CPT Administration Code: 96369 | Subcutaneous Infusion

Code Overview

CPT® administration code details for 96369.

CPT Code Descriptor Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)

Code Category Subcutaneous Infusion

Route / Technique Subcutaneous Infusion

Code Type Initial / Primary Code

About Subcutaneous Infusion – 96369

Subcutaneous Infusion is a medication aligned to the HCPCS CPT Administration Code: 96369 for billing, pricing, and reimbursement purposes in the United States.

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96369 RVU Breakdown & Medicare Reimbursement

Based on the CY 2026 CMS Physician Fee Schedule. National payment amounts, before geographic (GPCI) adjustment.

Component	Facility	Non-Facility
Work RVU — physician work	0.21	0.21
Practice Expense RVU — staff, supplies, equipment	4.10	4.10
Malpractice RVU — professional liability	0.03	0.03
Total RVUs	4.34	4.34
Medicare Payment — Total RVUs × $33.4009 CF	$144.96	$144.96

CY 2026 Medicare Conversion Factor: $33.4009. Facility and non-facility practice-expense RVUs are equal for this code.

96369 Locality-Adjusted Rates

Medicare payment varies by locality via GPCI adjustment. Log in to view rates for all 100+ Medicare localities.

Medicare Locality	Facility	Non-Facility
National (unadjusted)	$144.96	$144.96
Los Angeles–Long Beach, CA
Manhattan, NY
Houston, TX
Miami, FL

Drugs Commonly Billed with 96369

HCPCS-coded drugs frequently administered under this CPT code. The list below is not exhaustive.

HCPCS Code	Drug	HCPCS Descriptor
J1551	Cutaquig	Injection, immune globulin (cutaquig), 100 mg
J1555	CUVITRU	Injection, immune globulin (cuvitru), 100 mg
J1569	GAMMAGARD LIQUID	Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mg
J1561	GAMMAKED	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg
J1559	HIZENTRA	Injection, immune globulin (hizentra), 100 mg

Frequently Asked Questions

What are CPT Administration Codes?

CPT administration codes cover the work of giving a drug to a patient, such as an injection or an infusion. The drug itself is billed with its HCPCS J-code, and the administration is billed with a CPT code. Both go on the same claim. Learn More →

What is the Medicare Conversion Factor?

The conversion factor is the dollar amount CMS uses to turn a code's total RVUs into a Medicare payment. This page uses the CY 2026 conversion factor of $33.4009. CMS updates it every year in the Physician Fee Schedule final rule.

Facility vs. Non-Facility?

The non-facility rate applies in a physician office, where the practice pays for its own staff, supplies, and equipment, so the rate is usually higher. The facility rate applies in hospital outpatient departments and ASCs, where the facility bills for those costs separately.

How do I decide which administration code to use?

Pick the code that matches the type of drug, the route, and how long the administration takes. Start from the highest-ranking service you performed, then add the appropriate add-on codes for extra time or extra drugs. Manufacturer billing and coding guides often list suggested administration codes.

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CPT Administration Code: 96369 – Subcutaneous Infusion