# CPT 96523: Irrigation of implanted venous access device

Medicare CPT 96523 pays $26.05 in a non-facility setting and $26.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $22.45 in Arkansas to $30.50 in District of Columbia, a 36% spread.

Web page: https://www.med-reveal.com/rates/96523-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $26.05 |
| National facility | $26.05 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $30.50 | $30.50 |
| California | $30.42 | $30.42 |
| Washington | $29.44 | $29.44 |
| Hawaii | $29.25 | $29.25 |
| New Jersey | $29.22 | $29.22 |
| Massachusetts | $29.05 | $29.05 |
| New York | $29.05 | $29.05 |
| Alaska | $28.16 | $28.16 |
| Connecticut | $28.03 | $28.03 |
| Colorado | $27.56 | $27.56 |
| Oregon | $27.28 | $27.28 |
| Maryland | $27.13 | $27.13 |
| New Hampshire | $27.01 | $27.01 |
| Rhode Island | $26.85 | $26.85 |
| Minnesota | $26.52 | $26.52 |
| Florida | $26.45 | $26.45 |
| Puerto Rico | $26.32 | $26.32 |
| Virgin Islands | $26.32 | $26.32 |
| Montana | $26.05 | $26.05 |
| Nevada | $26.02 | $26.02 |
| Wyoming | $25.97 | $25.97 |
| North Dakota | $25.85 | $25.85 |
| South Dakota | $25.83 | $25.83 |
| Delaware | $25.73 | $25.73 |
| Texas | $25.66 | $25.66 |
| Vermont | $25.64 | $25.64 |
| Pennsylvania | $25.59 | $25.59 |
| Illinois | $25.54 | $25.54 |
| Virginia | $25.54 | $25.54 |
| Arizona | $25.25 | $25.25 |
| Georgia | $25.00 | $25.00 |
| Maine | $24.85 | $24.85 |
| Wisconsin | $24.80 | $24.80 |
| Michigan | $24.70 | $24.70 |
| Utah | $24.56 | $24.56 |
| North Carolina | $24.30 | $24.30 |
| South Carolina | $24.15 | $24.15 |
| Indiana | $24.10 | $24.10 |
| New Mexico | $24.10 | $24.10 |
| Missouri | $24.04 | $24.04 |
| Nebraska | $23.97 | $23.97 |
| Louisiana | $23.95 | $23.95 |
| Idaho | $23.93 | $23.93 |
| Ohio | $23.93 | $23.93 |
| Iowa | $23.78 | $23.78 |
| Tennessee | $23.68 | $23.68 |
| Kansas | $23.55 | $23.55 |
| Oklahoma | $23.37 | $23.37 |
| Kentucky | $23.32 | $23.32 |
| West Virginia | $23.00 | $23.00 |
| Alabama | $22.86 | $22.86 |
| Mississippi | $22.58 | $22.58 |
| Arkansas | $22.45 | $22.45 |

## Related codes

- 96360: Intravenous infusion, hydration, initial 31 minutes to 1 hour — https://www.med-reveal.com/rates/96360-cpt-fee-schedule
- 96361: Intravenous infusion, hydration, each additional hour (add-on) — https://www.med-reveal.com/rates/96361-cpt-fee-schedule
- 96365: Intravenous infusion, for therapy/prophylaxis/diagnosis, initial, up to 1 hour — https://www.med-reveal.com/rates/96365-cpt-fee-schedule
- 96366: Intravenous infusion, therapy, each additional hour (add-on) — https://www.med-reveal.com/rates/96366-cpt-fee-schedule
- 96367: Intravenous infusion, additional sequential infusion, up to 1 hour (add-on) — https://www.med-reveal.com/rates/96367-cpt-fee-schedule
- 96368: Intravenous infusion, concurrent infusion (add-on) — https://www.med-reveal.com/rates/96368-cpt-fee-schedule
- 96369: Subcutaneous infusion for therapy/prophylaxis, initial, up to 1 hour — https://www.med-reveal.com/rates/96369-cpt-fee-schedule
- 96370: Subcutaneous infusion, each additional hour (add-on) — https://www.med-reveal.com/rates/96370-cpt-fee-schedule

Commercial negotiated rates for 96523 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules