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CPT code 36471: Sclerotherapy, multiple incompetent veins2026 Medicare rate & RVUs in Galveston, TX

Reports sclerosant treatment of multiple incompetent veins in the same leg, typically for symptomatic superficial venous disease and varicosities.

CMS RVU26DEffective Oct 1, 2026One payment locality82.5K Medicare services in 2024

In Galveston, TX, Medicare pays $202.78 for 36471 in the office and $65.47 when it’s performed in a hospital or facility.

$202.78Office (non-facility)
$65.47Hospital or facility
−1.1%vs the national office rate ($205.08)

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.

We’ll open 36471 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Galveston, TX
  2. What 36471 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 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 Galveston, TX 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. Galveston, TX pays $202.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

36471 in Galveston, TX vs other payment areas
  1. Galveston, TX · this page$202.78
  2. Austin, TX · Texas$212.58+$9.80
  3. Beaumont, TX · Texas$191.20−$11.58
  4. Brazoria, TX · Texas$202.02−$0.76
  5. Dallas, TX · Texas$203.56+$0.78
  6. Fort Worth, TX · Texas$202.22−$0.56
  7. Houston, TX · Texas$208.09+$5.31

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

Every other payment area

36471 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$196.66$65.44
Los Angeles, CACalifornia$230.66$67.07
Washington, DC areaDistrict of Columbia$234.91$72.02
Miami, FLFlorida$225.90$81.95
Chicago, ILIllinois$218.70$79.73
Manhattan, NYNew York$237.63$76.95
AlaskaAlaska$234.65$87.38
AlabamaAlabama$182.55$61.55

36471 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.

$179.71

$243.13

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

View every state and territory as a table
36471 office rate range by state
State / territoryOffice rate rangeLocalities
AK$234.651
AL$182.551
AR$179.711
AZ$199.141
CA$215.49–$270.7629
CO$212.931
CT$219.381
DC$234.911
DE$202.591
FL$203.50–$225.903
GA$191.11–$209.522
GU$221.091
HI$221.091
IA$186.781
ID$188.251
IL$197.78–$218.704
IN$189.401
KS$186.201
KY$187.981
LA$187.81–$197.752
MA$211.67–$234.462
MD$206.53–$234.913
ME$189.69–$200.192
MI$193.57–$206.592
MN$202.511
MO$184.59–$198.063
MS$182.171
MT$205.061
NC$191.761
ND$199.331
NE$187.771
NH$209.881
NJ$221.46–$232.272
NM$194.861
NV$203.611
NY$194.87–$244.225
OH$192.401
OK$187.231
OR$201.62–$219.662
PA$192.53–$213.842
PR$206.551
RI$209.801
SC$192.481
SD$198.651
TN$187.251
TX$191.20–$212.588
UT$195.301
VA$199.74–$234.912
VI$206.551
VT$198.831
WA$211.17–$239.032
WI$192.221
WV$190.051
WY$202.561

See 36471 in every payment locality

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

Office or facility?

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 Galveston, TX 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

101

Locality
Galveston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office calculation for 36471 in Galveston, TX
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0081.4717
Practice expense4.39× 0.9934.3593
Malpractice0.29× 0.8280.2401
Total RVUs6.0711
Conversion factor× 33.4009

Office rate, Galveston, TX$202.78

Office: (1.46 × 1.008 + 4.39 × 0.993 + 0.29 × 0.828) × $33.4009 = $202.78

Facility: (1.46 × 1.008 + 0.25 × 0.993 + 0.29 × 0.828) × $33.4009 = $65.47

Open 36471 in the RVU calculator

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

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

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).

When to use modifier 50

Codes related to 36471

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

Codes related to 36471
CodeHow it relatesOffice range, Galveston, TX
Same family
36470Vein sclerotherapy, one incompetent veinSingle-vein counterpart for sclerotherapy of an incompetent vein.$119.60
Used instead
36465Foam sclerotherapy, one incompetent truncal veinFoam sclerosant treatment when one vein is treated.$1,276.10
36466Foam sclerotherapy, multiple incompetent veinsFoam sclerosant treatment when multiple veins are treated.$1,327.89
36468Sclerotherapy, spider veinsInjection treatment directed at spider veins rather than incompetent veins.$0.00
36473Vein ablation, mechanochemical, first veinCatheter-based mechanochemical treatment of an incompetent vein.$1,163.40

How 36471 has changed in Galveston, TX

36471 · Office / nonfacility

$202.78

Effective 2026-10-01

The base rate is $11.65 higher than on 2025-10-01, moving from $191.13 to $202.78 (6.1%).

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

    $191.13changed to$202.78

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $198.64changed to$191.13

    • 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.

  3. March 9, 2024

    RVU24AR

    $195.40changed to$198.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $202.74changed to$195.40

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.29 changed to 0.30
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.013 changed to 1.000
    • Malpractice GPCI 0.703 changed to 0.855

  5. January 1, 2023

    RVU23A

    $208.02changed to$202.74

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.026 changed to 1.013
    • Malpractice GPCI 0.550 changed to 0.703

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $207.77changed to$208.02

    • 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.

  7. January 1, 2021

    RVU21A

    $202.68changed to$207.77

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.019 changed to 1.026
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $198.18changed to$202.68

    • 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
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.011 changed to 1.019
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $195.05changed to$198.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.63 changed to 3.71

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $179.74changed to$195.05

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 1.65 changed to 1.50
    • Practice expense RVU 3.02 changed to 3.63
    • Malpractice RVU 0.30 changed to 0.26
    • Practice expense GPCI 1.012 changed to 1.011
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $180.72changed to$179.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.04 changed to 3.02
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.013 changed to 1.012
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $181.37changed to$180.72

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $180.47changed to$181.37

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $179.06changed to$180.47

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.00 changed to 3.04
    • Malpractice RVU 0.32 changed to 0.30
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.005 changed to 1.013
    • Malpractice GPCI 0.970 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $181.22changed to$179.06

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.35 changed to 3.00
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.996 changed to 1.005
    • Malpractice GPCI 0.985 changed to 0.970

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $181.22

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$202.78$65.47RVU26D
2026-07-01$202.78$65.47RVU26C
2026-04-01$202.78$65.47RVU26B
2026-01-01$202.78$65.47RVU26A
2025-10-01$191.13$71.45RVU25D
2025-07-01$191.13$71.45RVU25C
2025-04-01$191.13$71.45RVU25B
2025-01-01$191.13$71.45RVU25A
2024-10-01$198.64$73.48RVU24D
2024-07-01$198.64$73.48RVU24C
2024-04-01$198.64$73.48RVU24B
2024-03-09$198.64$73.48RVU24AR
2024-01-01$195.40$72.28RVU24A
2023-10-01$202.74$74.01RVU23D
2023-07-01$202.74$74.01RVU23C
2023-04-01$202.74$74.01RVU23B
2023-01-01$202.74$74.01RVU23A
2022-10-01$208.02$74.17RVU22D
2022-07-01$208.02$74.17RVU22C
2022-04-01$208.02$74.17RVU22B
2022-01-01$208.02$74.17RVU22A
2021-10-01$207.77$74.59RVU21D
2021-07-01$207.77$74.59RVU21C
2021-04-01$207.77$74.59RVU21B
2021-01-01$207.77$74.59RVU21A
2020-10-01$202.68$78.75RVU20D
2020-07-01$202.68$78.75RVU20C
2020-04-01$202.68$78.75RVU20B
2020-01-01$202.68$78.75RVU20A
2019-10-01$198.18$79.40RVU19D
2019-07-01$198.18$79.40RVU19C
2019-04-01$198.18$79.40RVU19B
2019-01-01$198.18$79.40RVU19A
2018-10-01$195.05$79.31RVU18D
2018-07-01$195.05$79.31RVU18C
2018-04-01$195.05$79.31RVU18B
2018-01-01$195.05$79.31RVU18AR1
2017-10-01$179.74$104.56RVU17D
2017-07-01$179.74$104.56RVU17C
2017-04-01$179.74$104.56RVU17B
2017-01-01$179.74$104.56RVU17A
2016-10-01$180.72$105.28RVU16D
2016-07-01$180.72$105.28RVU16C
2016-04-01$180.72$105.28RVU16B
2016-01-01$180.72$105.28RVU16A
2015-10-01$181.37$105.66RVU15D
2015-07-01$181.37$105.66RVU15C
2015-04-01$180.47$105.13RVU15B
2015-01-01$180.47$105.13RVU15A
2014-10-01$179.06$105.62RVU14D
2014-07-01$179.06$105.62RVU14C
2014-04-01$179.06$105.62RVU14B
2014-01-01$179.06$105.62RVU14A
2013-10-01$181.22$103.62RVU13D
2013-07-01$181.22$103.62RVU13C
2013-04-01$181.22$103.62RVU13B
2013-01-01$181.22$103.62RVU13AR

Price 36471 for an earlier date of service

Where the Galveston, TX rate applies

Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Galveston
  • Bacliff
  • Bayou Vista
  • Bolivar Peninsula
  • Clear Lake Shores
  • Dickinson
  • 36471 in Friendswood · multiple payment areas
  • Hitchcock

Browse all communities in Texas

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
RVUs for 36471PPRRVU2026_Oct_nonQPP.csv, line 4,485 (RVU26D)
Geographic factors for Galveston, TXGPCI2026.csv, line 101 (RVU26D)

Open CMS sourceHow we calculate rates

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