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CMS RVU26D · Effective 2026-10-01

96373 Injection administration Medicare reimbursement rates in Nebraska

Report this service for administering a therapeutic, preventive, or diagnostic drug by injection into an artery, rather than by intravenous, intramuscular, or subcutaneous route. Compare 96373 office and facility rates across CMS payment localities in Nebraska.

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 96373 in Nebraska?

Nebraska 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

$18.44

1 of 1 localities have a supported rate.

Payment area: Nebraska

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.

Find 96373 in your payment locality →

Injection administration

About 96373: Intra-arterial therapeutic or diagnostic injection

Report this service for administering a therapeutic, preventive, or diagnostic drug by injection into an artery, rather than by intravenous, intramuscular, or subcutaneous route.

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.

CMS billing rules for 96373

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

Where the value comes from

  • Work RVU0.17 · 29%
  • Practice expense (office) RVU0.41 · 69%
  • Malpractice RVU0.01 · 2%

2.2K

Medicare services in 2024 · #2382 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.

96373 compared with similar codes

Office rates for Nebraska, from the same CMS release.

96372

SC/IM injection

Therapeutic, prophylactic, or diagnostic

$14.44

Use 96372 for subcutaneous or intramuscular administration. Use 96373 when the injection is intra-arterial.

96374

IV push

Single or initial IV push

$34.94

96374 describes an intravenous push; 96373 describes an injection into an artery. The documented route determines the choice.

96365

IV drug infusion

Initial, first hour

$61.78

96365 is for an initial intravenous infusion. 96373 is for an intra-arterial injection, not an infusion selected by duration.

Compare 96373 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

Office and facility base rates · shared scale starting at $0

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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 96373 in Nebraska.

PPRRVU2026_Oct_nonQPP.csv

12,787

Code
96373
Physician work
0.17
Practice expense
0.41
Malpractice
0.01

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Office / nonfacility calculation for 96373 in Nebraska
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.41× 0.9230.3784
Malpractice0.01× 0.3780.0038
Total RVUs0.5522
Conversion factor× 33.4009

Office / nonfacility rate, Nebraska$18.44

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.171
Practice expense0.410.923
Malpractice0.010.378

(0.17 × 1 + 0.41 × 0.923 + 0.01 × 0.378) × $33.4009 = $18.44

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.

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 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 96373PPRRVU2026_Oct_nonQPP.csv, line 12,787 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet