CPT code 36471: Sclerotherapy, multiple incompetent veins2026 Medicare rate & RVUs in Alabama
Reports sclerosant treatment of multiple incompetent veins in the same leg, typically for symptomatic superficial venous disease and varicosities.
In Alabama, Medicare pays $182.55 for 36471 in the office and $61.55 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36471 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 36471 covers
This service treats multiple incompetent superficial veins in one leg by injecting a sclerosing agent to close the targeted veins. It is commonly performed by a vascular surgeon, interventional radiologist, or other qualified clinician in an office or outpatient setting for patients with varicose veins or related symptoms. The code distinguishes treatment of multiple veins from treatment of a single incompetent vein and from injection treatment directed at spider veins.
Report the service when documentation identifies the treated leg, the multiple incompetent veins addressed, and the injection treatment performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral treatment reported with modifier 50, CMS pays at 150%. 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 Alabama compares for 36471
Across 109 of 109 payment localities, the office rate for 36471 runs from $179.71 in Arkansas to $270.76 in San Benito County, CA. Alabama pays $182.55. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$182.55
- Los Angeles, CA · California$230.66+$48.11
- Washington, DC area · District of Columbia$234.91+$52.36
- Miami, FL · Florida$225.90+$43.35
- Chicago, IL · Illinois$218.70+$36.15
- Manhattan, NY · New York$237.63+$55.08
- Alaska · Alaska$234.65+$52.10
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $179.71 | $60.93 |
| ArizonaArizona | $199.14 | $65.15 |
| Bakersfield, CACalifornia | $216.30 | $64.74 |
| Chico, CACalifornia | $215.49 | $63.94 |
| El Centro, CACalifornia | $215.54 | $63.99 |
| Fresno, CACalifornia | $215.49 | $63.94 |
| Hanford, CACalifornia | $215.49 | $63.94 |
| Madera, CACalifornia | $215.49 | $63.94 |
| Merced, CACalifornia | $215.49 | $63.94 |
| Modesto, CACalifornia | $215.49 | $63.94 |
| Napa, CACalifornia | $250.02 | $67.76 |
| Oxnard, CACalifornia | $229.48 | $66.04 |
| Redding, CACalifornia | $215.49 | $63.94 |
| Rest of CaliforniaCalifornia | $215.49 | $63.94 |
| Riverside, CACalifornia | $218.61 | $67.06 |
| Sacramento, CACalifornia | $226.24 | $65.42 |
| Salinas, CACalifornia | $225.41 | $65.15 |
| San Diego, CACalifornia | $230.85 | $65.47 |
| Marin County, CACalifornia | $264.59 | $69.62 |
| San Francisco, CACalifornia | $264.26 | $69.29 |
| San Benito County, CACalifornia | $270.76 | $71.36 |
| Santa Clara County, CACalifornia | $269.42 | $70.02 |
| San Luis Obispo, CACalifornia | $221.80 | $64.30 |
| Santa Cruz, CACalifornia | $233.14 | $65.13 |
| Santa Maria, CACalifornia | $226.29 | $65.06 |
| Santa Rosa, CACalifornia | $235.48 | $65.67 |
| Stockton, CACalifornia | $215.49 | $63.94 |
| Vallejo, CACalifornia | $249.54 | $67.29 |
| Visalia, CACalifornia | $215.49 | $63.94 |
| Yuba City, CACalifornia | $215.49 | $63.94 |
| ColoradoColorado | $212.93 | $65.80 |
| ConnecticutConnecticut | $219.38 | $70.45 |
| DelawareDelaware | $202.59 | $65.97 |
| Fort Lauderdale, FLFlorida | $214.81 | $74.74 |
| Rest of FloridaFlorida | $203.50 | $71.31 |
| Atlanta, GAGeorgia | $209.52 | $69.03 |
| Rest of GeorgiaGeorgia | $191.11 | $67.76 |
| Hawaii, Guam, HIHawaii | $221.09 | $63.87 |
| IowaIowa | $186.78 | $60.25 |
| IdahoIdaho | $188.25 | $61.03 |
| East St. Louis, ILIllinois | $203.17 | $75.96 |
| Rest of IllinoisIllinois | $197.78 | $71.53 |
| Suburban Chicago, ILIllinois | $216.86 | $74.85 |
| IndianaIndiana | $189.40 | $61.21 |
| KansasKansas | $186.20 | $61.20 |
| KentuckyKentucky | $187.98 | $65.05 |
| New Orleans, LALouisiana | $197.75 | $67.63 |
| Rest of LouisianaLouisiana | $187.81 | $65.43 |
| Metropolitan Boston, MAMassachusetts | $234.46 | $69.36 |
| Rest of MassachusettsMassachusetts | $211.67 | $66.06 |
| Baltimore area, MDMaryland | $218.86 | $70.49 |
| Rest of MarylandMaryland | $206.53 | $66.60 |
| Rest of MaineMaine | $189.69 | $62.47 |
| Southern Maine, MEMaine | $200.19 | $63.15 |
| Detroit, MIMichigan | $206.59 | $73.15 |
| Rest of MichiganMichigan | $193.57 | $67.32 |
| MinnesotaMinnesota | $202.51 | $60.22 |
| Metropolitan Kansas City, MOMissouri | $195.91 | $66.07 |
| Metropolitan St. Louis, MOMissouri | $198.06 | $66.42 |
| Rest of MissouriMissouri | $184.59 | $65.40 |
| MississippiMississippi | $182.17 | $63.11 |
| MontanaMontana | $205.06 | $66.78 |
| North CarolinaNorth Carolina | $191.76 | $62.75 |
| North DakotaNorth Dakota | $199.33 | $61.05 |
| NebraskaNebraska | $187.77 | $60.13 |
| New HampshireNew Hampshire | $209.88 | $65.93 |
| Northern New JerseyNew Jersey | $232.27 | $71.87 |
| Rest of New JerseyNew Jersey | $221.46 | $70.46 |
| New MexicoNew Mexico | $194.86 | $68.06 |
| NevadaNevada | $203.61 | $65.19 |
| NYC suburbs and Long Island, NYNew York | $244.22 | $79.80 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $223.24 | $71.82 |
| Queens, NYNew York | $239.17 | $75.72 |
| Rest of New YorkNew York | $194.87 | $63.51 |
| OhioOhio | $192.40 | $66.15 |
| OklahomaOklahoma | $187.23 | $63.75 |
| Portland, OROregon | $219.66 | $66.03 |
| Rest of OregonOregon | $201.62 | $63.89 |
| Metropolitan Philadelphia, PAPennsylvania | $213.84 | $69.89 |
| Rest of PennsylvaniaPennsylvania | $192.53 | $65.58 |
| Puerto RicoPuerto Rico | $206.55 | $66.75 |
| Rhode IslandRhode Island | $209.80 | $66.96 |
| South CarolinaSouth Carolina | $192.48 | $64.71 |
| South DakotaSouth Dakota | $198.65 | $60.37 |
| TennesseeTennessee | $187.25 | $61.56 |
| Austin, TXTexas | $212.58 | $66.28 |
| Beaumont, TXTexas | $191.20 | $65.36 |
| Brazoria, TXTexas | $202.02 | $64.99 |
| Dallas, TXTexas | $203.56 | $65.83 |
| Fort Worth, TXTexas | $202.22 | $65.87 |
| Galveston, TXTexas | $202.78 | $65.47 |
| Houston, TXTexas | $208.09 | $70.78 |
| Rest of TexasTexas | $196.66 | $65.44 |
| UtahUtah | $195.30 | $65.31 |
| VirginiaVirginia | $199.74 | $63.81 |
| Virgin Islands, VIUnited States Virgin Islands | $206.55 | $66.75 |
| VermontVermont | $198.83 | $61.93 |
| Rest of WashingtonWashington | $211.17 | $65.56 |
| King County, WAWashington | $239.03 | $69.36 |
| WisconsinWisconsin | $192.22 | $59.75 |
| West VirginiaWest Virginia | $190.05 | $69.88 |
| WyomingWyoming | $202.56 | $64.28 |
36471 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.
$179.71
$243.13
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 | $234.65 | 1 |
| AL | $182.55 | 1 |
| AR | $179.71 | 1 |
| AZ | $199.14 | 1 |
| CA | $215.49–$270.76 | 29 |
| CO | $212.93 | 1 |
| CT | $219.38 | 1 |
| DC | $234.91 | 1 |
| DE | $202.59 | 1 |
| FL | $203.50–$225.90 | 3 |
| GA | $191.11–$209.52 | 2 |
| GU | $221.09 | 1 |
| HI | $221.09 | 1 |
| IA | $186.78 | 1 |
| ID | $188.25 | 1 |
| IL | $197.78–$218.70 | 4 |
| IN | $189.40 | 1 |
| KS | $186.20 | 1 |
| KY | $187.98 | 1 |
| LA | $187.81–$197.75 | 2 |
| MA | $211.67–$234.46 | 2 |
| MD | $206.53–$234.91 | 3 |
| ME | $189.69–$200.19 | 2 |
| MI | $193.57–$206.59 | 2 |
| MN | $202.51 | 1 |
| MO | $184.59–$198.06 | 3 |
| MS | $182.17 | 1 |
| MT | $205.06 | 1 |
| NC | $191.76 | 1 |
| ND | $199.33 | 1 |
| NE | $187.77 | 1 |
| NH | $209.88 | 1 |
| NJ | $221.46–$232.27 | 2 |
| NM | $194.86 | 1 |
| NV | $203.61 | 1 |
| NY | $194.87–$244.22 | 5 |
| OH | $192.40 | 1 |
| OK | $187.23 | 1 |
| OR | $201.62–$219.66 | 2 |
| PA | $192.53–$213.84 | 2 |
| PR | $206.55 | 1 |
| RI | $209.80 | 1 |
| SC | $192.48 | 1 |
| SD | $198.65 | 1 |
| TN | $187.25 | 1 |
| TX | $191.20–$212.58 | 8 |
| UT | $195.30 | 1 |
| VA | $199.74–$234.91 | 2 |
| VI | $206.55 | 1 |
| VT | $198.83 | 1 |
| WA | $211.17–$239.03 | 2 |
| WI | $192.22 | 1 |
| WV | $190.05 | 1 |
| WY | $202.56 | 1 |
How the 36471 rate is calculated
Each of 36471’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 · 36471
RVUs × geographic indexes × conversion factor
Work1.46
1.46 RVUs× 1.000 GPCI
Practice expense4.39
4.39 RVUs× 1.000 GPCI
Malpractice0.29
0.29 RVUs× 1.000 GPCI
Adjusted RVUs
6.1400
Conversion factor
$33.4009
Medicare rate
$205.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,485
- Code
- 36471
- Physician work
- 1.46
- Practice expense
- 4.39
- Malpractice
- 0.29
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.46 | × 1.000 | 1.4600 |
| Practice expense | 4.39 | × 0.875 | 3.8412 |
| Malpractice | 0.29 | × 0.566 | 0.1641 |
| Total RVUs | 5.4654 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$182.55
Office: (1.46 × 1 + 4.39 × 0.875 + 0.29 × 0.566) × $33.4009 = $182.55
Facility: (1.46 × 1 + 0.25 × 0.875 + 0.29 × 0.566) × $33.4009 = $61.55
Payment rules and modifiers for 36471
The CMS indicators that decide how 36471 is paid alongside other services.
CMS payment indicators · 36471
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
36471 without 50 · national office
$205.08
Sclerotherapy, multiple incompetent veins
36471-50 · Bilateral: 150%
$307.62
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 36471 has changed in Alabama
36471 · Office / nonfacility
$182.55
Effective 2026-10-01
The base rate is $12.26 higher than on 2025-10-01, moving from $170.29 to $182.55 (7.2%).
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
$170.29changed to$182.55
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.50 changed to 1.46
- Practice expense RVU 4.14 changed to 4.39
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$176.88changed to$170.29
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.19 changed to 4.14
- Malpractice RVU 0.30 changed to 0.29
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$173.99changed to$176.88
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$182.85changed to$173.99
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.29 changed to 0.30
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$189.90changed to$182.85
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.20 changed to 4.19
- Malpractice RVU 0.28 changed to 0.29
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$189.60changed to$189.90
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.15 changed to 4.20
- Malpractice RVU 0.27 changed to 0.28
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$183.52changed to$189.60
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.81 changed to 4.15
- Malpractice RVU 0.28 changed to 0.27
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$177.67changed to$183.52
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.71 changed to 3.81
- Malpractice RVU 0.26 changed to 0.28
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$174.91changed to$177.67
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.63 changed to 3.71
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$174.91
Held through 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, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $182.55 | $61.55 | RVU26D |
| 2026-07-01 | $182.55 | $61.55 | RVU26C |
| 2026-04-01 | $182.55 | $61.55 | RVU26B |
| 2026-01-01 | $182.55 | $61.55 | RVU26A |
| 2025-10-01 | $170.29 | $66.28 | RVU25D |
| 2025-07-01 | $170.29 | $66.28 | RVU25C |
| 2025-04-01 | $170.29 | $66.28 | RVU25B |
| 2025-01-01 | $170.29 | $66.28 | RVU25A |
| 2024-10-01 | $176.88 | $68.11 | RVU24D |
| 2024-07-01 | $176.88 | $68.11 | RVU24C |
| 2024-04-01 | $176.88 | $68.11 | RVU24B |
| 2024-03-09 | $176.88 | $68.11 | RVU24AR |
| 2024-01-01 | $173.99 | $67.00 | RVU24A |
| 2023-10-01 | $182.85 | $71.27 | RVU23D |
| 2023-07-01 | $182.85 | $71.27 | RVU23C |
| 2023-04-01 | $182.85 | $71.27 | RVU23B |
| 2023-01-01 | $182.85 | $71.27 | RVU23A |
| 2022-10-01 | $189.90 | $74.05 | RVU22D |
| 2022-07-01 | $189.90 | $74.05 | RVU22C |
| 2022-04-01 | $189.90 | $74.05 | RVU22B |
| 2022-01-01 | $189.90 | $74.05 | RVU22A |
| 2021-10-01 | $189.60 | $74.34 | RVU21D |
| 2021-07-01 | $189.60 | $74.34 | RVU21C |
| 2021-04-01 | $189.60 | $74.34 | RVU21B |
| 2021-01-01 | $189.60 | $74.34 | RVU21A |
| 2020-10-01 | $183.52 | $75.40 | RVU20D |
| 2020-07-01 | $183.52 | $75.40 | RVU20C |
| 2020-04-01 | $183.52 | $75.40 | RVU20B |
| 2020-01-01 | $183.52 | $75.40 | RVU20A |
| 2019-10-01 | $177.67 | $73.10 | RVU19D |
| 2019-07-01 | $177.67 | $73.10 | RVU19C |
| 2019-04-01 | $177.67 | $73.10 | RVU19B |
| 2019-01-01 | $177.67 | $73.10 | RVU19A |
| 2018-10-01 | $174.91 | $73.02 | RVU18D |
| 2018-07-01 | $174.91 | $73.02 | RVU18C |
| 2018-04-01 | $174.91 | $73.02 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
36471 billing questions
When should 36471 be chosen over 36470?
Use 36471 when multiple incompetent veins in the same leg are treated. Use 36470 when treatment is limited to one incompetent vein.
How does 36471 differ from foam sclerotherapy codes 36465 and 36466?
Those codes describe treatment using non-compounded foam sclerosant. Choose between them and 36471 based on the documented technique and number of veins treated.
Can same-day preoperative or postoperative care be billed separately?
Same-day preoperative and postoperative care is included in the 0-day global period for this procedure.
How is bilateral treatment reported?
When both legs are treated and the service is reported with modifier 50, CMS pays at 150%.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be billed for this procedure?
Assistant-at-surgery services are not paid for this code. 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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