CPT 96360
Global XXX ActiveHydration iv infusion init
CPT 96360 Billing & Documentation Guide
CPT code 96360 (Hydration iv infusion init) is classified under Infusion/Chemotherapy with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.17, a non-facility practice expense RVU of 0.82, and a malpractice RVU of 0.01, a total non-facility RVU of 1 and facility RVU of 1. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $34.66, though rates vary from $29.38 to $45.98 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 96360, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 96360 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 96360 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 96360
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.17 | 0.17 |
| Practice Expense RVU | 0.82 | 0.82 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 1 | 1 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 96360
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $38.47 | $38.47 | $35.97 - $45.98 | 29 |
| Florida | $33.81 | $33.81 | $32.36 - $35.03 | 3 |
| Georgia | $32.22 | $32.22 | $30.51 - $33.92 | 2 |
| Illinois | $32.8 | $32.8 | $31.21 - $34.44 | 4 |
| Michigan | $31.87 | $31.87 | $31.06 - $32.67 | 2 |
| North Carolina | $31.45 | $31.45 | $31.45 - $31.45 | 1 |
| New York | $36.96 | $36.96 | $31.93 - $39.23 | 5 |
| Ohio | $31.02 | $31.02 | $31.02 - $31.02 | 1 |
| Pennsylvania | $32.92 | $32.92 | $31.14 - $34.69 | 2 |
| Texas | $32.99 | $32.99 | $30.91 - $34.96 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 96360
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 96360 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0543T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0544T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0548T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0567T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0568T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0569T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0570T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0571T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0572T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0573T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 96360
What does CPT code 96360 mean? +
CPT code 96360 represents: Hydration iv infusion init. It's in the Infusion/Chemotherapy category with a global period of XXX.
What is the Medicare reimbursement for CPT 96360? +
The 2026 Medicare national average non-facility payment for CPT 96360 is $34.66. Rates range from $29.38 to $45.98 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 96360? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 96360? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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