96360 covers the initial hydration interval. 96361 reports qualifying additional hydration time and must accompany an appropriate initial service.
On this page
CMS RVU26D · Effective 2026-10-01
96360 Hydration infusion Medicare reimbursement rates in Indiana
Reports an initial IV fluid infusion for clinically indicated hydration, such as fluid replacement for dehydration, when the documented infusion meets the required duration. Compare 96360 office and facility rates across CMS payment localities in Indiana.
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.
What does Medicare pay for 96360 in Indiana?
Indiana has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$31.23
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Infusion services
About 96360: Initial intravenous hydration infusion
Reports an initial IV fluid infusion for clinically indicated hydration, such as fluid replacement for dehydration, when the documented infusion meets the required duration.
96360 reports IV fluids given to replace fluid volume, such as hydration for documented dehydration after vomiting or poor oral intake. A nurse or other clinical staff member commonly administers the infusion in an office, clinic, or emergency department. The service is fluid replacement, not the administration of a therapeutic medication; fluid used only as a drug carrier or to keep an IV line open does not establish hydration as a separately reportable service.
Report 96360 for an infusion lasting 31 minutes through one hour, supported by the infusion record and documentation of the clinical need for hydration. Report it once as the initial hydration service; 96361 is the add-on code for qualifying additional hydration time. When a medication is infused, distinguish its administration from any separately medically necessary hydration. Medicare treats this as an incident-to service and permits billing only when performed under physician supervision.
CMS billing rules for 96360
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.17 · 17%
- Practice expense (office) RVU0.82 · 82%
- Malpractice RVU0.01 · 1%
222.4K
Medicare services in 2024 · #363 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.
96360 compared with similar codes
Office rates for Indiana, from the same CMS release.
Choose 96360 for fluid replacement as the purpose of the infusion; choose 96365 for an infused therapeutic, prophylactic, or diagnostic medication.
96360 reports an IV hydration infusion. 96374 reports administration of a medication by IV push.
Compare 96360 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Indiana →
Office / nonfacility
$31.23
Facility
Unavailable
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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 96360 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
12,777
- Code
- 96360
- Physician work
- 0.17
- Practice expense
- 0.82
- Malpractice
- 0.01
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.82 | × 0.927 | 0.7601 |
| Malpractice | 0.01 | × 0.486 | 0.0049 |
| Total RVUs | 0.9350 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$31.23
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.82 | 0.927 |
| Malpractice | 0.01 | 0.486 |
(0.17 × 1 + 0.82 × 0.927 + 0.01 × 0.486) × $33.4009 = $31.23
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.
96360 billing questions
How is 96360 different from 96365?
96360 is for IV fluid replacement for hydration. Use 96365 when the service is an infusion of a therapeutic, prophylactic, or diagnostic medication.
What infusion time supports 96360?
The initial hydration infusion must last at least 31 minutes and no more than one hour for 96360. Document the infusion duration in the administration record.
When is 96361 reported with 96360?
96361 is the add-on code for qualifying additional hydration time beyond the initial service. It is not reported by itself.
Can hydration be billed when medication is infused during the encounter?
Report hydration separately only when it is independently medically necessary and meets the hydration coding requirements. Fluid serving only as a medication carrier or line flush is not a separate hydration service.
What documentation supports 96360?
Document the clinical reason for fluid replacement, the fluid administered, and the infusion duration. Medicare billing also requires performance under physician supervision because this is an incident-to 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.
