CPT code 36465: Foam sclerotherapy, one incompetent truncal vein2026 Medicare rate & RVUs in Marin County, CA
Reports ultrasound-guided treatment of one incompetent truncal vein using noncompounded foam sclerosant for symptomatic venous reflux.
In Marin County, CA, Medicare pays $1,774.77 for 36465 in the office and $109.48 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36465 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 36465 covers
This service treats venous reflux in one incompetent truncal vein, such as the great saphenous or an accessory saphenous vein. The clinician injects noncompounded foam sclerosant percutaneously and uses ultrasound and compression maneuvers to guide its spread and monitor treatment. Vascular specialists commonly perform it in an office or outpatient setting for patients with symptomatic varicose veins related to truncal reflux.
Report one unit for treatment of one qualifying truncal vein. Documentation should identify the treated vein and extremity, the reflux problem, and the foam treatment performed. Ultrasound guidance and monitoring for this treatment are included. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 results in payment at 150% for bilateral treatment. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
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 Marin County, CA compares for 36465
Across 109 of 109 payment localities, the office rate for 36465 runs from $1,110.46 in Arkansas to $1,815.36 in San Benito County, CA. Marin County, CA pays $1,774.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Marin County, CA · this page$1,774.77
- Bakersfield, CA · California$1,396.42−$378.35
- Chico, CA · California$1,395.10−$379.67
- El Centro, CA · California$1,395.18−$379.59
- Fresno, CA · California$1,395.10−$379.67
- Hanford, CA · California$1,395.10−$379.67
- Los Angeles, CA · California$1,502.87−$271.90
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $1,395.10 | $100.66 |
| Merced, CACalifornia | $1,395.10 | $100.66 |
| Modesto, CACalifornia | $1,395.10 | $100.66 |
| Napa, CACalifornia | $1,663.25 | $106.62 |
| Oxnard, CACalifornia | $1,500.02 | $104.02 |
| Redding, CACalifornia | $1,395.10 | $100.66 |
| Rest of CaliforniaCalifornia | $1,395.10 | $100.66 |
| Riverside, CACalifornia | $1,400.25 | $105.82 |
| Sacramento, CACalifornia | $1,476.55 | $102.98 |
| Salinas, CACalifornia | $1,471.39 | $102.55 |
| San Diego, CACalifornia | $1,515.59 | $103.05 |
| San Francisco, CACalifornia | $1,774.22 | $108.94 |
| San Benito County, CACalifornia | $1,815.36 | $112.28 |
| Santa Clara County, CACalifornia | $1,813.13 | $110.05 |
| San Luis Obispo, CACalifornia | $1,446.44 | $101.22 |
| Santa Cruz, CACalifornia | $1,537.50 | $102.51 |
| Santa Maria, CACalifornia | $1,479.52 | $102.41 |
| Santa Rosa, CACalifornia | $1,553.71 | $103.37 |
| Stockton, CACalifornia | $1,395.10 | $100.66 |
| Vallejo, CACalifornia | $1,662.47 | $105.83 |
| Visalia, CACalifornia | $1,395.10 | $100.66 |
| Yuba City, CACalifornia | $1,395.10 | $100.66 |
| Washington, DC areaDistrict of Columbia | $1,505.09 | $113.81 |
| Miami, FLFlorida | $1,360.07 | $130.59 |
| Chicago, ILIllinois | $1,313.87 | $126.91 |
| Manhattan, NYNew York | $1,494.33 | $121.95 |
| AlaskaAlaska | $1,395.26 | $137.44 |
| AlabamaAlabama | $1,130.38 | $96.96 |
| ArkansasArkansas | $1,110.46 | $95.93 |
| ArizonaArizona | $1,247.28 | $102.83 |
| ColoradoColorado | $1,360.43 | $103.79 |
| ConnecticutConnecticut | $1,383.44 | $111.45 |
| DelawareDelaware | $1,271.04 | $104.15 |
| Fort Lauderdale, FLFlorida | $1,315.08 | $118.67 |
| Rest of FloridaFlorida | $1,242.13 | $113.04 |
| Atlanta, GAGeorgia | $1,309.16 | $109.21 |
| Rest of GeorgiaGeorgia | $1,160.72 | $107.22 |
| Hawaii, Guam, HIHawaii | $1,443.44 | $100.58 |
| IowaIowa | $1,175.44 | $94.77 |
| IdahoIdaho | $1,182.63 | $96.06 |
| East St. Louis, ILIllinois | $1,207.33 | $120.76 |
| Rest of IllinoisIllinois | $1,191.74 | $113.44 |
| Suburban Chicago, ILIllinois | $1,331.76 | $118.81 |
| IndianaIndiana | $1,191.19 | $96.36 |
| KansasKansas | $1,164.02 | $96.34 |
| KentuckyKentucky | $1,152.70 | $102.74 |
| New Orleans, LALouisiana | $1,218.33 | $106.96 |
| Rest of LouisianaLouisiana | $1,148.61 | $103.38 |
| Metropolitan Boston, MAMassachusetts | $1,519.63 | $109.45 |
| Rest of MassachusettsMassachusetts | $1,347.86 | $104.21 |
| Baltimore area, MDMaryland | $1,378.79 | $111.52 |
| Rest of MarylandMaryland | $1,300.38 | $105.15 |
| Rest of MaineMaine | $1,185.02 | $98.44 |
| Southern Maine, MEMaine | $1,269.94 | $99.51 |
| Detroit, MIMichigan | $1,255.81 | $116.09 |
| Rest of MichiganMichigan | $1,184.79 | $106.48 |
| MinnesotaMinnesota | $1,309.94 | $94.64 |
| Metropolitan Kansas City, MOMissouri | $1,213.39 | $104.38 |
| Metropolitan St. Louis, MOMissouri | $1,229.32 | $104.95 |
| Rest of MissouriMissouri | $1,121.40 | $103.33 |
| MississippiMississippi | $1,116.44 | $99.55 |
| MontanaMontana | $1,286.57 | $105.51 |
| North CarolinaNorth Carolina | $1,200.81 | $98.89 |
| North DakotaNorth Dakota | $1,277.08 | $96.02 |
| NebraskaNebraska | $1,184.69 | $94.57 |
| New HampshireNew Hampshire | $1,333.56 | $104.08 |
| Northern New JerseyNew Jersey | $1,483.56 | $113.54 |
| Rest of New JerseyNew Jersey | $1,401.07 | $111.36 |
| New MexicoNew Mexico | $1,190.72 | $107.69 |
| NevadaNevada | $1,285.12 | $102.88 |
| NYC suburbs and Long Island, NYNew York | $1,530.92 | $126.64 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,406.85 | $113.59 |
| Queens, NYNew York | $1,515.91 | $119.90 |
| Rest of New YorkNew York | $1,222.14 | $100.13 |
| OhioOhio | $1,182.85 | $104.54 |
| OklahomaOklahoma | $1,155.26 | $100.58 |
| Portland, OROregon | $1,416.27 | $104.11 |
| Rest of OregonOregon | $1,277.06 | $100.73 |
| Metropolitan Philadelphia, PAPennsylvania | $1,340.03 | $110.55 |
| Rest of PennsylvaniaPennsylvania | $1,187.81 | $103.60 |
| Puerto RicoPuerto Rico | $1,299.50 | $105.45 |
| Rhode IslandRhode Island | $1,325.73 | $105.70 |
| South CarolinaSouth Carolina | $1,193.45 | $102.15 |
| South DakotaSouth Dakota | $1,275.96 | $94.90 |
| TennesseeTennessee | $1,170.52 | $96.94 |
| Austin, TXTexas | $1,354.18 | $104.63 |
| Beaumont, TXTexas | $1,178.00 | $103.24 |
| Brazoria, TXTexas | $1,272.94 | $102.51 |
| Dallas, TXTexas | $1,280.24 | $103.91 |
| Fort Worth, TXTexas | $1,268.51 | $103.98 |
| Galveston, TXTexas | $1,276.10 | $103.31 |
| Houston, TXTexas | $1,284.88 | $112.10 |
| Rest of TexasTexas | $1,224.15 | $103.33 |
| UtahUtah | $1,213.32 | $103.13 |
| VirginiaVirginia | $1,261.59 | $100.61 |
| Virgin Islands, VIUnited States Virgin Islands | $1,299.50 | $105.45 |
| VermontVermont | $1,266.74 | $97.50 |
| Rest of WashingtonWashington | $1,347.05 | $103.40 |
| King County, WAWashington | $1,558.55 | $109.39 |
| WisconsinWisconsin | $1,225.36 | $93.91 |
| West VirginiaWest Virginia | $1,137.09 | $110.75 |
| WyomingWyoming | $1,282.43 | $101.38 |
36465 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.
$1,110.46
$1,605.23
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,395.26 | 1 |
| AL | $1,130.38 | 1 |
| AR | $1,110.46 | 1 |
| AZ | $1,247.28 | 1 |
| CA | $1,395.10–$1,815.36 | 29 |
| CO | $1,360.43 | 1 |
| CT | $1,383.44 | 1 |
| DC | $1,505.09 | 1 |
| DE | $1,271.04 | 1 |
| FL | $1,242.13–$1,360.07 | 3 |
| GA | $1,160.72–$1,309.16 | 2 |
| GU | $1,443.44 | 1 |
| HI | $1,443.44 | 1 |
| IA | $1,175.44 | 1 |
| ID | $1,182.63 | 1 |
| IL | $1,191.74–$1,331.76 | 4 |
| IN | $1,191.19 | 1 |
| KS | $1,164.02 | 1 |
| KY | $1,152.70 | 1 |
| LA | $1,148.61–$1,218.33 | 2 |
| MA | $1,347.86–$1,519.63 | 2 |
| MD | $1,300.38–$1,505.09 | 3 |
| ME | $1,185.02–$1,269.94 | 2 |
| MI | $1,184.79–$1,255.81 | 2 |
| MN | $1,309.94 | 1 |
| MO | $1,121.40–$1,229.32 | 3 |
| MS | $1,116.44 | 1 |
| MT | $1,286.57 | 1 |
| NC | $1,200.81 | 1 |
| ND | $1,277.08 | 1 |
| NE | $1,184.69 | 1 |
| NH | $1,333.56 | 1 |
| NJ | $1,401.07–$1,483.56 | 2 |
| NM | $1,190.72 | 1 |
| NV | $1,285.12 | 1 |
| NY | $1,222.14–$1,530.92 | 5 |
| OH | $1,182.85 | 1 |
| OK | $1,155.26 | 1 |
| OR | $1,277.06–$1,416.27 | 2 |
| PA | $1,187.81–$1,340.03 | 2 |
| PR | $1,299.50 | 1 |
| RI | $1,325.73 | 1 |
| SC | $1,193.45 | 1 |
| SD | $1,275.96 | 1 |
| TN | $1,170.52 | 1 |
| TX | $1,178.00–$1,354.18 | 8 |
| UT | $1,213.32 | 1 |
| VA | $1,261.59–$1,505.09 | 2 |
| VI | $1,299.50 | 1 |
| VT | $1,266.74 | 1 |
| WA | $1,347.05–$1,558.55 | 2 |
| WI | $1,225.36 | 1 |
| WV | $1,137.09 | 1 |
| WY | $1,282.43 | 1 |
How the 36465 rate is calculated
Each of 36465’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 · 36465
RVUs × geographic indexes × conversion factor
Work2.29
2.29 RVUs× 1.000 GPCI
Practice expense35.75
35.75 RVUs× 1.000 GPCI
Malpractice0.48
0.48 RVUs× 1.000 GPCI
Adjusted RVUs
38.5200
Conversion factor
$33.4009
Medicare rate
$1,286.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Marin County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,481
- Code
- 36465
- Physician work
- 2.29
- Practice expense
- 35.75
- Malpractice
- 0.48
GPCI2026.csv
25
- Locality
- Marin County, CA
- Physician work
- 1.095
- Practice expense
- 1.410
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.29 | × 1.095 | 2.5076 |
| Practice expense | 35.75 | × 1.410 | 50.4075 |
| Malpractice | 0.48 | × 0.459 | 0.2203 |
| Total RVUs | 53.1354 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Marin County, CA$1774.77
Office: (2.29 × 1.095 + 35.75 × 1.41 + 0.48 × 0.459) × $33.4009 = $1774.77
Facility: (2.29 × 1.095 + 0.39 × 1.41 + 0.48 × 0.459) × $33.4009 = $109.48
Payment rules and modifiers for 36465
The CMS indicators that decide how 36465 is paid alongside other services.
CMS payment indicators · 36465
Foam sclerotherapy, one incompetent truncal vein
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
36465 without 50 · national office
$1,286.60
Foam sclerotherapy, one incompetent truncal vein
36465-50 · Bilateral: 150%
$1,929.90
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 36465 has changed in Marin County, CA
36465 · Office / nonfacility
$1774.77
Effective 2026-10-01
The base rate is $135.96 higher than on 2025-10-01, moving from $1638.81 to $1774.77 (8.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$1638.81changed to$1774.77
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.35 changed to 2.29
- Practice expense RVU 33.74 changed to 35.75
- Malpractice RVU 0.49 changed to 0.48
- Work GPCI 1.088 changed to 1.095
- Practice expense GPCI 1.419 changed to 1.410
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1764.90changed to$1638.81
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 35.41 changed to 33.74
- Malpractice RVU 0.46 changed to 0.49
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1736.09changed to$1764.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1802.22changed to$1736.09
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 36.70 changed to 35.41
- Malpractice RVU 0.44 changed to 0.46
- Work GPCI 1.082 changed to 1.088
- Practice expense GPCI 1.374 changed to 1.419
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$1839.09changed to$1802.22
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 37.92 changed to 36.70
- Malpractice RVU 0.43 changed to 0.44
- Work GPCI 1.077 changed to 1.082
- Practice expense GPCI 1.329 changed to 1.374
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1993.69changed to$1839.09
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 41.49 changed to 37.92
- Malpractice RVU 0.45 changed to 0.43
- Work GPCI 1.071 changed to 1.077
- Practice expense GPCI 1.311 changed to 1.329
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1980.34changed to$1993.69
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 40.14 changed to 41.49
- Malpractice RVU 0.46 changed to 0.45
- Work GPCI 1.068 changed to 1.071
- Practice expense GPCI 1.299 changed to 1.311
- Malpractice GPCI 0.481 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1997.17changed to$1980.34
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 40.82 changed to 40.14
- Malpractice RVU 0.47 changed to 0.46
- Work GPCI 1.065 changed to 1.068
- Practice expense GPCI 1.291 changed to 1.299
- Malpractice GPCI 0.458 changed to 0.481
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$2044.94changed to$1997.17
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 42.29 changed to 40.82
- Malpractice RVU 0.48 changed to 0.47
- Work GPCI 1.062 changed to 1.065
- Practice expense GPCI 1.279 changed to 1.291
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$2044.94
Held through RVU18B, RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,774.77 | $109.48 | RVU26D |
| 2026-07-01 | $1,774.77 | $109.48 | RVU26C |
| 2026-04-01 | $1,774.77 | $109.48 | RVU26B |
| 2026-01-01 | $1,774.77 | $109.48 | RVU26A |
| 2025-10-01 | $1,638.81 | $122.28 | RVU25D |
| 2025-07-01 | $1,638.81 | $122.28 | RVU25C |
| 2025-04-01 | $1,638.81 | $122.28 | RVU25B |
| 2025-01-01 | $1,638.81 | $122.28 | RVU25A |
| 2024-10-01 | $1,764.90 | $124.43 | RVU24D |
| 2024-07-01 | $1,764.90 | $124.43 | RVU24C |
| 2024-04-01 | $1,764.90 | $124.43 | RVU24B |
| 2024-03-09 | $1,764.90 | $124.43 | RVU24AR |
| 2024-01-01 | $1,736.09 | $122.40 | RVU24A |
| 2023-10-01 | $1,802.22 | $125.55 | RVU23D |
| 2023-07-01 | $1,802.22 | $125.55 | RVU23C |
| 2023-04-01 | $1,802.22 | $125.55 | RVU23B |
| 2023-01-01 | $1,802.22 | $125.55 | RVU23A |
| 2022-10-01 | $1,839.09 | $126.36 | RVU22D |
| 2022-07-01 | $1,839.09 | $126.36 | RVU22C |
| 2022-04-01 | $1,839.09 | $126.36 | RVU22B |
| 2022-01-01 | $1,839.09 | $126.36 | RVU22A |
| 2021-10-01 | $1,993.69 | $126.38 | RVU21D |
| 2021-07-01 | $1,993.69 | $126.38 | RVU21C |
| 2021-04-01 | $1,993.69 | $126.38 | RVU21B |
| 2021-01-01 | $1,993.69 | $126.38 | RVU21A |
| 2020-10-01 | $1,980.34 | $129.97 | RVU20D |
| 2020-07-01 | $1,980.34 | $129.97 | RVU20C |
| 2020-04-01 | $1,980.34 | $129.97 | RVU20B |
| 2020-01-01 | $1,980.34 | $129.97 | RVU20A |
| 2019-10-01 | $1,997.17 | $127.27 | RVU19D |
| 2019-07-01 | $1,997.17 | $127.27 | RVU19C |
| 2019-04-01 | $1,997.17 | $127.27 | RVU19B |
| 2019-01-01 | $1,997.17 | $127.27 | RVU19A |
| 2018-10-01 | $2,044.94 | $126.77 | RVU18D |
| 2018-07-01 | $2,044.94 | $126.77 | RVU18C |
| 2018-04-01 | $2,044.94 | $126.77 | RVU18B |
| 2018-01-01 | $2,044.94 | $126.77 | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Marin County, CA rate applies
Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Alto
- Belvedere
- Black Point-Green Point
- Bolinas
- Corte Madera
- Dillon Beach
- Fairfax
- Inverness
36465 billing questions
When should 36465 be used instead of 36466?
Use 36465 when one incompetent truncal vein is treated with noncompounded foam. Use 36466 when multiple incompetent truncal veins are treated.
Is ultrasound guidance separately reported with 36465?
No. Ultrasound guidance and monitoring used to direct and observe the foam treatment are included in 36465.
How many units are reported for one treated vein?
Report one unit for treatment of one qualifying truncal vein. The documentation should identify the treated vein and extremity.
How does 36465 differ from 36470 or 36471?
36465 is for noncompounded foam treatment of an incompetent truncal vein. Codes 36470 and 36471 describe sclerosant treatment of one or multiple other incompetent veins, rather than truncal-vein foam treatment.
How is bilateral treatment handled?
When bilateral treatment is reported with modifier 50, CMS payment is 150% of the single-procedure rate. Multiple procedures in the same session are subject to the standard reduction, with the highest-valued procedure paid in full and others at 50%.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
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
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