Billing code 96368: Concurrent infusionMedicare rate & RVUs in Nebraska
Reports a nonchemotherapy therapeutic, prophylactic, or diagnostic substance infused concurrently with another IV infusion during the same encounter.
Medicare pays $19.37 for 96368 in the office in Nebraska (Nebraska). 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 96368 covers
billing code 96368 captures an additional therapeutic, prophylactic, or diagnostic substance running at the same time as another IV infusion, rather than after it. It is used in outpatient infusion settings such as physician offices and infusion centers, where nursing staff typically administer the medications under physician supervision. The code concerns concurrent administration through IV access; it is not a code for an IV push or a subcutaneous infusion.
Report 96368 only with a primary infusion procedure, not by itself. The record should identify the substances, infusion routes, and timing that establish that the administrations overlapped. Distinguish a concurrent infusion from a separate substance given sequentially, which may support a different add-on code. CMS classifies this as an add-on service, with payment included within the primary procedure’s global period. It is an incident-to service and is billed only when performed under physician supervision.
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.
96368 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | $19.37 | Unavailable |
How the 96368 rate is calculated
Each of 96368’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 · 96368
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.44
0.44 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.6200
Conversion factor
$33.4009
Medicare rate
$20.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 96368
The CMS indicators that decide how 96368 is paid alongside other services.
CMS payment indicators · 96368
Concurrent infusion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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. |
96368 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 96367Sequential IV infusion
- Use 96368 when an additional substance is infused while another infusion is running. Use 96367 when the additional infusion follows the preceding infusion sequentially.
- 96366IV infusion add-on hour
- 96366 reports additional time for the primary infusion. 96368 reports a separate substance infused concurrently, not extra hours of the original infusion.
- 96374IV push
- 96374 applies when a therapeutic substance is administered by IV push. 96368 applies to an additional substance delivered by concurrent infusion.
96368 billing questions
Can 96368 be billed by itself?
No. It is an add-on code and must be reported with a primary procedure; CMS payment is within that procedure’s global period.
How is 96368 different from 96367?
96368 describes an additional substance infused at the same time as another infusion. 96367 is used for an additional infusion administered sequentially.
What documentation supports 96368?
Document the substances administered, their IV routes, and the overlapping infusion times. The record should make clear that the additional substance ran concurrently rather than in sequence.
May 96368 be reported more than once for an encounter?
Report 96368 once for the encounter, even when more than one additional substance is infused concurrently.
What supervision is required for billing?
CMS treats 96368 as an incident-to service. It may be billed only when performed under physician supervision.
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
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