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Billing codes

CPT 96374

IV push of a drug, single or first

Giving a drug into a vein by direct injection (an IV push) rather than a drip. This is the code for the first push of a visit; further pushes of different drugs are 96375, and a second push of the same drug is 96376. Common in the ER for pain relief, anti-nausea drugs and antibiotics.

Billed to Medicare

$154

What providers submitted, on average, for this code in an office.

Medicare accepted

$37

What Medicare treated as payable. Not a commercial rate or a cash price.

The gap

4.2x

How many times the accepted amount the billed figure was.

National averages from the Centers for Medicare & Medicaid Services, 2024 data, retrieved 2026-09-14. Medicare fee-for-service, physician and practitioner claims only. The hospital's own charge for the same code is separate and is usually higher. Based on 208,171 services.

Among the 10 er procedures and injections codes on this site with CMS figures, this gap ranks 8 of 10 (median 4.7x). The widest is Simple wound repair, up to 2.5 cm at 9.9x.

Watch out

Where this line goes wrong

Only one initial service per visit

Coding rules allow one 'initial' infusion or injection code per encounter. If 96374 appears together with an initial hydration code (96360) or an initial infusion code (96365), one of them should be the subsequent version.

The drug is separate, the push is separate, the IV start is not

Starting the IV line is included in the push. A separate charge for the IV start alongside 96374 is a duplicate.

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What to do

Check it, then ask

  1. 1

    Ask for the medication administration record and count the drugs given by IV push against the lines billed.

  2. 2

    Check that only one initial code (96360, 96365 or 96374) appears for the visit.

  3. 3

    Look for a separate IV start or catheter placement charge.

The full walkthrough for this kind of bill: You got an ER bill.

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Upload the bill to a free mediloop account. An automatic first look reads the charges and shows what looks worth questioning, usually in about a minute. If you want a specialist to dispute it for you, it is a flat $129, refunded in full if the bill isn't lowered by at least $129.

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Questions

People also ask

What is the difference between an IV push and an infusion?

A push is given over a few minutes by syringe. An infusion runs through a drip over a longer period. They have different codes and the infusion codes are time based.

Sources

This page explains a billing code in general terms. It is not a coding, legal or medical opinion about your bill, and the code descriptions are mediloop's own plain-English summaries, not the official CPT descriptors, which are owned by the American Medical Association. Whether a charge was correct depends on the record of your visit and your payer's rules.