CPT code 96367: Sequential IV infusion, additional drug, up to one hour2026 Medicare rate & RVUs in North Dakota

Report this add-on for a different therapeutic, prophylactic, or diagnostic drug infused through an IV after another drug during the same encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality930.3K Medicare services in 2024

In North Dakota, Medicare pays $29.53 for 96367 in the office.

$29.53Office (non-facility)
Not available in this settingHospital or facility
−0.7%vs the national office rate ($29.73)

Check a contract rate as a % of Medicare · 96367 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 96367 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 96367 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 96367 covers

This service covers a second or later IV infusion of a different drug or infusate mix, administered in sequence during the same encounter. A typical office or infusion-suite example is one IV antibiotic followed by a different IV medication through the same access. Nurses or other clinical staff usually administer and monitor the infusion under physician supervision. Administration lasting 15 minutes or less is classified as an IV push rather than an infusion.

Report 96367 with a qualifying primary administration code, such as 96365, 96374, 96409, or 96413; the initial code is selected under administration coding hierarchy, not simply by which drug ran first. CMS pays this add-on within the primary procedure’s global period. Each distinct sequential drug or infusate mix supports a unit; additional time on that infusion may support 96366 when it exceeds the first hour by more than 30 minutes. Document each drug, route, sequence, and start and stop times. In the office, this incident-to service requires physician supervision. A separately reportable drug may also have its own HCPCS code.

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 North Dakota compares for 96367

Across 109 of 109 payment localities, the office rate for 96367 runs from $26.32 in Arkansas to $40.46 in San Benito County, CA. North Dakota pays $29.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

96367 in North Dakota vs other payment areas
  1. North Dakota · this page$29.53
  2. Los Angeles, CA · California$34.09+$4.56
  3. Washington, DC area · District of Columbia$34.21+$4.68
  4. Miami, FL · Florida$31.18+$1.65
  5. Chicago, IL · Illinois$30.32+$0.79
  6. Manhattan, NY · New York$34.06+$4.53
  7. Alaska · Alaska$34.25+$4.72

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

Every other payment area

96367 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$26.70—
ArkansasArkansas$26.32—
ArizonaArizona$28.96—
Bakersfield, CACalifornia$31.93—
Chico, CACalifornia$31.89—
El Centro, CACalifornia$31.89—
Fresno, CACalifornia$31.89—
Hanford, CACalifornia$31.89—

96367 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.

$26.32

$36.18

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

View every state and territory as a table
96367 office rate range by state
State / territoryOffice rate rangeLocalities
AK$34.251
AL$26.701
AR$26.321
AZ$28.961
CA$31.89–$40.4629
CO$31.201
CT$31.701
DC$34.211
DE$29.451
FL$28.88–$31.183
GA$27.30–$30.182
GU$32.741
HI$32.741
IA$27.571
ID$27.711
IL$27.91–$30.654
IN$27.871
KS$27.351
KY$27.141
LA$27.06–$28.412
MA$30.98–$34.422
MD$30.04–$34.213
ME$27.76–$29.402
MI$27.76–$29.152
MN$30.161
MO$26.54–$28.623
MS$26.441
MT$29.731
NC$28.061
ND$29.531
NE$27.741
NH$30.631
NJ$32.13–$33.842
NM$27.881
NV$29.691
NY$28.48–$34.785
OH$27.721
OK$27.191
OR$29.54–$32.302
PA$27.82–$30.852
PR$29.981
RI$30.571
SC$27.931
SD$29.511
TN$27.471
TX$27.63–$31.048
UT$28.311
VA$29.24–$34.212
VI$29.981
VT$29.331
WA$30.95–$35.212
WI$28.531
WV$26.851
WY$29.641

See 96367 in every payment locality

How the 96367 rate is calculated

Each of 96367’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 · 96367

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.19

0.19 RVUs× 1.000 GPCI

Practice expense0.69

0.69 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.8900

Conversion factor

$33.4009

Medicare rate

$29.73

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,781

Code
96367
Physician work
0.19
Practice expense
0.69
Malpractice
0.01

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 96367 in North Dakota
ComponentRVULocality factorAdjusted
Physician work0.19× 1.0000.1900
Practice expense0.69× 1.0000.6900
Malpractice0.01× 0.4060.0041
Total RVUs0.8841
Conversion factor× 33.4009

Office rate, North Dakota$29.53

Office: (0.19 × 1 + 0.69 × 1 + 0.01 × 0.406) × $33.4009 = $29.53

Open 96367 in the RVU calculator

Payment rules and modifiers for 96367

The CMS indicators that decide how 96367 is paid alongside other services.

CMS payment indicators · 96367

Sequential IV infusion, additional drug, up to one hour

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
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 96367 has changed in North Dakota

96367 · Office / nonfacility

$29.53

Effective 2026-10-01

The base rate is $3.16 higher than on 2025-10-01, moving from $26.37 to $29.53 (12.0%).

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

    $26.37changed to$29.53

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.62 changed to 0.69
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $28.13changed to$26.37

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.65 changed to 0.62

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $27.67changed to$28.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $28.96changed to$27.67

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.66 changed to 0.65
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $30.41changed to$28.96

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.68 changed to 0.66
    • Malpractice RVU 0.02 changed to 0.01
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $31.70changed to$30.41

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.71 changed to 0.68

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $31.03changed to$31.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.66 changed to 0.71
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $31.38changed to$31.03

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.67 changed to 0.66
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $31.71changed to$31.38

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.68 changed to 0.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $30.90changed to$31.71

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.66 changed to 0.68
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $30.47changed to$30.90

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.65 changed to 0.66
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $30.38changed to$30.47

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.01 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $30.23changed to$30.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $29.92changed to$30.23

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.64 changed to 0.65
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $31.82changed to$29.92

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.74 changed to 0.64
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $31.82

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$29.53Not available in this settingRVU26D
2026-07-01$29.53Not available in this settingRVU26C
2026-04-01$29.53Not available in this settingRVU26B
2026-01-01$29.53Not available in this settingRVU26A
2025-10-01$26.37Not available in this settingRVU25D
2025-07-01$26.37Not available in this settingRVU25C
2025-04-01$26.37Not available in this settingRVU25B
2025-01-01$26.37Not available in this settingRVU25A
2024-10-01$28.13Not available in this settingRVU24D
2024-07-01$28.13Not available in this settingRVU24C
2024-04-01$28.13Not available in this settingRVU24B
2024-03-09$28.13Not available in this settingRVU24AR
2024-01-01$27.67Not available in this settingRVU24A
2023-10-01$28.96Not available in this settingRVU23D
2023-07-01$28.96Not available in this settingRVU23C
2023-04-01$28.96Not available in this settingRVU23B
2023-01-01$28.96Not available in this settingRVU23A
2022-10-01$30.41Not available in this settingRVU22D
2022-07-01$30.41Not available in this settingRVU22C
2022-04-01$30.41Not available in this settingRVU22B
2022-01-01$30.41Not available in this settingRVU22A
2021-10-01$31.70Not available in this settingRVU21D
2021-07-01$31.70Not available in this settingRVU21C
2021-04-01$31.70Not available in this settingRVU21B
2021-01-01$31.70Not available in this settingRVU21A
2020-10-01$31.03Not available in this settingRVU20D
2020-07-01$31.03Not available in this settingRVU20C
2020-04-01$31.03Not available in this settingRVU20B
2020-01-01$31.03Not available in this settingRVU20A
2019-10-01$31.38Not available in this settingRVU19D
2019-07-01$31.38Not available in this settingRVU19C
2019-04-01$31.38Not available in this settingRVU19B
2019-01-01$31.38Not available in this settingRVU19A
2018-10-01$31.71Not available in this settingRVU18D
2018-07-01$31.71Not available in this settingRVU18C
2018-04-01$31.71Not available in this settingRVU18B
2018-01-01$31.71Not available in this settingRVU18AR1
2017-10-01$30.90Not available in this settingRVU17D
2017-07-01$30.90Not available in this settingRVU17C
2017-04-01$30.90Not available in this settingRVU17B
2017-01-01$30.90Not available in this settingRVU17A
2016-10-01$30.47Not available in this settingRVU16D
2016-07-01$30.47Not available in this settingRVU16C
2016-04-01$30.47Not available in this settingRVU16B
2016-01-01$30.47Not available in this settingRVU16A
2015-10-01$30.38Not available in this settingRVU15D
2015-07-01$30.38Not available in this settingRVU15C
2015-04-01$30.23Not available in this settingRVU15B
2015-01-01$30.23Not available in this settingRVU15A
2014-10-01$29.92Not available in this settingRVU14D
2014-07-01$29.92Not available in this settingRVU14C
2014-04-01$29.92Not available in this settingRVU14B
2014-01-01$29.92Not available in this settingRVU14A
2013-10-01$31.82Not available in this settingRVU13D
2013-07-01$31.82Not available in this settingRVU13C
2013-04-01$31.82Not available in this settingRVU13B
2013-01-01$31.82Not available in this settingRVU13AR

Price 96367 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

96367 billing questions

Which primary codes can 96367 be reported with?

Qualifying initial administration codes include therapeutic infusion 96365, IV push 96374, chemotherapy push 96409, and chemotherapy infusion 96413. Select the initial code by administration coding hierarchy; 96367 cannot stand alone.

How is 96367 different from 96366?

96367 identifies an additional drug infused in sequence. 96366 captures additional infusion time, including time on a sequential infusion that exceeds its first hour by more than 30 minutes.

What if the second drug is administered over 15 minutes or less?

Administration lasting 15 minutes or less is classified as an IV push. For a new drug given in sequence, report 96375 rather than 96367.

Can 96367 be reported more than once per encounter?

Yes. Report a unit for each distinct drug or infusate mix infused in sequence; several drugs administered together as one mix constitute one infusion.

Is an E/M visit billable on the same day?

A significant, separately identifiable provider evaluation may be reported with modifier 25 on the E/M code. Routine staff assessment related to the infusion is part of administration.

Who can perform the service in the office?

Clinical staff such as infusion nurses usually administer and monitor the drug. For Medicare incident-to billing, the required physician supervision must be met.

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 96367PPRRVU2026_Oct_nonQPP.csv, line 12,781 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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