$69.06
96374 is for a drug given by IV push. 96365 applies when the initial drug administration is by IV infusion.
On this page
CMS RVU26D · Effective 2026-10-01
96374 IV push Medicare reimbursement rates in Rhode Island
Report this service for a therapeutic, prophylactic, or diagnostic drug delivered by intravenous push as the single or initial push. Compare 96374 office and facility rates across CMS payment localities in Rhode Island.
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 96374 in Rhode Island?
Rhode Island 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
$38.81
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 96374: Therapeutic intravenous push administration
Report this service for a therapeutic, prophylactic, or diagnostic drug delivered by intravenous push as the single or initial push.
This service covers a therapeutic, preventive, or diagnostic drug delivered directly into a vein, either through an existing IV line or by direct venous access. The medication is given as a push rather than infused over time. In outpatient clinics, physician offices, and emergency settings, a nurse or other qualified clinical staff member commonly administers an ordered IV medication such as an antiemetic or analgesic; the billing provider reports the administration service.
Select 96374 for the single or initial IV push, based on the route and method documented—not simply because the patient has an IV line. Record the drug, dose, route, and that it was administered by push. The drug itself may be reported separately when a separate drug code applies. When Medicare bills the service as incident-to, it must be performed under physician supervision.
CMS billing rules for 96374
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.18 · 16%
- Practice expense (office) RVU0.93 · 82%
- Malpractice RVU0.02 · 2%
208.2K
Medicare services in 2024 · #380 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.
96374 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$15.74
96372 is for a subcutaneous or intramuscular injection; 96374 requires intravenous delivery by push.
$16.12
96374 reports the single or initial IV push. 96375 is an add-on for a subsequent sequential IV push of a different drug.
96376
No office rateTx/pro/dx inj same drug adon
96374 is the single or initial push code; 96376 is the add-on for an additional sequential push of the same drug.
Compare 96374 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
Rhode Island →
Office / nonfacility
$38.81
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 96374 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
12,788
- Code
- 96374
- Physician work
- 0.18
- Practice expense
- 0.93
- Malpractice
- 0.02
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.019 | 0.1834 |
| Practice expense | 0.93 | × 1.033 | 0.9607 |
| Malpractice | 0.02 | × 0.892 | 0.0178 |
| Total RVUs | 1.1620 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$38.81
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1.019 |
| Practice expense | 0.93 | 1.033 |
| Malpractice | 0.02 | 0.892 |
(0.18 × 1.019 + 0.93 × 1.033 + 0.02 × 0.892) × $33.4009 = $38.81
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.
96374 billing questions
How is an IV push different from an IV infusion?
96374 describes a drug delivered by push into a vein or existing IV line. When the drug is administered by infusion over time, consider the applicable infusion administration code, such as 96365.
Can 96374 be reported with 96375?
Yes, when an additional, different drug is given by a sequential IV push during the encounter. 96374 represents the single or initial push; 96375 represents the additional new-drug push.
When is 96376 used instead?
96376 is the add-on code associated with an additional sequential IV push of the same drug. It is not the code for an additional different drug.
Does 96374 represent the medication as well as its administration?
No. 96374 reports the administration. Report the drug separately when an applicable drug code and billing requirements support doing so.
What documentation supports 96374?
Document the medication, dose, intravenous route, and that it was administered by push, along with the administering clinician and service details. For Medicare incident-to billing, the service must be 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 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.
12,78596371,,Sc ther infusion reset pump,A,,0.00,1.69,,1.69,NA,0.00,1.69,1.69,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78696372,,Ther/proph/diag inj sc/im,A,,0.17,0.28,,0.28,NA,0.01,0.46,0.46,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78796373,,Ther/proph/diag inj ia,A,,0.17,0.41,,0.41,NA,0.01,0.59,0.59,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,78896374,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537