CPT code 36466: Foam sclerotherapy, multiple incompetent veins2026 Medicare rate & RVUs in North Dakota
Reports ultrasound-guided injection of noncompounded foam sclerosant to treat multiple incompetent veins, such as veins in the saphenous system.
In North Dakota, Medicare pays $1,327.34 for 36466 in the office and $121.56 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36466 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 36466 covers
A clinician injects noncompounded foam sclerosant into multiple incompetent veins to close them, using ultrasound and compression maneuvers to guide the treatment. Common targets include the great saphenous and accessory saphenous veins. Vascular specialists, interventional radiologists, and other clinicians who treat venous disease commonly perform the procedure in an office or outpatient setting.
Select this code when noncompounded foam is used to treat multiple incompetent veins; the record should identify the veins treated and support the foam technique and ultrasound guidance. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment reported with modifier 50, CMS pays 150%. Assistant-at-surgery services are not paid, and 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 North Dakota compares for 36466
Across 109 of 109 payment localities, the office rate for 36466 runs from $1,157.26 in Arkansas to $1,880.55 in San Benito County, CA. North Dakota pays $1,327.34. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$1,327.34
- Los Angeles, CA · California$1,559.96+$232.62
- Washington, DC area · District of Columbia$1,563.98+$236.64
- Miami, FL · Florida$1,419.25+$91.91
- Chicago, IL · Illinois$1,371.35+$44.01
- Manhattan, NY · New York$1,554.73+$227.39
- Alaska · Alaska$1,458.52+$131.18
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,177.81 | $122.75 |
| ArkansasArkansas | $1,157.26 | $121.50 |
| ArizonaArizona | $1,298.34 | $129.95 |
| Bakersfield, CACalifornia | $1,450.46 | $128.93 |
| Chico, CACalifornia | $1,448.82 | $127.30 |
| El Centro, CACalifornia | $1,448.92 | $127.40 |
| Fresno, CACalifornia | $1,448.82 | $127.30 |
| Hanford, CACalifornia | $1,448.82 | $127.30 |
| Madera, CACalifornia | $1,448.82 | $127.30 |
| Merced, CACalifornia | $1,448.82 | $127.30 |
| Modesto, CACalifornia | $1,448.82 | $127.30 |
| Napa, CACalifornia | $1,723.94 | $134.73 |
| Oxnard, CACalifornia | $1,556.66 | $131.44 |
| Redding, CACalifornia | $1,448.82 | $127.30 |
| Rest of CaliforniaCalifornia | $1,448.82 | $127.30 |
| Riverside, CACalifornia | $1,455.17 | $133.64 |
| Sacramento, CACalifornia | $1,532.52 | $130.21 |
| Salinas, CACalifornia | $1,527.15 | $129.66 |
| San Diego, CACalifornia | $1,572.36 | $130.26 |
| Marin County, CACalifornia | $1,838.48 | $138.34 |
| San Francisco, CACalifornia | $1,837.81 | $137.67 |
| San Benito County, CACalifornia | $1,880.55 | $141.83 |
| Santa Clara County, CACalifornia | $1,877.81 | $139.09 |
| San Luis Obispo, CACalifornia | $1,501.35 | $127.97 |
| Santa Cruz, CACalifornia | $1,594.57 | $129.56 |
| Santa Maria, CACalifornia | $1,535.40 | $129.47 |
| Santa Rosa, CACalifornia | $1,611.33 | $130.64 |
| Stockton, CACalifornia | $1,448.82 | $127.30 |
| Vallejo, CACalifornia | $1,722.97 | $133.77 |
| Visalia, CACalifornia | $1,448.82 | $127.30 |
| Yuba City, CACalifornia | $1,448.82 | $127.30 |
| ColoradoColorado | $1,414.07 | $131.13 |
| ConnecticutConnecticut | $1,439.19 | $140.57 |
| DelawareDelaware | $1,322.88 | $131.58 |
| Fort Lauderdale, FLFlorida | $1,370.84 | $149.40 |
| Rest of FloridaFlorida | $1,295.21 | $142.49 |
| Atlanta, GAGeorgia | $1,362.84 | $137.78 |
| Rest of GeorgiaGeorgia | $1,210.91 | $135.36 |
| Hawaii, Guam, HIHawaii | $1,498.09 | $127.12 |
| IowaIowa | $1,223.33 | $120.05 |
| IdahoIdaho | $1,230.94 | $121.63 |
| East St. Louis, ILIllinois | $1,261.31 | $152.00 |
| Rest of IllinoisIllinois | $1,243.87 | $143.00 |
| Suburban Chicago, ILIllinois | $1,387.92 | $149.59 |
| IndianaIndiana | $1,239.75 | $121.99 |
| KansasKansas | $1,212.01 | $121.99 |
| KentuckyKentucky | $1,201.78 | $129.85 |
| New Orleans, LALouisiana | $1,269.66 | $135.02 |
| Rest of LouisianaLouisiana | $1,197.75 | $130.64 |
| Metropolitan Boston, MAMassachusetts | $1,577.85 | $138.16 |
| Rest of MassachusettsMassachusetts | $1,401.35 | $131.67 |
| Baltimore area, MDMaryland | $1,434.45 | $140.65 |
| Rest of MarylandMaryland | $1,353.06 | $132.82 |
| Rest of MaineMaine | $1,233.88 | $124.56 |
| Southern Maine, MEMaine | $1,320.78 | $125.86 |
| Detroit, MIMichigan | $1,309.81 | $146.24 |
| Rest of MichiganMichigan | $1,235.32 | $134.45 |
| MinnesotaMinnesota | $1,360.59 | $119.85 |
| Metropolitan Kansas City, MOMissouri | $1,264.08 | $131.86 |
| Metropolitan St. Louis, MOMissouri | $1,280.45 | $132.56 |
| Rest of MissouriMissouri | $1,169.97 | $130.59 |
| MississippiMississippi | $1,164.11 | $125.94 |
| MontanaMontana | $1,339.00 | $133.23 |
| North CarolinaNorth Carolina | $1,250.09 | $125.10 |
| NebraskaNebraska | $1,232.73 | $119.80 |
| New HampshireNew Hampshire | $1,386.66 | $131.45 |
| Northern New JerseyNew Jersey | $1,541.98 | $143.29 |
| Rest of New JerseyNew Jersey | $1,457.24 | $140.54 |
| New MexicoNew Mexico | $1,241.62 | $135.93 |
| NevadaNevada | $1,336.97 | $129.99 |
| NYC suburbs and Long Island, NYNew York | $1,593.05 | $159.39 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,463.62 | $143.30 |
| Queens, NYNew York | $1,576.32 | $151.10 |
| Rest of New YorkNew York | $1,272.12 | $126.63 |
| OhioOhio | $1,232.93 | $132.06 |
| OklahomaOklahoma | $1,203.95 | $127.20 |
| Portland, OROregon | $1,471.15 | $131.53 |
| Rest of OregonOregon | $1,328.30 | $127.35 |
| Metropolitan Philadelphia, PAPennsylvania | $1,394.69 | $139.48 |
| Rest of PennsylvaniaPennsylvania | $1,237.80 | $130.90 |
| Puerto RicoPuerto Rico | $1,352.18 | $133.15 |
| Rhode IslandRhode Island | $1,379.08 | $133.52 |
| South CarolinaSouth Carolina | $1,243.25 | $129.12 |
| South DakotaSouth Dakota | $1,325.96 | $120.18 |
| TennesseeTennessee | $1,218.76 | $122.72 |
| Austin, TXTexas | $1,407.84 | $132.13 |
| Beaumont, TXTexas | $1,227.71 | $130.46 |
| Brazoria, TXTexas | $1,324.50 | $129.58 |
| Dallas, TXTexas | $1,332.24 | $131.29 |
| Fort Worth, TXTexas | $1,320.28 | $131.39 |
| Galveston, TXTexas | $1,327.89 | $130.55 |
| Houston, TXTexas | $1,338.68 | $141.35 |
| Rest of TexasTexas | $1,274.84 | $130.56 |
| UtahUtah | $1,263.74 | $130.32 |
| VirginiaVirginia | $1,312.48 | $127.21 |
| Virgin Islands, VIUnited States Virgin Islands | $1,352.18 | $133.15 |
| VermontVermont | $1,317.09 | $123.38 |
| Rest of WashingtonWashington | $1,400.34 | $130.66 |
| King County, WAWashington | $1,617.60 | $138.12 |
| WisconsinWisconsin | $1,274.10 | $118.97 |
| West VirginiaWest Virginia | $1,187.52 | $139.71 |
| WyomingWyoming | $1,333.92 | $128.15 |
36466 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.
$1,157.26
$1,664.69
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 | $1,458.52 | 1 |
| AL | $1,177.81 | 1 |
| AR | $1,157.26 | 1 |
| AZ | $1,298.34 | 1 |
| CA | $1,448.82–$1,880.55 | 29 |
| CO | $1,414.07 | 1 |
| CT | $1,439.19 | 1 |
| DC | $1,563.98 | 1 |
| DE | $1,322.88 | 1 |
| FL | $1,295.21–$1,419.25 | 3 |
| GA | $1,210.91–$1,362.84 | 2 |
| GU | $1,498.09 | 1 |
| HI | $1,498.09 | 1 |
| IA | $1,223.33 | 1 |
| ID | $1,230.94 | 1 |
| IL | $1,243.87–$1,387.92 | 4 |
| IN | $1,239.75 | 1 |
| KS | $1,212.01 | 1 |
| KY | $1,201.78 | 1 |
| LA | $1,197.75–$1,269.66 | 2 |
| MA | $1,401.35–$1,577.85 | 2 |
| MD | $1,353.06–$1,563.98 | 3 |
| ME | $1,233.88–$1,320.78 | 2 |
| MI | $1,235.32–$1,309.81 | 2 |
| MN | $1,360.59 | 1 |
| MO | $1,169.97–$1,280.45 | 3 |
| MS | $1,164.11 | 1 |
| MT | $1,339.00 | 1 |
| NC | $1,250.09 | 1 |
| ND | $1,327.34 | 1 |
| NE | $1,232.73 | 1 |
| NH | $1,386.66 | 1 |
| NJ | $1,457.24–$1,541.98 | 2 |
| NM | $1,241.62 | 1 |
| NV | $1,336.97 | 1 |
| NY | $1,272.12–$1,593.05 | 5 |
| OH | $1,232.93 | 1 |
| OK | $1,203.95 | 1 |
| OR | $1,328.30–$1,471.15 | 2 |
| PA | $1,237.80–$1,394.69 | 2 |
| PR | $1,352.18 | 1 |
| RI | $1,379.08 | 1 |
| SC | $1,243.25 | 1 |
| SD | $1,325.96 | 1 |
| TN | $1,218.76 | 1 |
| TX | $1,227.71–$1,407.84 | 8 |
| UT | $1,263.74 | 1 |
| VA | $1,312.48–$1,563.98 | 2 |
| VI | $1,352.18 | 1 |
| VT | $1,317.09 | 1 |
| WA | $1,400.34–$1,617.60 | 2 |
| WI | $1,274.10 | 1 |
| WV | $1,187.52 | 1 |
| WY | $1,333.92 | 1 |
How the 36466 rate is calculated
Each of 36466’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 · 36466
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense36.57
36.57 RVUs× 1.000 GPCI
Malpractice0.59
0.59 RVUs× 1.000 GPCI
Adjusted RVUs
40.0900
Conversion factor
$33.4009
Medicare rate
$1,339.04
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
4,482
- Code
- 36466
- Physician work
- 2.93
- Practice expense
- 36.57
- Malpractice
- 0.59
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 36.57 | × 1.000 | 36.5700 |
| Malpractice | 0.59 | × 0.406 | 0.2395 |
| Total RVUs | 39.7395 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$1327.34
Office: (2.93 × 1 + 36.57 × 1 + 0.59 × 0.406) × $33.4009 = $1327.34
Facility: (2.93 × 1 + 0.47 × 1 + 0.59 × 0.406) × $33.4009 = $121.56
Payment rules and modifiers for 36466
The CMS indicators that decide how 36466 is paid alongside other services.
CMS payment indicators · 36466
Foam sclerotherapy, multiple incompetent veins
| 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
36466 without 50 · national office
$1,339.04
Foam sclerotherapy, multiple incompetent veins
36466-50 · Bilateral: 150%
$2,008.56
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 36466 has changed in North Dakota
36466 · Office / nonfacility
$1327.34
Effective 2026-10-01
The base rate is $94.93 higher than on 2025-10-01, moving from $1232.41 to $1327.34 (7.7%).
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
$1232.41changed to$1327.34
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.00 changed to 2.93
- Practice expense RVU 34.79 changed to 36.57
- Malpractice RVU 0.60 changed to 0.59
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1333.66changed to$1232.41
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 36.76 changed to 34.79
- Malpractice RVU 0.59 changed to 0.60
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1311.90changed to$1333.66
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1434.27changed to$1311.90
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 39.05 changed to 36.76
- Malpractice RVU 0.58 changed to 0.59
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$1545.91changed to$1434.27
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 41.43 changed to 39.05
- Malpractice RVU 0.56 changed to 0.58
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1713.20changed to$1545.91
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 45.87 changed to 41.43
- Malpractice RVU 0.53 changed to 0.56
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1709.82changed to$1713.20
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 44.12 changed to 45.87
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1643.17changed to$1709.82
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 42.27 changed to 44.12
- Malpractice RVU 0.60 changed to 0.53
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1687.09changed to$1643.17
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 43.54 changed to 42.27
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$1687.09
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 | $1,327.34 | $121.56 | RVU26D |
| 2026-07-01 | $1,327.34 | $121.56 | RVU26C |
| 2026-04-01 | $1,327.34 | $121.56 | RVU26B |
| 2026-01-01 | $1,327.34 | $121.56 | RVU26A |
| 2025-10-01 | $1,232.41 | $135.21 | RVU25D |
| 2025-07-01 | $1,232.41 | $135.21 | RVU25C |
| 2025-04-01 | $1,232.41 | $135.21 | RVU25B |
| 2025-01-01 | $1,232.41 | $135.21 | RVU25A |
| 2024-10-01 | $1,333.66 | $138.64 | RVU24D |
| 2024-07-01 | $1,333.66 | $138.64 | RVU24C |
| 2024-04-01 | $1,333.66 | $138.64 | RVU24B |
| 2024-03-09 | $1,333.66 | $138.64 | RVU24AR |
| 2024-01-01 | $1,311.90 | $136.38 | RVU24A |
| 2023-10-01 | $1,434.27 | $141.82 | RVU23D |
| 2023-07-01 | $1,434.27 | $141.82 | RVU23C |
| 2023-04-01 | $1,434.27 | $141.82 | RVU23B |
| 2023-01-01 | $1,434.27 | $141.82 | RVU23A |
| 2022-10-01 | $1,545.91 | $144.70 | RVU22D |
| 2022-07-01 | $1,545.91 | $144.70 | RVU22C |
| 2022-04-01 | $1,545.91 | $144.70 | RVU22B |
| 2022-01-01 | $1,545.91 | $144.70 | RVU22A |
| 2021-10-01 | $1,713.20 | $146.15 | RVU21D |
| 2021-07-01 | $1,713.20 | $146.15 | RVU21C |
| 2021-04-01 | $1,713.20 | $146.15 | RVU21B |
| 2021-01-01 | $1,713.20 | $146.15 | RVU21A |
| 2020-10-01 | $1,709.82 | $151.11 | RVU20D |
| 2020-07-01 | $1,709.82 | $151.11 | RVU20C |
| 2020-04-01 | $1,709.82 | $151.11 | RVU20B |
| 2020-01-01 | $1,709.82 | $151.11 | RVU20A |
| 2019-10-01 | $1,643.17 | $148.26 | RVU19D |
| 2019-07-01 | $1,643.17 | $148.26 | RVU19C |
| 2019-04-01 | $1,643.17 | $148.26 | RVU19B |
| 2019-01-01 | $1,643.17 | $148.26 | RVU19A |
| 2018-10-01 | $1,687.09 | $148.46 | RVU18D |
| 2018-07-01 | $1,687.09 | $148.46 | RVU18C |
| 2018-04-01 | $1,687.09 | $148.46 | RVU18B |
| 2018-01-01 | $1,687.09 | $148.46 | 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 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
36466 billing questions
How does this differ from 36465?
36466 is for noncompounded foam treatment of multiple incompetent veins. 36465 is the corresponding code when treating a single incompetent vein.
When would 36471 be more appropriate?
36471 describes injection of a sclerosant for multiple incompetent veins without the noncompounded foam technique specified for 36466. Choose based on the agent and technique documented.
Can ultrasound guidance be billed separately?
The ultrasound guidance and monitoring for the foam treatment are included in 36466. Do not separately report them as components of this service.
What supports reporting multiple veins?
Document the incompetent veins treated and the use of noncompounded foam, with ultrasound guidance and compression maneuvers. The record should support treatment of multiple veins rather than a single vein.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Is same-day follow-up included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
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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