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CPT code 36470: Vein sclerotherapy, one incompetent vein2026 Medicare rate & RVUs in Hawaii, Guam, HI

Reports injection of sclerosant into one incompetent vein, commonly to treat a varicose vein associated with venous insufficiency.

CMS RVU26DEffective Oct 1, 2026One payment locality11.3K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $131.34 for 36470 in the office and $32.22 when it’s performed in a hospital or facility.

$131.34Office (non-facility)
$32.22Hospital or facility
+8.6%vs the national office rate ($120.91)

Check a contract rate as a % of Medicare · 36470 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 36470 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 36470 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 36470 covers

A clinician injects a sclerosing agent into one incompetent vein, commonly a varicose vein in a patient with chronic venous insufficiency. Vascular surgeons, vein specialists, and other clinicians who perform venous procedures may provide the service in an office or facility. Imaging guidance and monitoring integral to the injection are included in the service.

Choose this code when treatment is directed to one incompetent vein; treatment of multiple incompetent veins is reported with 36471. The record should identify the treated vein, the venous condition, and the injection performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, 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 Hawaii, Guam, HI compares for 36470

Across 109 of 109 payment localities, the office rate for 36470 runs from $105.58 in Arkansas to $161.72 in San Benito County, CA. Hawaii, Guam, HI pays $131.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

36470 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$131.34
  2. Los Angeles, CA · California$136.98+$5.64
  3. Washington, DC area · District of Columbia$139.08+$7.74
  4. Miami, FL · Florida$132.32+$0.98
  5. Chicago, IL · Illinois$128.03−$3.31
  6. Manhattan, NY · New York$140.23+$8.89
  7. Alaska · Alaska$136.80+$5.46

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

Every other payment area

36470 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$107.30$31.02
ArkansasArkansas$105.58$30.69
ArizonaArizona$117.35$32.88
Bakersfield, CACalifornia$128.20$32.66
Chico, CACalifornia$127.79$32.24
El Centro, CACalifornia$127.81$32.27
Fresno, CACalifornia$127.79$32.24
Hanford, CACalifornia$127.79$32.24

36470 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$105.58

$144.76

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

View every state and territory as a table
36470 office rate range by state
State / territoryOffice rate rangeLocalities
AK$136.801
AL$107.301
AR$105.581
AZ$117.351
CA$127.79–$161.7229
CO$125.961
CT$129.501
DC$139.081
DE$119.431
FL$119.40–$132.323
GA$111.99–$123.462
GU$131.341
HI$131.341
IA$110.111
ID$110.951
IL$115.77–$128.034
IN$111.661
KS$109.641
KY$110.331
LA$110.18–$116.192
MA$125.13–$139.112
MD$121.84–$139.083
ME$111.70–$118.242
MI$113.60–$121.152
MN$120.041
MO$108.15–$116.533
MS$106.881
MT$120.901
NC$112.971
ND$117.941
NE$110.751
NH$124.041
NJ$130.79–$137.432
NM$114.321
NV$120.171
NY$114.85–$144.065
OH$112.991
OK$110.001
OR$119.06–$130.182
PA$113.13–$126.072
PR$121.841
RI$123.851
SC$113.201
SD$117.581
TN$110.261
TX$112.32–$125.708
UT$114.911
VA$117.88–$139.082
VI$121.841
VT$117.521
WA$124.88–$141.992
WI$113.601
WV$111.081
WY$119.611

See 36470 in every payment locality

How the 36470 rate is calculated

Each of 36470’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 · 36470

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.73

0.73 RVUs× 1.000 GPCI

Practice expense2.74

2.74 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

3.6200

Conversion factor

$33.4009

Medicare rate

$120.91

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,484

Code
36470
Physician work
0.73
Practice expense
2.74
Malpractice
0.15

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 36470 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0000.7300
Practice expense2.74× 1.1373.1154
Malpractice0.15× 0.5790.0868
Total RVUs3.9322
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$131.34

Office: (0.73 × 1 + 2.74 × 1.137 + 0.15 × 0.579) × $33.4009 = $131.34

Facility: (0.73 × 1 + 0.13 × 1.137 + 0.15 × 0.579) × $33.4009 = $32.22

Open 36470 in the RVU calculator

Payment rules and modifiers for 36470

The CMS indicators that decide how 36470 is paid alongside other services.

CMS payment indicators · 36470

Vein sclerotherapy, one incompetent vein

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

36470 without 50 · national office

$120.91

Vein sclerotherapy, one incompetent vein

36470-50 · Bilateral: 150%

$181.37

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).

When to use modifier 50

Codes related to 36470

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

Codes related to 36470
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
36471Sclerotherapy, multiple incompetent veinsSibling code for injection treatment of multiple incompetent veins.$221.09
Used instead
36468Sclerotherapy, spider veinsFor injection treatment of spider veins rather than an incompetent vein.$0.00
36465Foam sclerotherapy, one incompetent truncal veinFor non-compounded foam sclerosant treatment of one truncal vein.$1,443.44
36473Vein ablation, mechanochemical, first veinMechanochemical vein treatment is a distinct approach to treating venous insufficiency.$1,305.30

How 36470 has changed in Hawaii, Guam, HI

36470 · Office / nonfacility

$131.34

Effective 2026-10-01

The base rate is $9.40 higher than on 2025-10-01, moving from $121.94 to $131.34 (7.7%).

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

    $121.94changed to$131.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.75 changed to 0.73
    • Practice expense RVU 2.55 changed to 2.74
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $125.68changed to$121.94

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.56 changed to 2.55
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $123.63changed to$125.68

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $127.69changed to$123.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.54 changed to 2.56
    • Malpractice RVU 0.17 changed to 0.15
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $130.35changed to$127.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.55 changed to 2.54
    • Malpractice RVU 0.14 changed to 0.17
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $128.47changed to$130.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.47 changed to 2.55
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $121.91changed to$128.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.22 changed to 2.47
    • Malpractice RVU 0.13 changed to 0.15
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $118.12changed to$121.91

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.13 changed to 2.22
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $117.17changed to$118.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.11 changed to 2.13

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $163.67changed to$117.17

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 1.10 changed to 0.75
    • Practice expense RVU 2.89 changed to 2.11
    • Malpractice RVU 0.20 changed to 0.14
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $167.49changed to$163.67

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.97 changed to 2.89
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $167.90changed to$167.49

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.96 changed to 2.97
    • Malpractice RVU 0.21 changed to 0.20

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $167.07changed to$167.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $168.89changed to$167.07

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.00 changed to 2.96
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $174.59changed to$168.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.36 changed to 3.00
    • Malpractice RVU 0.22 changed to 0.21
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$174.59

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$131.34$32.22RVU26D
2026-07-01$131.34$32.22RVU26C
2026-04-01$131.34$32.22RVU26B
2026-01-01$131.34$32.22RVU26A
2025-10-01$121.94$35.71RVU25D
2025-07-01$121.94$35.71RVU25C
2025-04-01$121.94$35.71RVU25B
2025-01-01$121.94$35.71RVU25A
2024-10-01$125.68$36.18RVU24D
2024-07-01$125.68$36.18RVU24C
2024-04-01$125.68$36.18RVU24B
2024-03-09$125.68$36.18RVU24AR
2024-01-01$123.63$35.59RVU24A
2023-10-01$127.69$37.60RVU23D
2023-07-01$127.69$37.60RVU23C
2023-04-01$127.69$37.60RVU23B
2023-01-01$127.69$37.60RVU23A
2022-10-01$130.35$38.19RVU22D
2022-07-01$130.35$38.19RVU22C
2022-04-01$130.35$38.19RVU22B
2022-01-01$130.35$38.19RVU22A
2021-10-01$128.47$38.74RVU21D
2021-07-01$128.47$38.74RVU21C
2021-04-01$128.47$38.74RVU21B
2021-01-01$128.47$38.74RVU21A
2020-10-01$121.91$39.33RVU20D
2020-07-01$121.91$39.33RVU20C
2020-04-01$121.91$39.33RVU20B
2020-01-01$121.91$39.33RVU20A
2019-10-01$118.12$39.24RVU19D
2019-07-01$118.12$39.24RVU19C
2019-04-01$118.12$39.24RVU19B
2019-01-01$118.12$39.24RVU19A
2018-10-01$117.17$39.20RVU18D
2018-07-01$117.17$39.20RVU18C
2018-04-01$117.17$39.20RVU18B
2018-01-01$117.17$39.20RVU18AR1
2017-10-01$163.67$89.54RVU17D
2017-07-01$163.67$89.54RVU17C
2017-04-01$163.67$89.54RVU17B
2017-01-01$163.67$89.54RVU17A
2016-10-01$167.49$90.53RVU16D
2016-07-01$167.49$90.53RVU16C
2016-04-01$167.49$90.53RVU16B
2016-01-01$167.49$90.53RVU16A
2015-10-01$167.90$91.07RVU15D
2015-07-01$167.90$91.07RVU15C
2015-04-01$167.07$90.62RVU15B
2015-01-01$167.07$90.62RVU15A
2014-10-01$168.89$91.73RVU14D
2014-07-01$168.89$91.73RVU14C
2014-04-01$168.89$91.73RVU14B
2014-01-01$168.89$91.73RVU14A
2013-10-01$174.59$92.53RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36470 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

36470 billing questions

When should 36470 be chosen instead of 36471?

Use 36470 when one incompetent vein is treated. When multiple incompetent veins are treated, consider 36471.

Can imaging guidance be billed separately?

Imaging guidance and monitoring integral to the sclerotherapy service are included; do not unbundle them as separate services.

How should bilateral treatment be reported?

For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.

Does 36470 have a postoperative global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted under the CMS rules for this code.

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 36470PPRRVU2026_Oct_nonQPP.csv, line 4,484 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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