CPT code 36473: Vein ablation, mechanochemical, first vein2026 Medicare rate & RVUs in Hawaii, Guam, HI
Reports catheter-based mechanochemical treatment of the first incompetent lower-extremity vein, combining mechanical endothelial disruption with delivery of a sclerosant.
In Hawaii, Guam, HI, Medicare pays $1,305.30 for 36473 in the office and $150.43 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36473 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 36473 covers
This code covers percutaneous treatment of an incompetent lower-extremity vein using a catheter that mechanically disrupts the vein lining while delivering a sclerosant. It is used for superficial venous reflux, such as in a saphenous vein, and is typically performed by a vascular surgeon or another clinician trained in endovenous vein procedures in an office vein center or facility. Imaging guidance and monitoring during the treatment are included in the service.
Report 36473 for the first vein treated by this method; report 36474 for each additional vein treated in the same extremity. Documentation should identify the treated vein, the venous incompetence, the mechanochemical method, and any additional vein treated. CMS assigns 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%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery services are restricted; 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 36473
Across 109 of 109 payment localities, the office rate for 36473 runs from $1,015.94 in Arkansas to $1,632.46 in San Benito County, CA. Hawaii, Guam, HI pays $1,305.30. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Hawaii, Guam, HI · this page$1,305.30
- Los Angeles, CA · California$1,359.72+$54.42
- Washington, DC area · District of Columbia$1,367.27+$61.97
- Miami, FL · Florida$1,254.78−$50.52
- Chicago, IL · Illinois$1,212.46−$92.84
- Manhattan, NY · New York$1,363.70+$58.40
- Alaska · Alaska$1,287.02−$18.28
Other areas in Hawaii first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,033.78 | $145.03 |
| ArkansasArkansas | $1,015.94 | $143.44 |
| ArizonaArizona | $1,138.35 | $154.11 |
| Bakersfield, CACalifornia | $1,265.78 | $152.55 |
| Chico, CACalifornia | $1,263.72 | $150.49 |
| El Centro, CACalifornia | $1,263.85 | $150.62 |
| Fresno, CACalifornia | $1,263.72 | $150.49 |
| Hanford, CACalifornia | $1,263.72 | $150.49 |
| Madera, CACalifornia | $1,263.72 | $150.49 |
| Merced, CACalifornia | $1,263.72 | $150.49 |
| Modesto, CACalifornia | $1,263.72 | $150.49 |
| Napa, CACalifornia | $1,498.05 | $159.33 |
| Oxnard, CACalifornia | $1,356.17 | $155.59 |
| Redding, CACalifornia | $1,263.72 | $150.49 |
| Rest of CaliforniaCalifornia | $1,263.72 | $150.49 |
| Riverside, CACalifornia | $1,271.78 | $158.55 |
| Sacramento, CACalifornia | $1,335.24 | $153.95 |
| Salinas, CACalifornia | $1,330.53 | $153.31 |
| San Diego, CACalifornia | $1,368.86 | $154.06 |
| Marin County, CACalifornia | $1,595.70 | $163.53 |
| San Francisco, CACalifornia | $1,594.85 | $162.68 |
| San Benito County, CACalifornia | $1,632.46 | $167.79 |
| Santa Clara County, CACalifornia | $1,628.98 | $164.31 |
| San Luis Obispo, CACalifornia | $1,308.23 | $151.33 |
| Santa Cruz, CACalifornia | $1,387.36 | $153.25 |
| Santa Maria, CACalifornia | $1,337.43 | $153.10 |
| Santa Rosa, CACalifornia | $1,401.84 | $154.53 |
| Stockton, CACalifornia | $1,263.72 | $150.49 |
| Vallejo, CACalifornia | $1,496.82 | $158.10 |
| Visalia, CACalifornia | $1,263.72 | $150.49 |
| Yuba City, CACalifornia | $1,263.72 | $150.49 |
| ColoradoColorado | $1,236.17 | $155.44 |
| ConnecticutConnecticut | $1,261.28 | $167.35 |
| DelawareDelaware | $1,159.66 | $156.13 |
| Fort Lauderdale, FLFlorida | $1,207.74 | $178.81 |
| Rest of FloridaFlorida | $1,141.10 | $170.07 |
| Atlanta, GAGeorgia | $1,195.98 | $164.01 |
| Rest of GeorgiaGeorgia | $1,067.06 | $161.04 |
| IowaIowa | $1,070.95 | $141.57 |
| IdahoIdaho | $1,078.03 | $143.57 |
| East St. Louis, ILIllinois | $1,116.64 | $182.17 |
| Rest of IllinoisIllinois | $1,098.09 | $170.74 |
| Suburban Chicago, ILIllinois | $1,222.13 | $178.98 |
| IndianaIndiana | $1,085.60 | $144.03 |
| KansasKansas | $1,062.25 | $144.04 |
| KentuckyKentucky | $1,057.02 | $154.04 |
| New Orleans, LALouisiana | $1,116.38 | $160.58 |
| Rest of LouisianaLouisiana | $1,053.95 | $155.04 |
| Metropolitan Boston, MAMassachusetts | $1,376.76 | $163.99 |
| Rest of MassachusettsMassachusetts | $1,225.64 | $156.08 |
| Baltimore area, MDMaryland | $1,257.36 | $167.49 |
| Rest of MarylandMaryland | $1,185.55 | $157.64 |
| Rest of MaineMaine | $1,081.76 | $147.30 |
| Southern Maine, MEMaine | $1,155.48 | $148.90 |
| Detroit, MIMichigan | $1,155.00 | $174.83 |
| Rest of MichiganMichigan | $1,087.22 | $159.87 |
| MinnesotaMinnesota | $1,186.42 | $141.25 |
| Metropolitan Kansas City, MOMissouri | $1,110.32 | $156.56 |
| Metropolitan St. Louis, MOMissouri | $1,124.41 | $157.44 |
| Rest of MissouriMissouri | $1,030.55 | $155.00 |
| MississippiMississippi | $1,023.63 | $149.09 |
| MontanaMontana | $1,173.99 | $158.27 |
| North CarolinaNorth Carolina | $1,095.65 | $147.98 |
| North DakotaNorth Dakota | $1,159.16 | $143.44 |
| NebraskaNebraska | $1,078.76 | $141.25 |
| New HampshireNew Hampshire | $1,213.35 | $155.98 |
| Northern New JerseyNew Jersey | $1,348.54 | $170.30 |
| Rest of New JerseyNew Jersey | $1,276.26 | $167.09 |
| New MexicoNew Mexico | $1,093.16 | $161.75 |
| NevadaNevada | $1,170.89 | $154.16 |
| NYC suburbs and Long Island, NYNew York | $1,398.43 | $190.74 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,282.76 | $170.55 |
| Queens, NYNew York | $1,380.79 | $180.21 |
| Rest of New YorkNew York | $1,114.85 | $149.91 |
| OhioOhio | $1,084.19 | $156.84 |
| OklahomaOklahoma | $1,057.70 | $150.66 |
| Portland, OROregon | $1,284.35 | $155.88 |
| Rest of OregonOregon | $1,162.46 | $150.80 |
| Metropolitan Philadelphia, PAPennsylvania | $1,223.37 | $166.00 |
| Rest of PennsylvaniaPennsylvania | $1,087.79 | $155.35 |
| Puerto RicoPuerto Rico | $1,185.05 | $158.16 |
| Rhode IslandRhode Island | $1,207.66 | $158.42 |
| South CarolinaSouth Carolina | $1,091.62 | $153.09 |
| South DakotaSouth Dakota | $1,157.41 | $141.69 |
| TennesseeTennessee | $1,068.25 | $144.96 |
| Austin, TXTexas | $1,231.45 | $156.82 |
| Beaumont, TXTexas | $1,079.10 | $154.80 |
| Brazoria, TXTexas | $1,160.13 | $153.55 |
| Dallas, TXTexas | $1,167.37 | $155.71 |
| Fort Worth, TXTexas | $1,157.34 | $155.84 |
| Galveston, TXTexas | $1,163.40 | $154.79 |
| Houston, TXTexas | $1,177.13 | $168.51 |
| Rest of TexasTexas | $1,118.82 | $154.90 |
| UtahUtah | $1,109.38 | $154.60 |
| VirginiaVirginia | $1,149.08 | $150.63 |
| Virgin Islands, VIUnited States Virgin Islands | $1,185.05 | $158.16 |
| VermontVermont | $1,151.32 | $145.75 |
| Rest of WashingtonWashington | $1,224.40 | $154.84 |
| King County, WAWashington | $1,410.12 | $163.83 |
| WisconsinWisconsin | $1,113.23 | $140.17 |
| West VirginiaWest Virginia | $1,049.24 | $166.58 |
| WyomingWyoming | $1,167.53 | $151.81 |
36473 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.
$1,015.94
$1,448.09
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 | $1,287.02 | 1 |
| AL | $1,033.78 | 1 |
| AR | $1,015.94 | 1 |
| AZ | $1,138.35 | 1 |
| CA | $1,263.72–$1,632.46 | 29 |
| CO | $1,236.17 | 1 |
| CT | $1,261.28 | 1 |
| DC | $1,367.27 | 1 |
| DE | $1,159.66 | 1 |
| FL | $1,141.10–$1,254.78 | 3 |
| GA | $1,067.06–$1,195.98 | 2 |
| GU | $1,305.30 | 1 |
| HI | $1,305.30 | 1 |
| IA | $1,070.95 | 1 |
| ID | $1,078.03 | 1 |
| IL | $1,098.09–$1,222.13 | 4 |
| IN | $1,085.60 | 1 |
| KS | $1,062.25 | 1 |
| KY | $1,057.02 | 1 |
| LA | $1,053.95–$1,116.38 | 2 |
| MA | $1,225.64–$1,376.76 | 2 |
| MD | $1,185.55–$1,367.27 | 3 |
| ME | $1,081.76–$1,155.48 | 2 |
| MI | $1,087.22–$1,155.00 | 2 |
| MN | $1,186.42 | 1 |
| MO | $1,030.55–$1,124.41 | 3 |
| MS | $1,023.63 | 1 |
| MT | $1,173.99 | 1 |
| NC | $1,095.65 | 1 |
| ND | $1,159.16 | 1 |
| NE | $1,078.76 | 1 |
| NH | $1,213.35 | 1 |
| NJ | $1,276.26–$1,348.54 | 2 |
| NM | $1,093.16 | 1 |
| NV | $1,170.89 | 1 |
| NY | $1,114.85–$1,398.43 | 5 |
| OH | $1,084.19 | 1 |
| OK | $1,057.70 | 1 |
| OR | $1,162.46–$1,284.35 | 2 |
| PA | $1,087.79–$1,223.37 | 2 |
| PR | $1,185.05 | 1 |
| RI | $1,207.66 | 1 |
| SC | $1,091.62 | 1 |
| SD | $1,157.41 | 1 |
| TN | $1,068.25 | 1 |
| TX | $1,079.10–$1,231.45 | 8 |
| UT | $1,109.38 | 1 |
| VA | $1,149.08–$1,367.27 | 2 |
| VI | $1,185.05 | 1 |
| VT | $1,151.32 | 1 |
| WA | $1,224.40–$1,410.12 | 2 |
| WI | $1,113.23 | 1 |
| WV | $1,049.24 | 1 |
| WY | $1,167.53 | 1 |
How the 36473 rate is calculated
Each of 36473’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 · 36473
RVUs × geographic indexes × conversion factor
Work3.41
3.41 RVUs× 1.000 GPCI
Practice expense30.99
30.99 RVUs× 1.000 GPCI
Malpractice0.75
0.75 RVUs× 1.000 GPCI
Adjusted RVUs
35.1500
Conversion factor
$33.4009
Medicare rate
$1,174.04
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
4,486
- Code
- 36473
- Physician work
- 3.41
- Practice expense
- 30.99
- Malpractice
- 0.75
GPCI2026.csv
46
- Locality
- Hawaii, Guam, HI
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.000 | 3.4100 |
| Practice expense | 30.99 | × 1.137 | 35.2356 |
| Malpractice | 0.75 | × 0.579 | 0.4342 |
| Total RVUs | 39.0799 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Hawaii, Guam, HI$1305.30
Office: (3.41 × 1 + 30.99 × 1.137 + 0.75 × 0.579) × $33.4009 = $1305.30
Facility: (3.41 × 1 + 0.58 × 1.137 + 0.75 × 0.579) × $33.4009 = $150.43
Payment rules and modifiers for 36473
The CMS indicators that decide how 36473 is paid alongside other services.
CMS payment indicators · 36473
Vein ablation, mechanochemical, first 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
36473 without 50 · national office
$1,174.04
Vein ablation, mechanochemical, first vein
36473-50 · Bilateral: 150%
$1,761.06
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 36473 has changed in Hawaii, Guam, HI
36473 · Office / nonfacility
$1305.30
Effective 2026-10-01
The base rate is $75.74 higher than on 2025-10-01, moving from $1229.56 to $1305.30 (6.2%).
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
$1229.56changed to$1305.30
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.50 changed to 3.41
- Practice expense RVU 29.69 changed to 30.99
- Malpractice RVU 0.71 changed to 0.75
- Practice expense GPCI 1.149 changed to 1.137
- Malpractice GPCI 0.561 changed to 0.579
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1331.29changed to$1229.56
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 31.40 changed to 29.69
- Malpractice RVU 0.74 changed to 0.71
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1309.56changed to$1331.29
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1392.85changed to$1309.56
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 32.42 changed to 31.40
- Malpractice RVU 0.71 changed to 0.74
- 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
January 1, 2023
RVU23A
$1474.15changed to$1392.85
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 33.78 changed to 32.42
- Malpractice RVU 0.67 changed to 0.71
- 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.
January 1, 2022
RVU22A
$1620.05changed to$1474.15
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 37.12 changed to 33.78
- Malpractice RVU 0.69 changed to 0.67
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1639.05changed to$1620.05
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 36.25 changed to 37.12
- Malpractice RVU 0.66 changed to 0.69
- 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.
January 1, 2020
RVU20A
$1678.33changed to$1639.05
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 37.21 changed to 36.25
- Malpractice RVU 0.69 changed to 0.66
- 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.
January 1, 2019
RVU19A
$1734.89changed to$1678.33
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 38.62 changed to 37.21
- Malpractice RVU 0.70 changed to 0.69
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1726.94changed to$1734.89
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 38.36 changed to 38.62
- Malpractice RVU 0.56 changed to 0.70
- 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.
January 1, 2017
RVU17A
No ratechanged to$1726.94
Held through RVU17B, RVU17C, RVU17D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,305.30 | $150.43 | RVU26D |
| 2026-07-01 | $1,305.30 | $150.43 | RVU26C |
| 2026-04-01 | $1,305.30 | $150.43 | RVU26B |
| 2026-01-01 | $1,305.30 | $150.43 | RVU26A |
| 2025-10-01 | $1,229.56 | $167.35 | RVU25D |
| 2025-07-01 | $1,229.56 | $167.35 | RVU25C |
| 2025-04-01 | $1,229.56 | $167.35 | RVU25B |
| 2025-01-01 | $1,229.56 | $167.35 | RVU25A |
| 2024-10-01 | $1,331.29 | $171.63 | RVU24D |
| 2024-07-01 | $1,331.29 | $171.63 | RVU24C |
| 2024-04-01 | $1,331.29 | $171.63 | RVU24B |
| 2024-03-09 | $1,331.29 | $171.63 | RVU24AR |
| 2024-01-01 | $1,309.56 | $168.83 | RVU24A |
| 2023-10-01 | $1,392.85 | $175.77 | RVU23D |
| 2023-07-01 | $1,392.85 | $175.77 | RVU23C |
| 2023-04-01 | $1,392.85 | $175.77 | RVU23B |
| 2023-01-01 | $1,392.85 | $175.77 | RVU23A |
| 2022-10-01 | $1,474.15 | $180.31 | RVU22D |
| 2022-07-01 | $1,474.15 | $180.31 | RVU22C |
| 2022-04-01 | $1,474.15 | $180.31 | RVU22B |
| 2022-01-01 | $1,474.15 | $180.31 | RVU22A |
| 2021-10-01 | $1,620.05 | $180.68 | RVU21D |
| 2021-07-01 | $1,620.05 | $180.68 | RVU21C |
| 2021-04-01 | $1,620.05 | $180.68 | RVU21B |
| 2021-01-01 | $1,620.05 | $180.68 | RVU21A |
| 2020-10-01 | $1,639.05 | $184.52 | RVU20D |
| 2020-07-01 | $1,639.05 | $184.52 | RVU20C |
| 2020-04-01 | $1,639.05 | $184.52 | RVU20B |
| 2020-01-01 | $1,639.05 | $184.52 | RVU20A |
| 2019-10-01 | $1,678.33 | $181.18 | RVU19D |
| 2019-07-01 | $1,678.33 | $181.18 | RVU19C |
| 2019-04-01 | $1,678.33 | $181.18 | RVU19B |
| 2019-01-01 | $1,678.33 | $181.18 | RVU19A |
| 2018-10-01 | $1,734.89 | $179.96 | RVU18D |
| 2018-07-01 | $1,734.89 | $179.96 | RVU18C |
| 2018-04-01 | $1,734.89 | $179.96 | RVU18B |
| 2018-01-01 | $1,734.89 | $179.96 | RVU18AR1 |
| 2017-10-01 | $1,726.94 | $177.59 | RVU17D |
| 2017-07-01 | $1,726.94 | $177.59 | RVU17C |
| 2017-04-01 | $1,726.94 | $177.59 | RVU17B |
| 2017-01-01 | $1,726.94 | $177.59 | 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 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
36473 billing questions
When should 36473 be selected instead of 36475 or 36478?
Use 36473 when the vein is treated with mechanochemical catheter treatment. Codes 36475 and 36478 describe radiofrequency and laser ablation, respectively.
How is treatment of another vein reported?
Report 36473 for the first vein and 36474 for each additional vein treated in the same extremity. The record should distinguish the veins treated.
Can imaging guidance be billed separately?
Imaging guidance and monitoring for the mechanochemical treatment are included in 36473.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure: report modifier 50 for bilateral treatment, which is paid at 150%.
Does the procedure have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant or co-surgeon be reported?
CMS restricts payment for an assistant at surgery. 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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