# CPT 96365

> Medicare paid $73.62 for CPT 96365 in the office (non-facility) setting and $73.62 in a facility under the Q3 2021 Physician Fee Schedule, effective July 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it increased 2.0%.

## 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: Q3 2021 (2021 C)
- Effective: July 1 – September 30, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $73.62
- Facility national allowed amount: $73.62
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.21
- Office (non-facility) practice expense RVU: 1.86
- Facility practice expense RVU: 1.86
- Malpractice RVU: 0.04
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21c-updated-6302021.zip
- Parsed file: PPRRVU21_JUL.csv, row 17,029
- Canonical page: https://localishealth.com/cpt/96365/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/96365/2021/C
- Last significant update: 2026-08-04T03:10:45+00:00