Infusions · CMS status A
96365
Therapeutic IV infusion first hour
Intravenous infusion, for therapy/prophylaxis/diagnosis; initial, up to 1 hour.
Work RVU
0.21
2026 Medicare pays
$68.14
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.21 + Practice 1.81 + Malpractice 0.02 = 2.04 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 96365 is locked
- When to use it: the exact clinical situations that support billing 96365
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 96365 downcoded or denied
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Common ICD-10 pairings
A41.9T88.7XXA
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.