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CMS RVU26D · Effective 2026-10-01

96377 in Wyoming**

Office / nonfacility

$18.95

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.

Injection administration

About 96377: On-body injector application for timed injection

Report this service when clinical staff apply an on-body injector that delivers a prescribed medication by timed subcutaneous injection after the patient leaves.

This service covers applying an on-body injector, including inserting its cannula, so a prescribed medication can be delivered by timed subcutaneous injection. A common example is applying a pegfilgrastim on-body injector after chemotherapy, with delivery scheduled for later. Office clinical staff typically perform the application and provide instructions about wearing and monitoring the device.

Report the application service, not a separate injection when the device later delivers the dose. Report the medication product separately when applicable. Documentation should identify the medication and dose, the application site, and that the injector was applied and activated. Under the CMS incident-to rule, the service is billed only when performed under physician supervision.

CMS billing rules for 96377

Professional and technical components
Incident-to service: billed only when performed under physician supervision.

Where the value comes from

  • Work RVU0.17 · 30%
  • Practice expense (office) RVU0.39 · 68%
  • Malpractice RVU0.01 · 2%

14.1K

Medicare services in 2024 · #1292 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.

96377 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

96372

SC/IM injection

Therapeutic, prophylactic, or diagnostic

$15.28

Choose 96377 when staff apply an on-body injector for later timed delivery. Choose 96372 when the subcutaneous or intramuscular injection is administered directly during the encounter.

96369

Subcutaneous infusion

Initial, up to one hour

$144.70

96369 describes subcutaneous infusion. 96377 describes applying an injector for a timed subcutaneous injection, not an infusion service.

The same code, a different location

How does Wyoming** compare?

96377 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $18.95

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

    $21.54

    $2.59 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $21.70

    $2.75 higher than Wyoming**

  4. Miami

    $20.08

    $1.13 higher than Wyoming**

  5. Chicago

    $19.58

    $0.63 higher than Wyoming**

  6. Manhattan

    $21.71

    $2.76 higher than Wyoming**

  7. Alaska*

    $22.57

    $3.62 higher than Wyoming**

Other payment areas listed in Wyoming 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, 96377 ranges from $17.04 in Arkansas to $25.27 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

  • Alabama

    Alabama · 96377

    Office

    $17.27

    Facility

    Unavailable

    $1.68 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 96377

    Office

    $17.04

    Facility

    Unavailable

    $1.91 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 96377

    Office

    $18.59

    Facility

    Unavailable

    $0.36 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 96377

    Office

    $20.27

    Facility

    Unavailable

    $1.32 higher than Wyoming** for the office setting.

  • Chico

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • El Centro

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Fresno

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Madera

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Merced

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Modesto

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Napa

    California · 96377

    Office

    $23.37

    Facility

    Unavailable

    $4.42 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 96377

    Office

    $21.44

    Facility

    Unavailable

    $2.49 higher than Wyoming** for the office setting.

  • Redding

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 96377

    Office

    $20.34

    Facility

    Unavailable

    $1.39 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 96377

    Office

    $21.21

    Facility

    Unavailable

    $2.26 higher than Wyoming** for the office setting.

  • Salinas

    California · 96377

    Office

    $21.13

    Facility

    Unavailable

    $2.18 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 96377

    Office

    $21.61

    Facility

    Unavailable

    $2.66 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 96377

    Office

    $24.74

    Facility

    Unavailable

    $5.79 higher than Wyoming** for the office setting.

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

    California · 96377

    Office

    $24.73

    Facility

    Unavailable

    $5.78 higher than Wyoming** for the office setting.

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

    California · 96377

    Office

    $25.27

    Facility

    Unavailable

    $6.32 higher than Wyoming** for the office setting.

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

    California · 96377

    Office

    $25.22

    Facility

    Unavailable

    $6.27 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 96377

    Office

    $20.79

    Facility

    Unavailable

    $1.84 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 96377

    Office

    $21.80

    Facility

    Unavailable

    $2.85 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 96377

    Office

    $21.20

    Facility

    Unavailable

    $2.25 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 96377

    Office

    $22.02

    Facility

    Unavailable

    $3.07 higher than Wyoming** for the office setting.

  • Stockton

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Vallejo

    California · 96377

    Office

    $23.36

    Facility

    Unavailable

    $4.41 higher than Wyoming** for the office setting.

  • Visalia

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Yuba City

    California · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 96377

    Office

    $19.87

    Facility

    Unavailable

    $0.92 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 96377

    Office

    $20.23

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 96377

    Office

    $18.88

    Facility

    Unavailable

    $0.07 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 96377

    Office

    $19.48

    Facility

    Unavailable

    $0.53 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 96377

    Office

    $18.63

    Facility

    Unavailable

    $0.32 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 96377

    Office

    $19.33

    Facility

    Unavailable

    $0.38 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 96377

    Office

    $17.70

    Facility

    Unavailable

    $1.25 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 96377

    Office

    $20.68

    Facility

    Unavailable

    $1.73 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 96377

    Office

    $17.73

    Facility

    Unavailable

    $1.22 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 96377

    Office

    $17.82

    Facility

    Unavailable

    $1.13 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 96377

    Office

    $18.34

    Facility

    Unavailable

    $0.61 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 96377

    Office

    $18.09

    Facility

    Unavailable

    $0.86 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 96377

    Office

    $19.69

    Facility

    Unavailable

    $0.74 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 96377

    Office

    $17.92

    Facility

    Unavailable

    $1.03 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 96377

    Office

    $17.62

    Facility

    Unavailable

    $1.33 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 96377

    Office

    $17.56

    Facility

    Unavailable

    $1.39 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 96377

    Office

    $18.32

    Facility

    Unavailable

    $0.63 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 96377

    Office

    $17.53

    Facility

    Unavailable

    $1.42 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 96377

    Office

    $21.76

    Facility

    Unavailable

    $2.81 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 96377

    Office

    $19.75

    Facility

    Unavailable

    $0.80 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 96377

    Office

    $20.16

    Facility

    Unavailable

    $1.21 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 96377

    Office

    $19.22

    Facility

    Unavailable

    $0.27 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 96377

    Office

    $17.87

    Facility

    Unavailable

    $1.08 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 96377

    Office

    $18.80

    Facility

    Unavailable

    $0.15 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 96377

    Office

    $18.81

    Facility

    Unavailable

    $0.14 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 96377

    Office

    $17.95

    Facility

    Unavailable

    $1.00 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 96377

    Office

    $19.18

    Facility

    Unavailable

    $0.23 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 96377

    Office

    $18.24

    Facility

    Unavailable

    $0.71 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 96377

    Office

    $18.41

    Facility

    Unavailable

    $0.54 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 96377

    Office

    $17.23

    Facility

    Unavailable

    $1.72 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 96377

    Office

    $17.14

    Facility

    Unavailable

    $1.81 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 96377

    Office

    $19.04

    Facility

    Unavailable

    $0.09 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 96377

    Office

    $18.05

    Facility

    Unavailable

    $0.90 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 96377

    Office

    $18.84

    Facility

    Unavailable

    $0.11 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 96377

    Office

    $17.83

    Facility

    Unavailable

    $1.12 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 96377

    Office

    $19.53

    Facility

    Unavailable

    $0.58 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 96377

    Office

    $21.50

    Facility

    Unavailable

    $2.55 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 96377

    Office

    $20.50

    Facility

    Unavailable

    $1.55 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 96377

    Office

    $18.02

    Facility

    Unavailable

    $0.93 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 96377

    Office

    $19.00

    Facility

    Unavailable

    $0.05 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 96377

    Office

    $22.15

    Facility

    Unavailable

    $3.20 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 96377

    Office

    $20.60

    Facility

    Unavailable

    $1.65 higher than Wyoming** for the office setting.

  • Queens

    New York · 96377

    Office

    $21.92

    Facility

    Unavailable

    $2.97 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 96377

    Office

    $18.29

    Facility

    Unavailable

    $0.66 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 96377

    Office

    $17.91

    Facility

    Unavailable

    $1.04 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 96377

    Office

    $17.57

    Facility

    Unavailable

    $1.38 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 96377

    Office

    $20.49

    Facility

    Unavailable

    $1.54 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 96377

    Office

    $18.89

    Facility

    Unavailable

    $0.06 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 96377

    Office

    $19.74

    Facility

    Unavailable

    $0.79 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 96377

    Office

    $17.95

    Facility

    Unavailable

    $1.00 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 96377

    Office

    $19.18

    Facility

    Unavailable

    $0.23 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 96377

    Office

    $19.54

    Facility

    Unavailable

    $0.59 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 96377

    Office

    $18.00

    Facility

    Unavailable

    $0.95 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 96377

    Office

    $18.82

    Facility

    Unavailable

    $0.13 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 96377

    Office

    $17.70

    Facility

    Unavailable

    $1.25 lower than Wyoming** for the office setting.

  • Austin

    Texas · 96377

    Office

    $19.77

    Facility

    Unavailable

    $0.82 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 96377

    Office

    $17.84

    Facility

    Unavailable

    $1.11 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 96377

    Office

    $18.89

    Facility

    Unavailable

    $0.06 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 96377

    Office

    $18.99

    Facility

    Unavailable

    $0.04 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 96377

    Office

    $18.86

    Facility

    Unavailable

    $0.09 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 96377

    Office

    $18.94

    Facility

    Unavailable

    $0.01 lower than Wyoming** for the office setting.

  • Houston

    Texas · 96377

    Office

    $19.12

    Facility

    Unavailable

    $0.17 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 96377

    Office

    $18.34

    Facility

    Unavailable

    $0.61 lower than Wyoming** for the office setting.

  • Utah

    Utah · 96377

    Office

    $18.22

    Facility

    Unavailable

    $0.73 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 96377

    Office

    $18.72

    Facility

    Unavailable

    $0.23 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 96377

    Office

    $19.18

    Facility

    Unavailable

    $0.23 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 96377

    Office

    $18.74

    Facility

    Unavailable

    $0.21 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 96377

    Office

    $19.72

    Facility

    Unavailable

    $0.77 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 96377

    Office

    $22.22

    Facility

    Unavailable

    $3.27 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 96377

    Office

    $18.26

    Facility

    Unavailable

    $0.69 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 96377

    Office

    $17.48

    Facility

    Unavailable

    $1.47 lower than Wyoming** for the office setting.

See how rates vary across the country

96377 · 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.

$17.04

$22.75

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$22.571
AL$17.271
AR$17.041
AZ$18.591
CA$20.23–$25.2729
CO$19.871
CT$20.231
DC$21.701
DE$18.881
FL$18.63–$20.083
GA$17.70–$19.332
GU$20.681
HI$20.681
IA$17.731
ID$17.821
IL$18.09–$19.694
IN$17.921
KS$17.621
KY$17.561
LA$17.53–$18.322
MA$19.75–$21.762
MD$19.22–$21.703
ME$17.87–$18.802
MI$17.95–$18.812
MN$19.181
MO$17.23–$18.413
MS$17.141
MT$19.041
NC$18.051
ND$18.841
NE$17.831
NH$19.531
NJ$20.50–$21.502
NM$18.021
NV$19.001
NY$18.29–$22.155
OH$17.911
OK$17.571
OR$18.89–$20.492
PA$17.95–$19.742
PR$19.181
RI$19.541
SC$18.001
SD$18.821
TN$17.701
TX$17.84–$19.778
UT$18.221
VA$18.72–$21.702
VI$19.181
VT$18.741
WA$19.72–$22.222
WI$18.261
WV$17.481
WY$18.951

Explore 96377 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 96377 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$20.85

$18.95 × 110% = $20.85

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 96377 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

12,791

Code
96377
Physician work
0.17
Practice expense
0.39
Malpractice
0.01

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 96377 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.39× 1.0000.3900
Malpractice0.01× 0.7400.0074
Total RVUs0.5674
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$18.95

Open 96377 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.171
Practice expense0.391
Malpractice0.010.74

(0.17 × 1 + 0.39 × 1 + 0.01 × 0.74) × $33.4009 = $18.95

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

96377 · Office / nonfacility

$18.95

Effective 2026-10-01

The base rate is $1.57 higher than on 2025-10-01, moving from $17.38 to $18.95 (9.0%).

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

    $17.38changed to$18.95

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.36 changed to 0.39
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $17.38

    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$18.95Not available in this settingRVU26D
2026-07-01$18.95Not available in this settingRVU26C
2026-04-01$18.95Not available in this settingRVU26B
2026-01-01$18.95Not available in this settingRVU26A
2025-10-01$17.38Not available in this settingRVU25D
2025-07-01$17.38Not available in this settingRVU25C
2025-04-01$17.38Not available in this settingRVU25B
2025-01-01$17.38Not available in this settingRVU25A

96377 billing questions

When should 96377 be reported instead of 96372?

Use 96377 for applying an on-body injector that delivers a timed subcutaneous dose. Use 96372 for a subcutaneous or intramuscular injection administered directly during the encounter.

Is the medication included in 96377?

No. 96377 reports the injector application; report the medication product separately when applicable.

Can 96377 be billed when the patient receives the dose later?

Yes. The service is the application of the injector, even though the device is scheduled to deliver the medication later.

What supervision is required for billing 96377?

CMS classifies this as an incident-to service, so it is billed only when performed under physician supervision.

What should the record document?

Document the medication and dose associated with the device, the application site, and that the injector was applied and activated.

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 96377PPRRVU2026_Oct_nonQPP.csv, line 12,791 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet