Billing code 96373: Injection administrationMedicare rate & RVUs in Delaware
Report this service for administering a therapeutic, preventive, or diagnostic drug by injection into an artery, rather than by intravenous, intramuscular, or subcutaneous route.
Medicare pays $19.54 for 96373 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 96373 covers
This service represents administration of a therapeutic, prophylactic, or diagnostic substance directly into an artery. In a physician office, a physician or clinical staff member may perform the injection as part of treatment or a diagnostic service. The defining feature is the intra-arterial route, including administration through an arterial access device when the drug is injected into the artery; the code describes the administration, not the access device itself.
Select the code based on the documented route and injection service, not the drug name, dose, or reason for treatment alone. The record should identify the substance, the intra-arterial route, the clinical purpose, and who performed the injection. For Medicare, when the service is furnished as an incident-to service, it is billed only when performed under physician supervision. This code is not an infusion-time measure; document the injection performed rather than elapsed infusion time.
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.
96373 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $19.54 | Unavailable |
How the 96373 rate is calculated
Each of 96373’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.
How the rate is built · 96373
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.17Practice expense 0.41Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 96373
The CMS indicators that decide how 96373 is paid alongside other services.
CMS payment indicators · 96373
Injection administration
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
96373 compared with similar codes
Compare codes
96373 vs 96372 vs 96374 vs 96365: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 96372SC/IM injection
- Use 96372 for subcutaneous or intramuscular administration. Use 96373 when the injection is intra-arterial.
- 96374IV push
- 96374 describes an intravenous push; 96373 describes an injection into an artery. The documented route determines the choice.
- 96365IV drug infusion
- 96365 is for an initial intravenous infusion. 96373 is for an intra-arterial injection, not an infusion selected by duration.
96373 billing questions
How does this differ from 96374?
96373 is for an intra-arterial injection. Use 96374 when the therapeutic, prophylactic, or diagnostic injection is given by intravenous push.
How does this differ from 96372?
96372 describes administration by the subcutaneous or intramuscular route. The route documented for the administration distinguishes it from this intra-arterial service.
What documentation supports reporting 96373?
Document the substance administered, that it was injected intra-arterially, the clinical purpose, and the person who performed the service. For Medicare incident-to billing, the service must be performed under physician supervision.
Is this an hourly infusion code?
No. It represents an injection, not a service selected by infusion duration. Do not use elapsed infusion time as the basis for reporting it.
Can this code describe arterial access or catheter placement?
It describes the drug administration by intra-arterial injection. The documentation should establish that the injection occurred; access or catheter placement alone is not the service represented by this code.
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
Show the CMS file lines behind this rate
Fee sheets
Put 96373 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →