CPT code 36474: Vein ablation, additional vein2026 Medicare rate & RVUs in Los Angeles, CA

In Los Angeles, CA, Medicare pays $269.80 for 36474 in the office and $77.76 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 36474 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 36474 covers

This add-on represents catheter-based mechanochemical ablation of an additional incompetent vein, using mechanical action together with a sclerosant to close the treated vein. It is used for venous reflux treatment, including treatment of superficial truncal veins, and is typically performed by a vascular surgeon, interventional radiologist, or vein specialist in an office or outpatient procedural setting. The additional vein is treated through a separate access site in the same extremity as the first vein.

Report 36474 only with the primary mechanochemical ablation code 36473; it is not a stand-alone service. Documentation should identify the treated veins, extremity, separate access sites, and the mechanochemical technique. CMS treats this add-on as paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays at 150%.

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 Los Angeles, CA compares for 36474

Across 109 of 109 payment localities, the office rate for 36474 runs from $210.27 in Arkansas to $316.32 in San Benito County, CA. Los Angeles, CA pays $269.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

36474 rates by state

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

See 36474 in every payment locality

How the 36474 rate is calculated

Each of 36474’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.

Payment rules and modifiers for 36474

The CMS indicators that decide how 36474 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 36474

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

How 36474 has changed in Los Angeles, CA

Price 36474 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Anaheim
• Long Beach
• Los Angeles
• Orange
• Acton
• Agoura Hills
• Agua Dulce
• Alhambra

Browse all communities in California

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

Open CMS sourceHow we calculate rates