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CMS RVU26D · Effective 2026-10-01

96367 in Fresno

Office / nonfacility

$31.89

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 96367: Sequential therapeutic IV infusion, additional drug

Report this add-on for a different therapeutic, prophylactic, or diagnostic drug infused through an IV after another drug during the same encounter.

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.

CMS billing rules for 96367

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Professional and technical components
Incident-to service: billed only when performed under physician supervision.

Where the value comes from

  • Work RVU0.19 · 21%
  • Practice expense (office) RVU0.69 · 78%
  • Malpractice RVU0.01 · 1%

930.3K

Medicare services in 2024 · #152 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.

96367 compared with similar codes

Office rates for Fresno, from the same CMS release.

96366

IV infusion add-on hour

Therapeutic or diagnostic, each additional hour

$22.77

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.

96368

Concurrent infusion

Additional IV substance

$22.06

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

96375

IV push add-on

Each additional new drug, sequential

$16.75

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.

96361

IV hydration

Each additional hour

$13.85

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

The same code, a different location

How does Fresno compare?

In Bakersfield, the office rate for 96367 is $31.93—$0.04 higher than the $31.89 rate in Fresno. Both use the same code, release and participation basis.

96367 across payment areas

Same release and payment basis · bars start at $0

  1. Fresno · This locality

    $31.89

  2. $0.04 higher than Fresno

  3. Chico

    $31.89

    The same base rate than Fresno

  4. El Centro

    $31.89

    The same base rate than Fresno

  5. The same base rate than Fresno

  6. $2.20 higher than Fresno

  7. Madera

    $31.89

    The same base rate than Fresno

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, 96367 ranges from $26.32 in Arkansas to $40.46 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 · 96367

    Office

    $31.89

    Facility

    Unavailable

    The same base rate than Fresno for the office setting.

  • Modesto

    California · 96367

    Office

    $31.89

    Facility

    Unavailable

    The same base rate than Fresno for the office setting.

  • Napa

    California · 96367

    Office

    $37.29

    Facility

    Unavailable

    $5.40 higher than Fresno for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 96367

    Office

    $33.97

    Facility

    Unavailable

    $2.08 higher than Fresno for the office setting.

  • Redding

    California · 96367

    Office

    $31.89

    Facility

    Unavailable

    The same base rate than Fresno for the office setting.

  • Rest Of California

    California · 96367

    Office

    $31.89

    Facility

    Unavailable

    The same base rate than Fresno for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 96367

    Office

    $32.00

    Facility

    Unavailable

    $0.11 higher than Fresno for the office setting.

  • Sacramento-Roseville-Folsom

    California · 96367

    Office

    $33.56

    Facility

    Unavailable

    $1.67 higher than Fresno for the office setting.

  • Salinas

    California · 96367

    Office

    $33.43

    Facility

    Unavailable

    $1.54 higher than Fresno for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 96367

    Office

    $34.28

    Facility

    Unavailable

    $2.39 higher than Fresno for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 96367

    Office

    $39.60

    Facility

    Unavailable

    $7.71 higher than Fresno for the office setting.

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

    California · 96367

    Office

    $39.59

    Facility

    Unavailable

    $7.70 higher than Fresno for the office setting.

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

    California · 96367

    Office

    $40.46

    Facility

    Unavailable

    $8.57 higher than Fresno for the office setting.

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

    California · 96367

    Office

    $40.41

    Facility

    Unavailable

    $8.52 higher than Fresno for the office setting.

  • San Luis Obispo-Paso Robles

    California · 96367

    Office

    $32.88

    Facility

    Unavailable

    $0.99 higher than Fresno for the office setting.

  • Santa Cruz-Watsonville

    California · 96367

    Office

    $34.66

    Facility

    Unavailable

    $2.77 higher than Fresno for the office setting.

  • Santa Maria-Santa Barbara

    California · 96367

    Office

    $33.58

    Facility

    Unavailable

    $1.69 higher than Fresno for the office setting.

  • Santa Rosa-Petaluma

    California · 96367

    Office

    $35.02

    Facility

    Unavailable

    $3.13 higher than Fresno for the office setting.

  • Stockton

    California · 96367

    Office

    $31.89

    Facility

    Unavailable

    The same base rate than Fresno for the office setting.

  • Vallejo

    California · 96367

    Office

    $37.27

    Facility

    Unavailable

    $5.38 higher than Fresno for the office setting.

  • Visalia

    California · 96367

    Office

    $31.89

    Facility

    Unavailable

    The same base rate than Fresno for the office setting.

  • Yuba City

    California · 96367

    Office

    $31.89

    Facility

    Unavailable

    The same base rate than Fresno for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 96367

    Office

    $34.21

    Facility

    Unavailable

    $2.32 higher than Fresno for the office setting.

  • Miami

    Florida · 96367

    Office

    $31.18

    Facility

    Unavailable

    $0.71 lower than Fresno for the office setting.

  • Chicago

    Illinois · 96367

    Office

    $30.32

    Facility

    Unavailable

    $1.57 lower than Fresno for the office setting.

  • Manhattan

    New York · 96367

    Office

    $34.06

    Facility

    Unavailable

    $2.17 higher than Fresno for the office setting.

  • Alaska*

    Alaska · 96367

    Office

    $34.25

    Facility

    Unavailable

    $2.36 higher than Fresno for the office setting.

  • Alabama

    Alabama · 96367

    Office

    $26.70

    Facility

    Unavailable

    $5.19 lower than Fresno for the office setting.

  • Arkansas

    Arkansas · 96367

    Office

    $26.32

    Facility

    Unavailable

    $5.57 lower than Fresno for the office setting.

  • Arizona

    Arizona · 96367

    Office

    $28.96

    Facility

    Unavailable

    $2.93 lower than Fresno for the office setting.

  • Colorado

    Colorado · 96367

    Office

    $31.20

    Facility

    Unavailable

    $0.69 lower than Fresno for the office setting.

  • Connecticut

    Connecticut · 96367

    Office

    $31.70

    Facility

    Unavailable

    $0.19 lower than Fresno for the office setting.

  • Delaware

    Delaware · 96367

    Office

    $29.45

    Facility

    Unavailable

    $2.44 lower than Fresno for the office setting.

  • Fort Lauderdale

    Florida · 96367

    Office

    $30.30

    Facility

    Unavailable

    $1.59 lower than Fresno for the office setting.

  • Rest Of Florida

    Florida · 96367

    Office

    $28.88

    Facility

    Unavailable

    $3.01 lower than Fresno for the office setting.

  • Atlanta

    Georgia · 96367

    Office

    $30.18

    Facility

    Unavailable

    $1.71 lower than Fresno for the office setting.

  • Rest Of Georgia

    Georgia · 96367

    Office

    $27.30

    Facility

    Unavailable

    $4.59 lower than Fresno for the office setting.

  • Hawaii, Guam

    Hawaii · 96367

    Office

    $32.74

    Facility

    Unavailable

    $0.85 higher than Fresno for the office setting.

  • Iowa

    Iowa · 96367

    Office

    $27.57

    Facility

    Unavailable

    $4.32 lower than Fresno for the office setting.

  • Idaho

    Idaho · 96367

    Office

    $27.71

    Facility

    Unavailable

    $4.18 lower than Fresno for the office setting.

  • East St. Louis

    Illinois · 96367

    Office

    $28.22

    Facility

    Unavailable

    $3.67 lower than Fresno for the office setting.

  • Rest Of Illinois

    Illinois · 96367

    Office

    $27.91

    Facility

    Unavailable

    $3.98 lower than Fresno for the office setting.

  • Suburban Chicago

    Illinois · 96367

    Office

    $30.65

    Facility

    Unavailable

    $1.24 lower than Fresno for the office setting.

  • Indiana

    Indiana · 96367

    Office

    $27.87

    Facility

    Unavailable

    $4.02 lower than Fresno for the office setting.

  • Kansas

    Kansas · 96367

    Office

    $27.35

    Facility

    Unavailable

    $4.54 lower than Fresno for the office setting.

  • Kentucky

    Kentucky · 96367

    Office

    $27.14

    Facility

    Unavailable

    $4.75 lower than Fresno for the office setting.

  • New Orleans

    Louisiana · 96367

    Office

    $28.41

    Facility

    Unavailable

    $3.48 lower than Fresno for the office setting.

  • Rest Of Louisiana

    Louisiana · 96367

    Office

    $27.06

    Facility

    Unavailable

    $4.83 lower than Fresno for the office setting.

  • Metropolitan Boston

    Massachusetts · 96367

    Office

    $34.42

    Facility

    Unavailable

    $2.53 higher than Fresno for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 96367

    Office

    $30.98

    Facility

    Unavailable

    $0.91 lower than Fresno for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 96367

    Office

    $31.59

    Facility

    Unavailable

    $0.30 lower than Fresno for the office setting.

  • Rest Of Maryland

    Maryland · 96367

    Office

    $30.04

    Facility

    Unavailable

    $1.85 lower than Fresno for the office setting.

  • Rest Of Maine

    Maine · 96367

    Office

    $27.76

    Facility

    Unavailable

    $4.13 lower than Fresno for the office setting.

  • Southern Maine

    Maine · 96367

    Office

    $29.40

    Facility

    Unavailable

    $2.49 lower than Fresno for the office setting.

  • Detroit

    Michigan · 96367

    Office

    $29.15

    Facility

    Unavailable

    $2.74 lower than Fresno for the office setting.

  • Rest Of Michigan

    Michigan · 96367

    Office

    $27.76

    Facility

    Unavailable

    $4.13 lower than Fresno for the office setting.

  • Minnesota

    Minnesota · 96367

    Office

    $30.16

    Facility

    Unavailable

    $1.73 lower than Fresno for the office setting.

  • Metropolitan Kansas City

    Missouri · 96367

    Office

    $28.31

    Facility

    Unavailable

    $3.58 lower than Fresno for the office setting.

  • Metropolitan St. Louis

    Missouri · 96367

    Office

    $28.62

    Facility

    Unavailable

    $3.27 lower than Fresno for the office setting.

  • Rest Of Missouri

    Missouri · 96367

    Office

    $26.54

    Facility

    Unavailable

    $5.35 lower than Fresno for the office setting.

  • Mississippi

    Mississippi · 96367

    Office

    $26.44

    Facility

    Unavailable

    $5.45 lower than Fresno for the office setting.

  • Montana**

    Montana · 96367

    Office

    $29.73

    Facility

    Unavailable

    $2.16 lower than Fresno for the office setting.

  • North Carolina

    North Carolina · 96367

    Office

    $28.06

    Facility

    Unavailable

    $3.83 lower than Fresno for the office setting.

  • North Dakota**

    North Dakota · 96367

    Office

    $29.53

    Facility

    Unavailable

    $2.36 lower than Fresno for the office setting.

  • Nebraska

    Nebraska · 96367

    Office

    $27.74

    Facility

    Unavailable

    $4.15 lower than Fresno for the office setting.

  • New Hampshire

    New Hampshire · 96367

    Office

    $30.63

    Facility

    Unavailable

    $1.26 lower than Fresno for the office setting.

  • Northern Nj

    New Jersey · 96367

    Office

    $33.84

    Facility

    Unavailable

    $1.95 higher than Fresno for the office setting.

  • Rest Of New Jersey

    New Jersey · 96367

    Office

    $32.13

    Facility

    Unavailable

    $0.24 higher than Fresno for the office setting.

  • New Mexico

    New Mexico · 96367

    Office

    $27.88

    Facility

    Unavailable

    $4.01 lower than Fresno for the office setting.

  • Nevada**

    Nevada · 96367

    Office

    $29.69

    Facility

    Unavailable

    $2.20 lower than Fresno for the office setting.

  • Nyc Suburbs/Long Island

    New York · 96367

    Office

    $34.78

    Facility

    Unavailable

    $2.89 higher than Fresno for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 96367

    Office

    $32.27

    Facility

    Unavailable

    $0.38 higher than Fresno for the office setting.

  • Queens

    New York · 96367

    Office

    $34.48

    Facility

    Unavailable

    $2.59 higher than Fresno for the office setting.

  • Rest Of New York

    New York · 96367

    Office

    $28.48

    Facility

    Unavailable

    $3.41 lower than Fresno for the office setting.

  • Ohio

    Ohio · 96367

    Office

    $27.72

    Facility

    Unavailable

    $4.17 lower than Fresno for the office setting.

  • Oklahoma

    Oklahoma · 96367

    Office

    $27.19

    Facility

    Unavailable

    $4.70 lower than Fresno for the office setting.

  • Portland

    Oregon · 96367

    Office

    $32.30

    Facility

    Unavailable

    $0.41 higher than Fresno for the office setting.

  • Rest Of Oregon

    Oregon · 96367

    Office

    $29.54

    Facility

    Unavailable

    $2.35 lower than Fresno for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 96367

    Office

    $30.85

    Facility

    Unavailable

    $1.04 lower than Fresno for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 96367

    Office

    $27.82

    Facility

    Unavailable

    $4.07 lower than Fresno for the office setting.

  • Puerto Rico

    Puerto Rico · 96367

    Office

    $29.98

    Facility

    Unavailable

    $1.91 lower than Fresno for the office setting.

  • Rhode Island

    Rhode Island · 96367

    Office

    $30.57

    Facility

    Unavailable

    $1.32 lower than Fresno for the office setting.

  • South Carolina

    South Carolina · 96367

    Office

    $27.93

    Facility

    Unavailable

    $3.96 lower than Fresno for the office setting.

  • South Dakota**

    South Dakota · 96367

    Office

    $29.51

    Facility

    Unavailable

    $2.38 lower than Fresno for the office setting.

  • Tennessee

    Tennessee · 96367

    Office

    $27.47

    Facility

    Unavailable

    $4.42 lower than Fresno for the office setting.

  • Austin

    Texas · 96367

    Office

    $31.04

    Facility

    Unavailable

    $0.85 lower than Fresno for the office setting.

  • Beaumont

    Texas · 96367

    Office

    $27.63

    Facility

    Unavailable

    $4.26 lower than Fresno for the office setting.

  • Brazoria

    Texas · 96367

    Office

    $29.50

    Facility

    Unavailable

    $2.39 lower than Fresno for the office setting.

  • Dallas

    Texas · 96367

    Office

    $29.64

    Facility

    Unavailable

    $2.25 lower than Fresno for the office setting.

  • Fort Worth

    Texas · 96367

    Office

    $29.42

    Facility

    Unavailable

    $2.47 lower than Fresno for the office setting.

  • Galveston

    Texas · 96367

    Office

    $29.56

    Facility

    Unavailable

    $2.33 lower than Fresno for the office setting.

  • Houston

    Texas · 96367

    Office

    $29.74

    Facility

    Unavailable

    $2.15 lower than Fresno for the office setting.

  • Rest Of Texas

    Texas · 96367

    Office

    $28.52

    Facility

    Unavailable

    $3.37 lower than Fresno for the office setting.

  • Utah

    Utah · 96367

    Office

    $28.31

    Facility

    Unavailable

    $3.58 lower than Fresno for the office setting.

  • Virginia

    Virginia · 96367

    Office

    $29.24

    Facility

    Unavailable

    $2.65 lower than Fresno for the office setting.

  • Virgin Islands

    United States Virgin Islands · 96367

    Office

    $29.98

    Facility

    Unavailable

    $1.91 lower than Fresno for the office setting.

  • Vermont

    Vermont · 96367

    Office

    $29.33

    Facility

    Unavailable

    $2.56 lower than Fresno for the office setting.

  • Rest Of Washington

    Washington · 96367

    Office

    $30.95

    Facility

    Unavailable

    $0.94 lower than Fresno for the office setting.

  • Seattle (King Cnty)

    Washington · 96367

    Office

    $35.21

    Facility

    Unavailable

    $3.32 higher than Fresno for the office setting.

  • Wisconsin

    Wisconsin · 96367

    Office

    $28.53

    Facility

    Unavailable

    $3.36 lower than Fresno for the office setting.

  • West Virginia

    West Virginia · 96367

    Office

    $26.85

    Facility

    Unavailable

    $5.04 lower than Fresno for the office setting.

  • Wyoming**

    Wyoming · 96367

    Office

    $29.64

    Facility

    Unavailable

    $2.25 lower than Fresno for the office setting.

See how rates vary across the country

96367 · 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.

$26.32

$36.18

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$34.251
AL$26.701
AR$26.321
AZ$28.961
CA$31.89–$40.4629
CO$31.201
CT$31.701
DC$34.211
DE$29.451
FL$28.88–$31.183
GA$27.30–$30.182
GU$32.741
HI$32.741
IA$27.571
ID$27.711
IL$27.91–$30.654
IN$27.871
KS$27.351
KY$27.141
LA$27.06–$28.412
MA$30.98–$34.422
MD$30.04–$34.213
ME$27.76–$29.402
MI$27.76–$29.152
MN$30.161
MO$26.54–$28.623
MS$26.441
MT$29.731
NC$28.061
ND$29.531
NE$27.741
NH$30.631
NJ$32.13–$33.842
NM$27.881
NV$29.691
NY$28.48–$34.785
OH$27.721
OK$27.191
OR$29.54–$32.302
PA$27.82–$30.852
PR$29.981
RI$30.571
SC$27.931
SD$29.511
TN$27.471
TX$27.63–$31.048
UT$28.311
VA$29.24–$34.212
VI$29.981
VT$29.331
WA$30.95–$35.212
WI$28.531
WV$26.851
WY$29.641

Explore 96367 on the national rate map →

Where does this rate apply?

Fresno is a Medicare payment area. Our Census mapping connects it to 45 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 96367 in Fresno. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$35.08

$31.89 × 110% = $35.08

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

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

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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 96367 in Fresno.

PPRRVU2026_Oct_nonQPP.csv

12,781

Code
96367
Physician work
0.19
Practice expense
0.69
Malpractice
0.01

GPCI2026.csv

11

Locality
Fresno
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 96367 in Fresno
ComponentRVULocality factorAdjusted
Physician work0.19× 1.0170.1932
Practice expense0.69× 1.0960.7562
Malpractice0.01× 0.5360.0054
Total RVUs0.9548
Conversion factor× 33.4009

Office / nonfacility rate, Fresno$31.89

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

Open 96367 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.191.017
Practice expense0.691.096
Malpractice0.010.536

(0.19 × 1.017 + 0.69 × 1.096 + 0.01 × 0.536) × $33.4009 = $31.89

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

96367 · Office / nonfacility

$31.89

Effective 2026-10-01

The base rate is $3.56 higher than on 2025-10-01, moving from $28.33 to $31.89 (12.6%).

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

    $28.33changed to$31.89

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.62 changed to 0.69
    • 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: $28.33

    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$31.89Not available in this settingRVU26D
2026-07-01$31.89Not available in this settingRVU26C
2026-04-01$31.89Not available in this settingRVU26B
2026-01-01$31.89Not available in this settingRVU26A
2025-10-01$28.33Not available in this settingRVU25D
2025-07-01$28.33Not available in this settingRVU25C
2025-04-01$28.33Not available in this settingRVU25B
2025-01-01$28.33Not available in this settingRVU25A

96367 billing questions

Which primary codes can 96367 be reported with?

Qualifying initial administration codes include therapeutic infusion 96365, IV push 96374, chemotherapy push 96409, and chemotherapy infusion 96413. Select the initial code by administration coding hierarchy; 96367 cannot stand alone.

How is 96367 different from 96366?

96367 identifies an additional drug infused in sequence. 96366 captures additional infusion time, including time on a sequential infusion that exceeds its first hour by more than 30 minutes.

What if the second drug is administered over 15 minutes or less?

Administration lasting 15 minutes or less is classified as an IV push. For a new drug given in sequence, report 96375 rather than 96367.

Can 96367 be reported more than once per encounter?

Yes. Report a unit for each distinct drug or infusate mix infused in sequence; several drugs administered together as one mix constitute one infusion.

Is an E/M visit billable on the same day?

A significant, separately identifiable provider evaluation may be reported with modifier 25 on the E/M code. Routine staff assessment related to the infusion is part of administration.

Who can perform the service in the office?

Clinical staff such as infusion nurses usually administer and monitor the drug. For Medicare incident-to billing, the required physician supervision must be met.

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 96367PPRRVU2026_Oct_nonQPP.csv, line 12,781 (RVU26D)
Geographic factors for FresnoGPCI2026.csv, line 11 (RVU26D)