# CPT 96365

> Medicare paid $69.82 for CPT 96365 in the office (non-facility) setting and $69.82 in a facility under the Q1 2016 Physician Fee Schedule, effective January 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.9% decrease from the previous quarter.

## What it is

The first drip infusion of a drug or fluid into a vein for treatment, prevention, or diagnosis, covering up to about an hour of infusion time. It takes in starting the line, assessing the patient, preparing and hanging the bag, and monitoring during the infusion. Only one substance in an encounter is treated as the initial one - later drugs and extra hours in the same visit are recorded with their own companion codes. Chemotherapy and similarly complex biologic infusions are recorded under a different family instead.

## Selected release

- Release: Q1 2016 (2016 A)
- Effective: January 1 – March 31, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $69.82
- Facility national allowed amount: $69.82
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.21
- Office (non-facility) practice expense RVU: 1.70
- Facility practice expense RVU: 1.70
- Malpractice RVU: 0.04
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16a.zip
- Parsed file: PPRRVU16_V0122.csv, row 15,949
- Canonical page: https://localishealth.com/cpt/96365/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/96365/2016/A
- Last significant update: 2026-08-04T03:06:29+00:00