    Office

    $15.16

    Facility

    Unavailable

    $1.04 lower than Chico for the office setting.

  • Detroit

    Michigan · 96372

    Office

    $15.27

    Facility

    Unavailable

    $0.93 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 96372

    Office

    $14.59

    Facility

    Unavailable

    $1.61 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 96372

    Office

    $15.40

    Facility

    Unavailable

    $0.80 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 96372

    Office

    $14.79

    Facility

    Unavailable

    $1.41 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 96372

    Office

    $14.92

    Facility

    Unavailable

    $1.28 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 96372

    Office

    $14.07

    Facility

    Unavailable

    $2.13 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 96372

    Office

    $13.98

    Facility

    Unavailable

    $2.22 lower than Chico for the office setting.

  • Montana**

    Montana · 96372

    Office

    $15.36

    Facility

    Unavailable

    $0.84 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 96372

    Office

    $14.62

    Facility

    Unavailable

    $1.58 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 96372

    Office

    $15.17

    Facility

    Unavailable

    $1.03 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 96372

    Office

    $14.44

    Facility

    Unavailable

    $1.76 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 96372

    Office

    $15.71

    Facility

    Unavailable

    $0.49 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 96372

    Office

    $17.24

    Facility

    Unavailable

    $1.04 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 96372

    Office

    $16.48

    Facility

    Unavailable

    $0.28 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 96372

    Office

    $14.66

    Facility

    Unavailable

    $1.54 lower than Chico for the office setting.

  • Nevada**

    Nevada · 96372

    Office

    $15.32

    Facility

    Unavailable

    $0.88 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 96372

    Office

    $17.78

    Facility

    Unavailable

    $1.58 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 96372

    Office

    $16.58

    Facility

    Unavailable

    $0.38 higher than Chico for the office setting.

  • Queens

    New York · 96372

    Office

    $17.58

    Facility

    Unavailable

    $1.38 higher than Chico for the office setting.

  • Rest Of New York

    New York · 96372

    Office

    $14.80

    Facility

    Unavailable

    $1.40 lower than Chico for the office setting.

  • Ohio

    Ohio · 96372

    Office

    $14.55

    Facility

    Unavailable

    $1.65 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 96372

    Office

    $14.29

    Facility

    Unavailable

    $1.91 lower than Chico for the office setting.

  • Portland

    Oregon · 96372

    Office

    $16.41

    Facility

    Unavailable

    $0.21 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 96372

    Office

    $15.23

    Facility

    Unavailable

    $0.97 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 96372

    Office

    $15.91

    Facility

    Unavailable

    $0.29 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 96372

    Office

    $14.58

    Facility

    Unavailable

    $1.62 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 96372

    Office

    $15.46

    Facility

    Unavailable

    $0.74 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 96372

    Office

    $15.74

    Facility

    Unavailable

    $0.46 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 96372

    Office

    $14.60

    Facility

    Unavailable

    $1.60 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 96372

    Office

    $15.14

    Facility

    Unavailable

    $1.06 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 96372

    Office

    $14.36

    Facility

    Unavailable

    $1.84 lower than Chico for the office setting.

  • Austin

    Texas · 96372

    Office

    $15.88

    Facility

    Unavailable

    $0.32 lower than Chico for the office setting.

  • Beaumont

    Texas · 96372

    Office

    $14.50

    Facility

    Unavailable

    $1.70 lower than Chico for the office setting.

  • Brazoria

    Texas · 96372

    Office

    $15.25

    Facility

    Unavailable

    $0.95 lower than Chico for the office setting.

  • Dallas

    Texas · 96372

    Office

    $15.33

    Facility

    Unavailable

    $0.87 lower than Chico for the office setting.

  • Fort Worth

    Texas · 96372

    Office

    $15.24

    Facility

    Unavailable

    $0.96 lower than Chico for the office setting.

  • Galveston

    Texas · 96372

    Office

    $15.29

    Facility

    Unavailable

    $0.91 lower than Chico for the office setting.

  • Houston

    Texas · 96372

    Office

    $15.47

    Facility

    Unavailable

    $0.73 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 96372

    Office

    $14.86

    Facility

    Unavailable

    $1.34 lower than Chico for the office setting.

  • Utah

    Utah · 96372

    Office

    $14.77

    Facility

    Unavailable

    $1.43 lower than Chico for the office setting.

  • Virginia

    Virginia · 96372

    Office

    $15.11

    Facility

    Unavailable

    $1.09 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 96372

    Office

    $15.46

    Facility

    Unavailable

    $0.74 lower than Chico for the office setting.

  • Vermont

    Vermont · 96372

    Office

    $15.11

    Facility

    Unavailable

    $1.09 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 96372

    Office

    $15.85

    Facility

    Unavailable

    $0.35 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 96372

    Office

    $17.71

    Facility

    Unavailable

    $1.51 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 96372

    Office

    $14.74

    Facility

    Unavailable

    $1.46 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 96372

    Office

    $14.28

    Facility

    Unavailable

    $1.92 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 96372

    Office

    $15.28

    Facility

    Unavailable

    $0.92 lower than Chico for the office setting.

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.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 / territoryRate rangeLocalities
AK$18.661
AL$14.051
AR$13.881
AZ$15.031
CA$16.20–$19.9729
CO$15.961
CT$16.271
DC$17.371
DE$15.251
FL$15.12–$16.263
GA$14.42–$15.602
GU$16.511
HI$16.511
IA$14.371
ID$14.441
IL$14.74–$15.914
IN$14.511
KS$14.301
KY$14.301
LA$14.27–$14.862
MA$15.88–$17.372
MD$15.51–$17.373
ME$14.49–$15.162
MI$14.59–$15.272
MN$15.401
MO$14.07–$14.923
MS$13.981
MT$15.361
NC$14.621
ND$15.171
NE$14.441
NH$15.711
NJ$16.48–$17.242
NM$14.661
NV$15.321
NY$14.80–$17.785
OH$14.551
OK$14.291
OR$15.23–$16.412
PA$14.58–$15.912
PR$15.461
RI$15.741
SC$14.601
SD$15.141
TN$14.361
TX$14.50–$15.888
UT$14.771
VA$15.11–$17.372
VI$15.461
VT$15.111
WA$15.85–$17.712
WI$14.741
WV$14.281
WY$15.281

Explore 96372 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 96372 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$17.82

$16.20 × 110% = $17.82

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 96372 in Chico.

PPRRVU2026_Oct_nonQPP.csv

12,786

Code
96372
Physician work
0.17
Practice expense
0.28
Malpractice
0.01

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 96372 in Chico
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0170.1729
Practice expense0.28× 1.0960.3069
Malpractice0.01× 0.5360.0054
Total RVUs0.4851
Conversion factor× 33.4009

Office / nonfacility rate, Chico$16.20

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 96372 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.171.017
Practice expense0.281.096
Malpractice0.010.536

(0.17 × 1.017 + 0.28 × 1.096 + 0.01 × 0.536) × $33.4009 = $16.20

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

96372 · Office / nonfacility

$16.20

Effective 2026-10-01

The base rate is $1.60 higher than on 2025-10-01, moving from $14.60 to $16.20 (11.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $14.60changed to$16.20

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.25 changed to 0.28
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $14.60

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$16.20Not available in this settingRVU26D
2026-07-01$16.20Not available in this settingRVU26C
2026-04-01$16.20Not available in this settingRVU26B
2026-01-01$16.20Not available in this settingRVU26A
2025-10-01$14.60Not available in this settingRVU25D
2025-07-01$14.60Not available in this settingRVU25C
2025-04-01$14.60Not available in this settingRVU25B
2025-01-01$14.60Not available in this settingRVU25A

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.

RVUs for 96372PPRRVU2026_Oct_nonQPP.csv, line 12,786 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet