$31.23
96360 reports the initial hydration service; 96361 reports qualifying additional hydration time and must accompany a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
96361 IV hydration Medicare reimbursement rates in Indiana
Reports each additional hour of medically necessary intravenous fluid hydration beyond the initial hydration service, when supported by documented infusion time. Compare 96361 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 96361 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
$12.15
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 96361: Additional-hour intravenous hydration
Reports each additional hour of medically necessary intravenous fluid hydration beyond the initial hydration service, when supported by documented infusion time.
This add-on represents continued intravenous hydration after the initial hydration service, such as fluid replacement for dehydration or volume depletion. It is commonly administered by nursing staff in an outpatient office or emergency department under a clinician’s order. The fluids are given to replenish volume or hydration, not merely to deliver a medication or keep an IV line open.
Report units from the documented hydration time under CPT infusion time rules, not from the number of bags or access sites. The record should identify the fluids, clinical reason, and infusion start and stop times; when medication administration occurs during the encounter, distinguish hydration time from drug-infusion time. CMS classifies 96361 as an add-on that must be billed with a primary procedure and is paid within that procedure’s global period. It is an incident-to service and may be billed only when performed under physician supervision.
CMS billing rules for 96361
- 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 RVU0.09 · 23%
- Practice expense (office) RVU0.29 · 74%
- Malpractice RVU0.01 · 3%
322.5K
Medicare services in 2024 · #296 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.
96361 compared with similar codes
Office rates for Indiana, from the same CMS release.
$62.16
Use 96365 for the initial therapeutic, prophylactic, or diagnostic drug infusion. Use 96361 for separately supported hydration time, not the drug infusion itself.
$20.11
96366 reports additional time for a therapeutic, prophylactic, or diagnostic drug infusion; 96361 is for additional hydration time.
Compare 96361 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
$12.15
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 96361 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
12,778
- Code
- 96361
- Physician work
- 0.09
- Practice expense
- 0.29
- 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 | 0.09 | × 1.000 | 0.0900 |
| Practice expense | 0.29 | × 0.927 | 0.2688 |
| Malpractice | 0.01 | × 0.486 | 0.0049 |
| Total RVUs | 0.3637 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$12.15
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.09 | 1 |
| Practice expense | 0.29 | 0.927 |
| Malpractice | 0.01 | 0.486 |
(0.09 × 1 + 0.29 × 0.927 + 0.01 × 0.486) × $33.4009 = $12.15
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.
96361 billing questions
Can 96361 be billed by itself?
No. It is an add-on and must be reported with a primary procedure.
Does each fluid bag count as a unit?
No. Units are based on documented hydration infusion time under CPT time rules, not the number of containers.
Can 96361 be reported during a medication infusion encounter?
Yes, when hydration is separately medically necessary and its time is distinct from the medication infusion. Fluid used only as a medication carrier or to keep the line open does not establish separate hydration service.
How does 96361 differ from 96366?
96361 represents additional time for IV hydration. 96366 represents additional time for a therapeutic, prophylactic, or diagnostic drug infusion.
What documentation supports 96361?
Document the reason for hydration, the fluid administered, and start and stop times sufficient to support the additional time reported. The service must also meet the physician-supervision condition for incident-to billing.
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.
12,77596202,,Mlt fam grp bhv train 1st 60,A,,0.43,0.16,,0.08,,0.01,0.60,0.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,77696203,,Mlt fam grp bhv train ea add,A,,0.12,0.03,,0.02,,0.01,0.16,0.15,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,77796360,,Hydration iv infusion init,A,,0.17,0.82,,0.82,NA,0.01,1.00,1.00,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,77896361,,Hydrate iv infusion add-on,A,,0.09,0.29,,0.29,NA,0.01,0.39,0.39,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,77996365,,Ther/proph/diag iv inf init,A,,0.21,1.76,,1.76,NA,0.04,2.01,2.01,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78096366,,Ther/proph/diag iv inf addon,A,,0.18,0.45,,0.45,NA,0.01,0.64,0.64,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78196367,,Tx/proph/dg addl seq iv inf,A,,0.19,0.69,,0.69,NA,0.01,0.89,0.89,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915