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CPT Code 96365: IV Infusion Billing, Time Rules, and Hierarchy

CPT code 96365 IV infusion billing 2026 hero banner: the 16-minute floor over 96374 push, one initial code per encounter with 96413 chemo taking priority, 96366 add-on at 30 minutes past the hour, incidental hydration not separately billable as 96360, and start-stop time documentation required on every claim, from One O Seven RCM.

What CPT Code 96365 Is and When to Report It What Is CPT Code 96365? CPT code 96365 covers the initial hour of an intravenous infusion for therapeutic, prophylactic, or diagnostic purposes. The AMA short descriptor is ther/proph/diag IV inf init. The 96365 CPT code description applies to non-chemotherapy drugs and requires the infusion to […]

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