CPT code 96360: Hydration infusion, initial service2026 Medicare rate & RVUs in South Dakota

Reports an initial IV fluid infusion for clinically indicated hydration, such as fluid replacement for dehydration, when the documented infusion meets the required duration.

CMS RVU26DEffective Oct 1, 2026One payment locality222.4K Medicare services in 2024

In South Dakota, Medicare pays $33.18 for 96360 in the office.

$33.18Office (non-facility)
Not available in this settingHospital or facility
−0.7%vs the national office rate ($33.40)

Check a contract rate as a % of Medicare · 96360 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 96360 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 96360 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 96360 covers

96360 reports IV fluids given to replace fluid volume, such as hydration for documented dehydration after vomiting or poor oral intake. A nurse or other clinical staff member commonly administers the infusion in an office, clinic, or emergency department. The service is fluid replacement, not the administration of a therapeutic medication; fluid used only as a drug carrier or to keep an IV line open does not establish hydration as a separately reportable service.

Report 96360 for an infusion lasting 31 minutes through one hour, supported by the infusion record and documentation of the clinical need for hydration. Report it once as the initial hydration service; 96361 is the add-on code for qualifying additional hydration time. When a medication is infused, distinguish its administration from any separately medically necessary hydration. Medicare treats this as an incident-to service and permits billing only when performed under physician supervision.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 96360

Across 109 of 109 payment localities, the office rate for 96360 runs from $29.38 in Arkansas to $45.98 in San Benito County, CA. South Dakota pays $33.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

96360 in South Dakota vs other payment areas
  1. South Dakota · this page$33.18
  2. Los Angeles, CA · California$38.53+$5.35
  3. Washington, DC area · District of Columbia$38.62+$5.44
  4. Miami, FL · Florida$35.03+$1.85
  5. Chicago, IL · Illinois$34.01+$0.83
  6. Manhattan, NY · New York$38.40+$5.22
  7. Alaska · Alaska$37.87+$4.69

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

96360 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$29.83—
ArkansasArkansas$29.38—
ArizonaArizona$32.50—
Bakersfield, CACalifornia$36.01—
Chico, CACalifornia$35.97—
El Centro, CACalifornia$35.97—
Fresno, CACalifornia$35.97—
Hanford, CACalifornia$35.97—

96360 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$29.38

$40.97

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
96360 office rate range by state
State / territoryOffice rate rangeLocalities
AK$37.871
AL$29.831
AR$29.381
AZ$32.501
CA$35.97–$45.9829
CO$35.151
CT$35.691
DC$38.621
DE$33.071
FL$32.36–$35.033
GA$30.51–$33.922
GU$37.011
HI$37.011
IA$30.871
ID$31.031
IL$31.21–$34.444
IN$31.231
KS$30.611
KY$30.331
LA$30.24–$31.832
MA$34.88–$38.912
MD$33.76–$38.623
ME$31.08–$33.032
MI$31.06–$32.672
MN$33.961
MO$29.61–$32.093
MS$29.511
MT$33.401
NC$31.451
ND$33.201
NE$31.081
NH$34.481
NJ$36.18–$38.162
NM$31.191
NV$33.371
NY$31.93–$39.235
OH$31.021
OK$30.401
OR$33.19–$36.452
PA$31.14–$34.692
PR$33.701
RI$34.381
SC$31.271
SD$33.181
TN$30.751
TX$30.91–$34.968
UT$31.721
VA$32.84–$38.622
VI$33.701
VT$32.961
WA$34.85–$39.842
WI$32.021
WV$29.961
WY$33.311

See 96360 in every payment locality

How the 96360 rate is calculated

Each of 96360’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 96360

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.82

0.82 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.0000

Conversion factor

$33.4009

Medicare rate

$33.40

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,777

Code
96360
Physician work
0.17
Practice expense
0.82
Malpractice
0.01

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 96360 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.82× 1.0000.8200
Malpractice0.01× 0.3360.0034
Total RVUs0.9934
Conversion factor× 33.4009

Office rate, South Dakota$33.18

Office: (0.17 × 1 + 0.82 × 1 + 0.01 × 0.336) × $33.4009 = $33.18

Open 96360 in the RVU calculator

Payment rules and modifiers for 96360

The CMS indicators that decide how 96360 is paid alongside other services.

CMS payment indicators · 96360

Hydration infusion, initial service

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

How 96360 has changed in South Dakota

96360 · Office / nonfacility

$33.18

Effective 2026-10-01

The base rate is $3.30 higher than on 2025-10-01, moving from $29.88 to $33.18 (11.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $29.88changed to$33.18

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.75 changed to 0.82
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $32.08changed to$29.88

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.79 changed to 0.75

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $31.56changed to$32.08

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $32.66changed to$31.56

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $34.50changed to$32.66

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.82 changed to 0.79
    • Malpractice RVU 0.02 changed to 0.01
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $35.83changed to$34.50

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.85 changed to 0.82

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $34.19changed to$35.83

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.77 changed to 0.85
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $38.12changed to$34.19

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.88 changed to 0.77
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $47.08changed to$38.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.13 changed to 0.88

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $57.85changed to$47.08

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.43 changed to 1.13
    • Malpractice RVU 0.03 changed to 0.02
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $57.00changed to$57.85

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.41 changed to 1.43
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $57.57changed to$57.00

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.42 changed to 1.41

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $57.28changed to$57.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $56.33changed to$57.28

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.39 changed to 1.42
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $57.94changed to$56.33

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.52 changed to 1.39
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $57.94

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$33.18Not available in this settingRVU26D
2026-07-01$33.18Not available in this settingRVU26C
2026-04-01$33.18Not available in this settingRVU26B
2026-01-01$33.18Not available in this settingRVU26A
2025-10-01$29.88Not available in this settingRVU25D
2025-07-01$29.88Not available in this settingRVU25C
2025-04-01$29.88Not available in this settingRVU25B
2025-01-01$29.88Not available in this settingRVU25A
2024-10-01$32.08Not available in this settingRVU24D
2024-07-01$32.08Not available in this settingRVU24C
2024-04-01$32.08Not available in this settingRVU24B
2024-03-09$32.08Not available in this settingRVU24AR
2024-01-01$31.56Not available in this settingRVU24A
2023-10-01$32.66Not available in this settingRVU23D
2023-07-01$32.66Not available in this settingRVU23C
2023-04-01$32.66Not available in this settingRVU23B
2023-01-01$32.66Not available in this settingRVU23A
2022-10-01$34.50Not available in this settingRVU22D
2022-07-01$34.50Not available in this settingRVU22C
2022-04-01$34.50Not available in this settingRVU22B
2022-01-01$34.50Not available in this settingRVU22A
2021-10-01$35.83Not available in this settingRVU21D
2021-07-01$35.83Not available in this settingRVU21C
2021-04-01$35.83Not available in this settingRVU21B
2021-01-01$35.83Not available in this settingRVU21A
2020-10-01$34.19Not available in this settingRVU20D
2020-07-01$34.19Not available in this settingRVU20C
2020-04-01$34.19Not available in this settingRVU20B
2020-01-01$34.19Not available in this settingRVU20A
2019-10-01$38.12Not available in this settingRVU19D
2019-07-01$38.12Not available in this settingRVU19C
2019-04-01$38.12Not available in this settingRVU19B
2019-01-01$38.12Not available in this settingRVU19A
2018-10-01$47.08Not available in this settingRVU18D
2018-07-01$47.08Not available in this settingRVU18C
2018-04-01$47.08Not available in this settingRVU18B
2018-01-01$47.08Not available in this settingRVU18AR1
2017-10-01$57.85Not available in this settingRVU17D
2017-07-01$57.85Not available in this settingRVU17C
2017-04-01$57.85Not available in this settingRVU17B
2017-01-01$57.85Not available in this settingRVU17A
2016-10-01$57.00Not available in this settingRVU16D
2016-07-01$57.00Not available in this settingRVU16C
2016-04-01$57.00Not available in this settingRVU16B
2016-01-01$57.00Not available in this settingRVU16A
2015-10-01$57.57Not available in this settingRVU15D
2015-07-01$57.57Not available in this settingRVU15C
2015-04-01$57.28Not available in this settingRVU15B
2015-01-01$57.28Not available in this settingRVU15A
2014-10-01$56.33Not available in this settingRVU14D
2014-07-01$56.33Not available in this settingRVU14C
2014-04-01$56.33Not available in this settingRVU14B
2014-01-01$56.33Not available in this settingRVU14A
2013-10-01$57.94Not available in this settingRVU13D
2013-07-01$57.94Not available in this settingRVU13C
2013-04-01$57.94Not available in this settingRVU13B
2013-01-01$57.94Not available in this settingRVU13AR

Price 96360 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

96360 billing questions

How is 96360 different from 96365?

96360 is for IV fluid replacement for hydration. Use 96365 when the service is an infusion of a therapeutic, prophylactic, or diagnostic medication.

What infusion time supports 96360?

The initial hydration infusion must last at least 31 minutes and no more than one hour for 96360. Document the infusion duration in the administration record.

When is 96361 reported with 96360?

96361 is the add-on code for qualifying additional hydration time beyond the initial service. It is not reported by itself.

Can hydration be billed when medication is infused during the encounter?

Report hydration separately only when it is independently medically necessary and meets the hydration coding requirements. Fluid serving only as a medication carrier or line flush is not a separate hydration service.

What documentation supports 96360?

Document the clinical reason for fluid replacement, the fluid administered, and the infusion duration. Medicare billing also requires performance under physician supervision because this is an incident-to service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 96360PPRRVU2026_Oct_nonQPP.csv, line 12,777 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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