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
When to use it
First therapeutic non-chemo IV infusion at the encounter.
Documentation checklist
- ✓Drug, dose, start and stop time.
- ✓Supervision.
- ✓Reactions/tolerance.
Common pitfalls
- !Only one 'initial' per encounter regardless of number of drugs given.
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.