{
  "year": "CY2026",
  "conversion_factor": 33.4009,
  "source": "CMS 2026 National Physician Fee Schedule Relative Value File (PPRRVU2026_Apr_nonQPP), national conversion factor $33.4009. Payment amounts are the RVU-derived national base rates (work RVU + practice-expense RVU + malpractice RVU) x conversion factor, NOT adjusted by locality GPCI. Cross-verified against two independent CMS-PFS-sourced mirrors per code (see per-code \"sources\").",
  "retrieved": "2026-07-26",
  "note": "Admin CPT codes pay under the Medicare Physician Fee Schedule (MPFS), not the ASP drug-payment system used elsewhere on this site for drug pricing. For most codes in the 96360-96417 administration/infusion/injection family, CMS sets facility PE RVU equal to non-facility PE RVU, so the non-facility and facility national payment amounts are identical -- this is a genuine CMS valuation choice, not a data error. CPT 67028 (intravitreal injection, a true procedure code with its own global period) has a real, substantial non-facility/facility split. CPT 96376 carries 0.00 RVUs under CY2026 MPFS (HOPD-only add-on, not separately payable nationally); its rate is recorded as null with an explanatory note rather than $0.00 to avoid implying a verified zero-dollar payment was looked up per-locality.",
  "codes": {
    "67028": {
      "descriptor": "Intravitreal injection of a pharmacologic agent (separate procedure)",
      "non_facility": 114.23,
      "facility": 75.49,
      "sources": [
        "https://fastrvu.com/cpt/67028",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=67028&tab=physician-fee-schedule"
      ]
    },
    "96360": {
      "descriptor": "Intravenous infusion, hydration; initial, 31 minutes to 1 hour",
      "non_facility": 33.4,
      "facility": 33.4,
      "sources": [
        "https://fastrvu.com/cpt/96360",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96360&tab=physician-fee-schedule"
      ]
    },
    "96361": {
      "descriptor": "Intravenous infusion, hydration; each additional hour (add-on)",
      "non_facility": 13.03,
      "facility": 13.03,
      "sources": [
        "https://fastrvu.com/cpt/96361",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96361&tab=physician-fee-schedule"
      ]
    },
    "96365": {
      "descriptor": "Intravenous infusion, therapeutic/prophylactic/diagnostic; initial, up to 1 hour",
      "non_facility": 67.14,
      "facility": 67.14,
      "sources": [
        "https://fastrvu.com/cpt/96365",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96365&tab=physician-fee-schedule"
      ]
    },
    "96366": {
      "descriptor": "Intravenous infusion, therapeutic/prophylactic/diagnostic; each additional hour (add-on)",
      "non_facility": 21.38,
      "facility": 21.38,
      "sources": [
        "https://fastrvu.com/cpt/96366",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96366&tab=physician-fee-schedule"
      ]
    },
    "96367": {
      "descriptor": "Intravenous infusion, for therapy/prophylaxis/diagnosis; additional sequential infusion of a new drug or substance, up to 1 hour (add-on)",
      "non_facility": 29.73,
      "facility": 29.73,
      "note": "Facility and non-facility are identical because CY2026 MPFS assigns the same practice-expense RVU to both settings for this code, consistent with the rest of the 96360-96417 family. The two rate mirrors agree exactly on the non-facility amount; payerprice.com additionally lists a facility figure of $29.89 that does not reconcile with the published RVU components (0.19 work + 0.69 PE + 0.01 MP) x $33.4009. The RVU-derived figure is recorded here, per this file's stated methodology.",
      "sources": [
        "https://fastrvu.com/cpt/96367",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96367&tab=physician-fee-schedule"
      ]
    },
    "96368": {
      "descriptor": "Intravenous infusion, for therapy/prophylaxis/diagnosis; concurrent infusion (add-on)",
      "non_facility": 20.71,
      "facility": 20.71,
      "note": "Facility and non-facility are identical because CY2026 MPFS assigns the same practice-expense RVU to both settings for this code, consistent with the rest of the 96360-96417 family. The two rate mirrors agree exactly on the non-facility amount; payerprice.com additionally lists a facility figure of $20.88 that does not reconcile with the published RVU components (0.17 work + 0.44 PE + 0.01 MP) x $33.4009. The RVU-derived figure is recorded here, per this file's stated methodology.",
      "sources": [
        "https://fastrvu.com/cpt/96368",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96368&tab=physician-fee-schedule"
      ]
    },
    "96369": {
      "descriptor": "Subcutaneous infusion for therapy/prophylaxis, initial, up to 1 hour, including pump set-up",
      "non_facility": 144.96,
      "facility": 144.96,
      "sources": [
        "https://fastrvu.com/cpt/96369",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96369&tab=physician-fee-schedule"
      ]
    },
    "96370": {
      "descriptor": "Subcutaneous infusion for therapy/prophylaxis, each additional hour (add-on)",
      "non_facility": 17.03,
      "facility": 17.03,
      "sources": [
        "https://fastrvu.com/cpt/96370",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96370&tab=physician-fee-schedule"
      ]
    },
    "96371": {
      "descriptor": "Subcutaneous infusion for therapy/prophylaxis, additional pump set-up with new subcutaneous site (add-on)",
      "non_facility": 56.45,
      "facility": 56.45,
      "sources": [
        "https://fastrvu.com/cpt/96371",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96371&tab=physician-fee-schedule"
      ]
    },
    "96372": {
      "descriptor": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",
      "non_facility": 15.36,
      "facility": 15.36,
      "sources": [
        "https://fastrvu.com/cpt/96372",
        "https://www.medfeeschedule.com/code/96372"
      ]
    },
    "96374": {
      "descriptor": "Intravenous push, single or initial substance/drug",
      "non_facility": 37.74,
      "facility": 37.74,
      "sources": [
        "https://fastrvu.com/cpt/96374",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96374&tab=physician-fee-schedule"
      ]
    },
    "96375": {
      "descriptor": "Intravenous push, each additional new substance/drug (add-on)",
      "non_facility": 15.7,
      "facility": 15.7,
      "sources": [
        "https://fastrvu.com/cpt/96375",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96375&tab=physician-fee-schedule"
      ]
    },
    "96376": {
      "descriptor": "Intravenous push, each additional sequential push of the same substance/drug, provided in a facility (add-on)",
      "non_facility": null,
      "facility": null,
      "note": "CY2026 MPFS assigns 0.00 work/PE/malpractice RVUs to 96376 -- CMS does not price this add-on push code as a separately payable national physician-fee-schedule service (it is defined for hospital-outpatient use only). Two independent CY2026 rate mirrors agree it carries no national MPFS payment amount. Not a lookup failure -- an honest 'not separately payable' finding.",
      "sources": [
        "https://www.gomedicalbilling.com/codes/cpt/96376",
        "https://www.medfeeschedule.com/code/96376"
      ]
    },
    "96401": {
      "descriptor": "Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",
      "non_facility": 71.81,
      "facility": 71.81,
      "sources": [
        "https://fastrvu.com/cpt/96401",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96401&tab=physician-fee-schedule"
      ]
    },
    "96402": {
      "descriptor": "Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",
      "non_facility": 38.75,
      "facility": 38.75,
      "sources": [
        "https://fastrvu.com/cpt/96402",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96402&tab=physician-fee-schedule"
      ]
    },
    "96409": {
      "descriptor": "Chemotherapy administration, intravenous push technique; single or initial substance/drug",
      "non_facility": 104.54,
      "facility": 104.54,
      "sources": [
        "https://fastrvu.com/cpt/96409",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96409&tab=physician-fee-schedule"
      ]
    },
    "96411": {
      "descriptor": "Chemotherapy administration, intravenous push technique; each additional substance/drug (add-on)",
      "non_facility": 57.12,
      "facility": 57.12,
      "sources": [
        "https://fastrvu.com/cpt/96411",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96411&tab=physician-fee-schedule"
      ]
    },
    "96413": {
      "descriptor": "Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",
      "non_facility": 133.27,
      "facility": 133.27,
      "sources": [
        "https://fastrvu.com/cpt/96413",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96413&tab=physician-fee-schedule"
      ]
    },
    "96415": {
      "descriptor": "Chemotherapy administration, intravenous infusion technique; each additional hour (add-on)",
      "non_facility": 28.39,
      "facility": 28.39,
      "sources": [
        "https://fastrvu.com/cpt/96415",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96415&tab=physician-fee-schedule"
      ]
    },
    "96417": {
      "descriptor": "Chemotherapy administration, intravenous infusion technique; each additional sequential infusion, up to 1 hour, new substance/drug (add-on)",
      "non_facility": 66.47,
      "facility": 66.47,
      "sources": [
        "https://fastrvu.com/cpt/96417",
        "https://payerprice.com/medicare-fee-schedule-lookup?codes=96417&tab=physician-fee-schedule"
      ]
    },
    "96521": {
      "descriptor": "Refilling and maintenance of portable pump",
      "non_facility": 143.62,
      "facility": 143.62,
      "note": "Rate taken from this repo's own CY2026 CMS-derived fee-schedule dataset (public/physician-fee-schedule.js, CMS PPRRVU2026, conversion factor 33.4009), which agrees with every code this file already carries. Facility equals non-facility, consistent with the rest of the 96360-96549 administration family. RVU check: $143.62 / 33.4009 = 4.30 total RVU.",
      "sources": [
        "public/physician-fee-schedule.js (CMS PPRRVU2026, CF 33.4009)",
        "https://www.aapc.com/codes/cpt-codes/96521"
      ]
    },
    "96522": {
      "descriptor": "Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial)",
      "non_facility": 125.25,
      "facility": 125.25,
      "note": "Rate taken from this repo's own CY2026 CMS-derived fee-schedule dataset (public/physician-fee-schedule.js, CMS PPRRVU2026, conversion factor 33.4009), which agrees with every code this file already carries. Facility equals non-facility, consistent with the rest of the 96360-96549 administration family. RVU check: $125.25 / 33.4009 = 3.75 total RVU.",
      "sources": [
        "public/physician-fee-schedule.js (CMS PPRRVU2026, CF 33.4009)",
        "https://www.aapc.com/codes/cpt-codes/96522"
      ]
    },
    "96523": {
      "descriptor": "Irrigation of implanted venous access device for drug delivery systems",
      "non_facility": 26.05,
      "facility": 26.05,
      "note": "Rate taken from this repo's own CY2026 CMS-derived fee-schedule dataset (public/physician-fee-schedule.js, CMS PPRRVU2026, conversion factor 33.4009), which agrees with every code this file already carries. Facility equals non-facility, consistent with the rest of the 96360-96549 administration family. RVU check: $26.05 / 33.4009 = 0.78 total RVU.",
      "sources": [
        "public/physician-fee-schedule.js (CMS PPRRVU2026, CF 33.4009)",
        "https://www.aapc.com/codes/cpt-codes/96523"
      ]
    }
  }
}