CPT code 96368: Concurrent infusion, additional IV substance2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $20.49 for 96368 in the office.

Check a contract rate as a % of Medicare · 96368 nationwide

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

What 96368 covers

CPT 96368 captures an additional therapeutic, prophylactic, or diagnostic substance running at the same time as another IV infusion, rather than after it. It is used in outpatient infusion settings such as physician offices and infusion centers, where nursing staff typically administer the medications under physician supervision. The code concerns concurrent administration through IV access; it is not a code for an IV push or a subcutaneous infusion.

Report 96368 only with a primary infusion procedure, not by itself. The record should identify the substances, infusion routes, and timing that establish that the administrations overlapped. Distinguish a concurrent infusion from a separate substance given sequentially, which may support a different add-on code. CMS classifies this as an add-on service, with payment included within the primary procedure’s global period. It is an incident-to service and is billed 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 96368

Across 109 of 109 payment localities, the office rate for 96368 runs from $18.47 in Arkansas to $27.67 in San Benito County, CA. South Dakota pays $20.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

96368 rates by state

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

See 96368 in every payment locality

How the 96368 rate is calculated

Each of 96368’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.

Payment rules and modifiers for 96368

The CMS indicators that decide how 96368 is paid alongside other services.

Codes related to 96368

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 96368 has changed in South Dakota

Price 96368 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

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

Open CMS sourceHow we calculate rates