Injections, infusions & immunizations

96374 - RVUs & Medicare payment (2026)

IV push, single or initial drug.

Component	Non-facility	Facility
Work RVU	0.18	0.18
Practice expense RVU	0.93	0.93
Malpractice RVU	0.02	0.02
Total RVUs	1.13	1.13
National payment (CF $33.4009)	$37.74	$37.74
Qualifying APM payment (CF $33.5675)	$37.93	$37.93

How 96374 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 96374 ranges from $33.04 in Arkansas (AR) to $51.82 in San Jose-Sunnyvale-Santa Clara (CA); calculate 96374 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $51.82 San Jose-Sunnyvale-Santa Clara (CA) $51.73 San Francisco-Oakland-Berkeley (CA) $50.69 San Francisco-Oakland-Berkeley (CA) $50.67 Napa (CA) $47.67 Vallejo (CA) $47.64 Seattle (WA) $44.97 Santa Rosa-Petaluma (CA) $44.70 National average $37.74 … 97 more localities between … Alabama (AL) $33.57 Rest Of Missouri (MO) $33.44 Mississippi (MS) $33.25 Arkansas (AR) $33.04

Non-facility payment for 96374 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Related codes - injections, infusions & immunizations

96372 · therapeutic injection, subcutaneous or intramuscular
96365 · iv infusion for therapy, initial hour
96401 · chemotherapy injection, subcutaneous or intramuscular
96413 · chemotherapy iv infusion, first hour
90471 · immunization administration, first vaccine
90472 · immunization administration, each additional vaccine
90460 · immunization administration with counseling, under 19, first component

Frequently asked questions

How much does Medicare pay for 96374 in 2026?

The national non-facility payment is $37.74 and the facility payment is $37.74, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 96374?

The 2026 work RVU for 96374 is 0.18. Total RVUs are 1.13 in the non-facility setting and 1.13 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.