$21.34
Use 96366 for additional infusion time, including a sequential infusion that exceeds its first hour by more than 30 minutes. Use 96367 to identify the additional drug infused in sequence.
On this page
CMS RVU26D · Effective 2026-10-01
96367 Sequential IV infusion Medicare reimbursement rates in Nevada
Report this add-on for a different therapeutic, prophylactic, or diagnostic drug infused through an IV after another drug during the same encounter. Compare 96367 office and facility rates across CMS payment localities in Nevada.
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 96367 in Nevada?
Nevada 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
$29.69
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Drug administration
About 96367: Sequential therapeutic IV infusion, additional drug
Report this add-on for a different therapeutic, prophylactic, or diagnostic drug infused through an IV after another drug during the same encounter.
This service covers a second or later IV infusion of a different drug or infusate mix, administered in sequence during the same encounter. A typical office or infusion-suite example is one IV antibiotic followed by a different IV medication through the same access. Nurses or other clinical staff usually administer and monitor the infusion under physician supervision. Administration lasting 15 minutes or less is classified as an IV push rather than an infusion.
Report 96367 with a qualifying primary administration code, such as 96365, 96374, 96409, or 96413; the initial code is selected under administration coding hierarchy, not simply by which drug ran first. CMS pays this add-on within the primary procedure’s global period. Each distinct sequential drug or infusate mix supports a unit; additional time on that infusion may support 96366 when it exceeds the first hour by more than 30 minutes. Document each drug, route, sequence, and start and stop times. In the office, this incident-to service requires physician supervision. A separately reportable drug may also have its own HCPCS code.
CMS billing rules for 96367
- 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 RVU0.19 · 21%
- Practice expense (office) RVU0.69 · 78%
- Malpractice RVU0.01 · 1%
930.3K
Medicare services in 2024 · #152 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.
96367 compared with similar codes
Office rates for Nevada, from the same CMS release.
$20.67
96368 describes an additional drug infused concurrently with another infusion and is reported once per encounter. 96367 describes a different drug infused in sequence.
$15.65
96375 describes a new sequential drug given by IV push, including administration lasting 15 minutes or less. 96367 requires an infusion lasting longer than 15 minutes.
$12.98
96361 captures additional hydration time after an initial hydration infusion. 96367 identifies a different therapeutic, prophylactic, or diagnostic drug infused in sequence.
Compare 96367 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
Nevada** →
Office / nonfacility
$29.69
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 96367 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
12,781
- Code
- 96367
- Physician work
- 0.19
- Practice expense
- 0.69
- Malpractice
- 0.01
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.19 | × 1.000 | 0.1900 |
| Practice expense | 0.69 | × 1.001 | 0.6907 |
| Malpractice | 0.01 | × 0.833 | 0.0083 |
| Total RVUs | 0.8890 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$29.69
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.19 | 1 |
| Practice expense | 0.69 | 1.001 |
| Malpractice | 0.01 | 0.833 |
(0.19 × 1 + 0.69 × 1.001 + 0.01 × 0.833) × $33.4009 = $29.69
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.
96367 billing questions
Which primary codes can 96367 be reported with?
Qualifying initial administration codes include therapeutic infusion 96365, IV push 96374, chemotherapy push 96409, and chemotherapy infusion 96413. Select the initial code by administration coding hierarchy; 96367 cannot stand alone.
How is 96367 different from 96366?
96367 identifies an additional drug infused in sequence. 96366 captures additional infusion time, including time on a sequential infusion that exceeds its first hour by more than 30 minutes.
What if the second drug is administered over 15 minutes or less?
Administration lasting 15 minutes or less is classified as an IV push. For a new drug given in sequence, report 96375 rather than 96367.
Can 96367 be reported more than once per encounter?
Yes. Report a unit for each distinct drug or infusate mix infused in sequence; several drugs administered together as one mix constitute one infusion.
Is an E/M visit billable on the same day?
A significant, separately identifiable provider evaluation may be reported with modifier 25 on the E/M code. Routine staff assessment related to the infusion is part of administration.
Who can perform the service in the office?
Clinical staff such as infusion nurses usually administer and monitor the drug. For Medicare incident-to billing, the required physician supervision must be met.
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.
12,77896361,,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
12,78296368,,Ther/diag concurrent inf,A,,0.17,0.44,,0.44,NA,0.01,0.62,0.62,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78396369,,Sc ther infusion up to 1 hr,A,,0.21,4.10,,4.10,NA,0.03,4.34,4.34,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78496370,,Sc ther infusion addl hr,A,,0.18,0.32,,0.32,NA,0.01,0.51,0.51,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097