$14.55
Choose 96377 when staff apply an on-body injector for later timed delivery. Choose 96372 when the subcutaneous or intramuscular injection is administered directly during the encounter.
On this page
CMS RVU26D · Effective 2026-10-01
96377 Injector application Medicare reimbursement rates in Ohio
Report this service when clinical staff apply an on-body injector that delivers a prescribed medication by timed subcutaneous injection after the patient leaves. Compare 96377 office and facility rates across CMS payment localities in Ohio.
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 96377 in Ohio?
Ohio 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
$17.91
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
Injection administration
About 96377: On-body injector application for timed injection
Report this service when clinical staff apply an on-body injector that delivers a prescribed medication by timed subcutaneous injection after the patient leaves.
This service covers applying an on-body injector, including inserting its cannula, so a prescribed medication can be delivered by timed subcutaneous injection. A common example is applying a pegfilgrastim on-body injector after chemotherapy, with delivery scheduled for later. Office clinical staff typically perform the application and provide instructions about wearing and monitoring the device.
Report the application service, not a separate injection when the device later delivers the dose. Report the medication product separately when applicable. Documentation should identify the medication and dose, the application site, and that the injector was applied and activated. Under the CMS incident-to rule, the service is billed only when performed under physician supervision.
CMS billing rules for 96377
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.17 · 30%
- Practice expense (office) RVU0.39 · 68%
- Malpractice RVU0.01 · 2%
14.1K
Medicare services in 2024 · #1292 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.
96377 compared with similar codes
Office rates for Ohio, from the same CMS release.
$133.05
96369 describes subcutaneous infusion. 96377 describes applying an injector for a timed subcutaneous injection, not an infusion service.
Compare 96377 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
Ohio →
Office / nonfacility
$17.91
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 96377 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
12,791
- Code
- 96377
- Physician work
- 0.17
- Practice expense
- 0.39
- Malpractice
- 0.01
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.39 | × 0.913 | 0.3561 |
| Malpractice | 0.01 | × 1.008 | 0.0101 |
| Total RVUs | 0.5362 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$17.91
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.39 | 0.913 |
| Malpractice | 0.01 | 1.008 |
(0.17 × 1 + 0.39 × 0.913 + 0.01 × 1.008) × $33.4009 = $17.91
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.
96377 billing questions
When should 96377 be reported instead of 96372?
Use 96377 for applying an on-body injector that delivers a timed subcutaneous dose. Use 96372 for a subcutaneous or intramuscular injection administered directly during the encounter.
Is the medication included in 96377?
No. 96377 reports the injector application; report the medication product separately when applicable.
Can 96377 be billed when the patient receives the dose later?
Yes. The service is the application of the injector, even though the device is scheduled to deliver the medication later.
What supervision is required for billing 96377?
CMS classifies this as an incident-to service, so it is billed only when performed under physician supervision.
What should the record document?
Document the medication and dose associated with the device, the application site, and that the injector was applied and activated.
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.
12,78896374,,Ther/proph/diag inj iv push,A,,0.18,0.93,,0.93,NA,0.02,1.13,1.13,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78996375,,Tx/pro/dx inj new drug addon,A,,0.10,0.36,,0.36,NA,0.01,0.47,0.47,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,79096376,,Tx/pro/dx inj same drug adon,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,79196377,,Applicaton on-body injector,A,,0.17,0.39,,0.39,NA,0.01,0.57,0.57,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,79296379,,Unl ther/prop/diag inj/inf,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,79396380,,Admn rsv monoc antb im cnsl,A,,0.28,0.60,,0.60,NA,0.02,0.90,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,79496381,,Admn rsv monoc antb im njx,A,,0.17,0.55,,0.55,NA,0.01,0.73,0.73,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703