CPT code 96375: IV push add-on, each additional new drug, sequential2026 Medicare rate & RVUs in South Dakota

Report 96375 for each additional sequential IV push of a different therapeutic, prophylactic, or diagnostic drug after a qualifying initial administration.

CMS RVU26DEffective Oct 1, 2026One payment locality1.4M Medicare services in 2024

In South Dakota, Medicare pays $15.48 for 96375 in the office.

$15.48Office (non-facility)
Not available in this settingHospital or facility
−1.4%vs the national office rate ($15.70)

Check a contract rate as a % of Medicare · 96375 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 96375 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 96375 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 96375 covers

This add-on captures a subsequent IV push of a different therapeutic, prophylactic, or diagnostic drug during the encounter. An IV push may be an injection administered and observed by a clinician throughout, or an administration lasting 15 minutes or less. In an oncology office or infusion suite, for example, a nurse might push ondansetron and then dexamethasone as separate supportive medications under physician supervision.

Report one unit for each different drug given by sequential IV push after a qualifying initial administration, such as an initial therapeutic infusion or IV push. A nonchemotherapy push may also follow an initial chemotherapy administration. Select the initial service under the drug-administration hierarchy rather than by the order in which drugs were given. Record each drug, route, administration time, and administering clinician. As an add-on, 96375 is billed with a primary procedure and paid within that procedure’s global period. Medicare treats it as an incident-to service billed only when performed under physician supervision. Report separately billable drug supplies with the appropriate drug codes.

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 96375

Across 109 of 109 payment localities, the office rate for 96375 runs from $13.84 in Arkansas to $21.23 in San Benito County, CA. South Dakota pays $15.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

96375 in South Dakota vs other payment areas
  1. South Dakota · this page$15.48
  2. Los Angeles, CA · California$17.92+$2.44
  3. Washington, DC area · District of Columbia$18.06+$2.58
  4. Miami, FL · Florida$16.70+$1.22
  5. Chicago, IL · Illinois$16.21+$0.73
  6. Manhattan, NY · New York$18.06+$2.58
  7. Alaska · Alaska$18.00+$2.52

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

Every other payment area

96375 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$14.05—
ArkansasArkansas$13.84—
ArizonaArizona$15.28—
Bakersfield, CACalifornia$16.79—
Chico, CACalifornia$16.75—
El Centro, CACalifornia$16.76—
Fresno, CACalifornia$16.75—
Hanford, CACalifornia$16.75—

96375 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.

$13.84

$18.99

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

View every state and territory as a table
96375 office rate range by state
State / territoryOffice rate rangeLocalities
AK$18.001
AL$14.051
AR$13.841
AZ$15.281
CA$16.75–$21.2329
CO$16.431
CT$16.761
DC$18.061
DE$15.541
FL$15.34–$16.703
GA$14.46–$15.972
GU$17.211
HI$17.211
IA$14.471
ID$14.561
IL$14.84–$16.304
IN$14.651
KS$14.381
KY$14.341
LA$14.30–$15.032
MA$16.32–$18.132
MD$15.85–$18.063
ME$14.61–$15.472
MI$14.70–$15.512
MN$15.811
MO$14.03–$15.123
MS$13.941
MT$15.701
NC$14.771
ND$15.501
NE$14.561
NH$16.151
NJ$16.97–$17.862
NM$14.771
NV$15.651
NY$15.00–$18.475
OH$14.651
OK$14.341
OR$15.55–$17.002
PA$14.69–$16.322
PR$15.831
RI$16.121
SC$14.731
SD$15.481
TN$14.451
TX$14.59–$16.368
UT$14.941
VA$15.40–$18.062
VI$15.831
VT$15.411
WA$16.30–$18.532
WI$14.961
WV$14.271
WY$15.611

See 96375 in every payment locality

How the 96375 rate is calculated

Each of 96375’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 · 96375

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.10

0.10 RVUs× 1.000 GPCI

Practice expense0.36

0.36 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.4700

Conversion factor

$33.4009

Medicare rate

$15.70

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

12,789

Code
96375
Physician work
0.10
Practice expense
0.36
Malpractice
0.01

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 96375 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.10× 1.0000.1000
Practice expense0.36× 1.0000.3600
Malpractice0.01× 0.3360.0034
Total RVUs0.4634
Conversion factor× 33.4009

Office rate, South Dakota$15.48

Office: (0.1 × 1 + 0.36 × 1 + 0.01 × 0.336) × $33.4009 = $15.48

Open 96375 in the RVU calculator

Payment rules and modifiers for 96375

The CMS indicators that decide how 96375 is paid alongside other services.

CMS payment indicators · 96375

IV push add-on, each additional new drug, sequential

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 96375 has changed in South Dakota

96375 · Office / nonfacility

$15.48

Effective 2026-10-01

The base rate is $1.45 higher than on 2025-10-01, moving from $14.03 to $15.48 (10.3%).

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

    $14.03changed to$15.48

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.33 changed to 0.36
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $15.11changed to$14.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.35 changed to 0.33

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $14.86changed to$15.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $15.37changed to$14.86

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

    RVU23A

    $16.04changed to$15.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.36 changed to 0.35
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $16.87changed to$16.04

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.38 changed to 0.36

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $16.37changed to$16.87

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.35 changed to 0.38
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $16.72changed to$16.37

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.36 changed to 0.35
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $18.14changed to$16.72

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.40 changed to 0.36

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $22.39changed to$18.14

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.52 changed to 0.40
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $22.34changed to$22.39

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $22.42changed to$22.34

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $22.31changed to$22.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $22.00changed to$22.31

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.51 changed to 0.52
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $22.26changed to$22.00

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.55 changed to 0.51
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $22.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$15.48Not available in this settingRVU26D
2026-07-01$15.48Not available in this settingRVU26C
2026-04-01$15.48Not available in this settingRVU26B
2026-01-01$15.48Not available in this settingRVU26A
2025-10-01$14.03Not available in this settingRVU25D
2025-07-01$14.03Not available in this settingRVU25C
2025-04-01$14.03Not available in this settingRVU25B
2025-01-01$14.03Not available in this settingRVU25A
2024-10-01$15.11Not available in this settingRVU24D
2024-07-01$15.11Not available in this settingRVU24C
2024-04-01$15.11Not available in this settingRVU24B
2024-03-09$15.11Not available in this settingRVU24AR
2024-01-01$14.86Not available in this settingRVU24A
2023-10-01$15.37Not available in this settingRVU23D
2023-07-01$15.37Not available in this settingRVU23C
2023-04-01$15.37Not available in this settingRVU23B
2023-01-01$15.37Not available in this settingRVU23A
2022-10-01$16.04Not available in this settingRVU22D
2022-07-01$16.04Not available in this settingRVU22C
2022-04-01$16.04Not available in this settingRVU22B
2022-01-01$16.04Not available in this settingRVU22A
2021-10-01$16.87Not available in this settingRVU21D
2021-07-01$16.87Not available in this settingRVU21C
2021-04-01$16.87Not available in this settingRVU21B
2021-01-01$16.87Not available in this settingRVU21A
2020-10-01$16.37Not available in this settingRVU20D
2020-07-01$16.37Not available in this settingRVU20C
2020-04-01$16.37Not available in this settingRVU20B
2020-01-01$16.37Not available in this settingRVU20A
2019-10-01$16.72Not available in this settingRVU19D
2019-07-01$16.72Not available in this settingRVU19C
2019-04-01$16.72Not available in this settingRVU19B
2019-01-01$16.72Not available in this settingRVU19A
2018-10-01$18.14Not available in this settingRVU18D
2018-07-01$18.14Not available in this settingRVU18C
2018-04-01$18.14Not available in this settingRVU18B
2018-01-01$18.14Not available in this settingRVU18AR1
2017-10-01$22.39Not available in this settingRVU17D
2017-07-01$22.39Not available in this settingRVU17C
2017-04-01$22.39Not available in this settingRVU17B
2017-01-01$22.39Not available in this settingRVU17A
2016-10-01$22.34Not available in this settingRVU16D
2016-07-01$22.34Not available in this settingRVU16C
2016-04-01$22.34Not available in this settingRVU16B
2016-01-01$22.34Not available in this settingRVU16A
2015-10-01$22.42Not available in this settingRVU15D
2015-07-01$22.42Not available in this settingRVU15C
2015-04-01$22.31Not available in this settingRVU15B
2015-01-01$22.31Not available in this settingRVU15A
2014-10-01$22.00Not available in this settingRVU14D
2014-07-01$22.00Not available in this settingRVU14C
2014-04-01$22.00Not available in this settingRVU14B
2014-01-01$22.00Not available in this settingRVU14A
2013-10-01$22.26Not available in this settingRVU13D
2013-07-01$22.26Not available in this settingRVU13C
2013-04-01$22.26Not available in this settingRVU13B
2013-01-01$22.26Not available in this settingRVU13AR

Price 96375 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

96375 billing questions

Which primary codes can 96375 be reported with?

Examples include an initial therapeutic IV infusion (96365), therapeutic IV push (96374), chemotherapy IV push (96409), or chemotherapy infusion (96413). Code 96375 cannot be billed alone.

How many units of 96375 can be billed in one encounter?

Report one unit for each different drug or substance administered by an additional sequential IV push. Repeating a push of the same drug does not create another unit of 96375.

What if the same drug is pushed again later in the visit?

A repeat push of the same drug does not qualify for 96375. In a facility, 96376 describes an additional push of that drug when it occurs more than 30 minutes after the prior push.

If the first administration is an IV push, is it reported with 96374 or 96375?

Select the initial service under the drug-administration hierarchy, not simply by administration order. If the encounter involves only therapeutic IV pushes, report 96374 for the initial drug and 96375 for each additional different drug.

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

A significant, separately identifiable E/M service beyond the usual pre-administration assessment may be reported with modifier 25 on the E/M code.

Does 96375 apply to chemotherapy drugs pushed after the initial chemotherapy service?

No. An additional sequential IV push of a chemotherapy or highly complex biologic drug is reported with 96411. Code 96375 describes an additional push of a nonchemotherapy therapeutic, prophylactic, or diagnostic drug.

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 96375PPRRVU2026_Oct_nonQPP.csv, line 12,789 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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