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CPT code 36475: Venous ablation, radiofrequency, first vein2026 Medicare rate & RVUs in Arkansas

Percutaneous radiofrequency treatment closes the first incompetent vein in an extremity, commonly for symptomatic superficial venous reflux such as great saphenous vein insufficiency.

CMS RVU26DEffective Oct 1, 2026One payment locality86K Medicare services in 2024

In Arkansas, Medicare pays $918.36 for 36475 in the office and $222.88 when it’s performed in a hospital or facility.

$918.36Office (non-facility)
$222.88Hospital or facility
−13.0%vs the national office rate ($1,056.14)

Check a contract rate as a % of Medicare · 36475 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 36475 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 36475 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 36475 covers

This service uses a percutaneously placed catheter to deliver radiofrequency energy and close an incompetent superficial vein in an extremity. Vascular surgeons, interventional radiologists, and other qualified clinicians commonly perform it in an office-based vascular practice or an outpatient facility for symptomatic venous reflux, often involving the great or small saphenous vein. Imaging guidance and treatment monitoring are included in the service.

Report 36475 for the first vein treated with radiofrequency in the extremity. For an additional vein treated in the same extremity, report 36476 when its requirements are met. Documentation should identify the treated vein, support its incompetence or reflux, and describe the radiofrequency treatment. The 0-day global period includes same-day preoperative and postoperative care. With multiple procedures in one session, Medicare pays the highest-valued procedure in full and others at 50%. Bilateral treatment with modifier 50 is paid 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 Arkansas compares for 36475

Across 109 of 109 payment localities, the office rate for 36475 runs from $918.36 in Arkansas to $1,430.82 in San Benito County, CA. Arkansas pays $918.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

36475 in Arkansas vs other payment areas
  1. Arkansas · this page$918.36
  2. Los Angeles, CA · California$1,204.95+$286.59
  3. Washington, DC area · District of Columbia$1,220.22+$301.86
  4. Miami, FL · Florida$1,149.51+$231.15
  5. Chicago, IL · Illinois$1,111.31+$192.95
  6. Manhattan, NY · New York$1,226.59+$308.23
  7. Alaska · Alaska$1,180.16+$261.80

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

Every other payment area

36475 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$933.84$225.40
ArizonaArizona$1,024.41$239.87
Bakersfield, CACalifornia$1,125.52$238.16
Chico, CACalifornia$1,122.37$235.01
El Centro, CACalifornia$1,122.57$235.20
Fresno, CACalifornia$1,122.37$235.01
Hanford, CACalifornia$1,122.37$235.01
Madera, CACalifornia$1,122.37$235.01

36475 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.

$918.36

$1,276.59

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

View every state and territory as a table
36475 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,180.161
AL$933.841
AR$918.361
AZ$1,024.411
CA$1,122.37–$1,430.8229
CO$1,103.881
CT$1,132.721
DC$1,220.221
DE$1,042.981
FL$1,038.28–$1,149.513
GA$972.25–$1,077.902
GU$1,155.741
HI$1,155.741
IA$961.151
ID$968.291
IL$1,004.24–$1,111.314
IN$974.711
KS$955.961
KY$959.071
LA$957.34–$1,011.502
MA$1,095.89–$1,222.932
MD$1,064.85–$1,220.223
ME$974.01–$1,034.362
MI$987.57–$1,052.912
MN$1,053.601
MO$938.52–$1,015.653
MS$928.651
MT$1,056.061
NC$985.651
ND$1,033.321
NE$967.181
NH$1,085.981
NJ$1,144.51–$1,204.832
NM$993.721
NV$1,050.571
NY$1,002.48–$1,259.825
OH$982.931
OK$957.151
OR$1,041.35–$1,142.872
PA$984.73–$1,101.302
PR$1,064.861
RI$1,083.161
SC$986.151
SD$1,030.631
TN$961.451
TX$977.36–$1,101.128
UT$1,001.521
VA$1,030.48–$1,220.222
VI$1,064.861
VT$1,028.711
WA$1,093.99–$1,249.572
WI$994.061
WV$961.991
WY$1,046.151

See 36475 in every payment locality

How the 36475 rate is calculated

Each of 36475’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 · 36475

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.17

5.17 RVUs× 1.000 GPCI

Practice expense25.30

25.30 RVUs× 1.000 GPCI

Malpractice1.15

1.15 RVUs× 1.000 GPCI

Adjusted RVUs

31.6200

Conversion factor

$33.4009

Medicare rate

$1,056.14

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,488

Code
36475
Physician work
5.17
Practice expense
25.30
Malpractice
1.15

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 36475 in Arkansas
ComponentRVULocality factorAdjusted
Physician work5.17× 1.0005.1700
Practice expense25.30× 0.85921.7327
Malpractice1.15× 0.5150.5922
Total RVUs27.4950
Conversion factor× 33.4009

Office rate, Arkansas$918.36

Office: (5.17 × 1 + 25.3 × 0.859 + 1.15 × 0.515) × $33.4009 = $918.36

Facility: (5.17 × 1 + 1.06 × 0.859 + 1.15 × 0.515) × $33.4009 = $222.88

Open 36475 in the RVU calculator

Payment rules and modifiers for 36475

The CMS indicators that decide how 36475 is paid alongside other services.

CMS payment indicators · 36475

Venous ablation, radiofrequency, first 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

36475 without 50 · national office

$1,056.14

Venous ablation, radiofrequency, first vein

36475-50 · Bilateral: 150%

$1,584.21

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 36475

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

Codes related to 36475
CodeHow it relatesOffice range, Arkansas
Add-on codes
36476Vein ablation, additional vein, radiofrequencyAdd-on code for an additional radiofrequency-treated vein in the same extremity.$245.17
Used instead
36478Laser vein ablation, first vein treatedUses laser energy rather than radiofrequency to treat the first incompetent vein.$853.92
36479Laser vein ablation, each additional veinAdd-on code for an additional vein treated by laser rather than radiofrequency.$272.49
36473Vein ablation, mechanochemical, first veinTreats the first incompetent vein using mechanochemical ablation instead of radiofrequency.$1,015.94
36474Vein ablation, additional veinAdd-on for another vein treated with mechanochemical ablation, not radiofrequency.$210.27
36482Vein ablation, chemical adhesive, first veinTreats the first incompetent vein using chemical adhesive rather than radiofrequency.$1,431.11
36483Vein ablation, additional vein, same extremityAdd-on for another vein treated with chemical adhesive rather than radiofrequency.$124.82

How 36475 has changed in Arkansas

36475 · Office / nonfacility

$918.36

Effective 2026-10-01

The base rate is $55.85 higher than on 2025-10-01, moving from $862.51 to $918.36 (6.5%).

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

    $862.51changed to$918.36

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.30 changed to 5.17
    • Practice expense RVU 24.15 changed to 25.30
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $919.38changed to$862.51

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 25.26 changed to 24.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $904.37changed to$919.38

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $951.39changed to$904.37

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 26.06 changed to 25.26
    • Malpractice RVU 1.11 changed to 1.15
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518

  5. January 1, 2023

    RVU23A

    $991.80changed to$951.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 26.97 changed to 26.06
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1129.61changed to$991.80

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 31.36 changed to 26.97
    • Malpractice RVU 1.10 changed to 1.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1220.79changed to$1129.61

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 32.56 changed to 31.36
    • Malpractice RVU 1.07 changed to 1.10
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1288.83changed to$1220.79

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 34.22 changed to 32.56
    • Malpractice RVU 1.08 changed to 1.07
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1364.01changed to$1288.83

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 36.66 changed to 34.22

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1357.30changed to$1364.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 36.69 changed to 36.66
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1371.78changed to$1357.30

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 37.40 changed to 36.69
    • Malpractice RVU 1.10 changed to 1.08
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1372.25changed to$1371.78

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 37.25 changed to 37.40
    • Malpractice RVU 1.11 changed to 1.10

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1365.42changed to$1372.25

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1485.44changed to$1365.42

    • Conversion factor 35.8228 changed to 35.7547
    • Work RVU 6.72 changed to 5.30
    • Practice expense RVU 39.35 changed to 37.25
    • Malpractice RVU 1.36 changed to 1.11
    • Practice expense GPCI 0.866 changed to 0.867
    • Malpractice GPCI 0.492 changed to 0.534

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1578.55changed to$1485.44

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 45.13 changed to 39.35
    • Malpractice RVU 1.42 changed to 1.36
    • Practice expense GPCI 0.865 changed to 0.866
    • Malpractice GPCI 0.450 changed to 0.492

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1578.55

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$918.36$222.88RVU26D
2026-07-01$918.36$222.88RVU26C
2026-04-01$918.36$222.88RVU26B
2026-01-01$918.36$222.88RVU26A
2025-10-01$862.51$238.27RVU25D
2025-07-01$862.51$238.27RVU25C
2025-04-01$862.51$238.27RVU25B
2025-01-01$862.51$238.27RVU25A
2024-10-01$919.38$244.92RVU24D
2024-07-01$919.38$244.92RVU24C
2024-04-01$919.38$244.92RVU24B
2024-03-09$919.38$244.92RVU24AR
2024-01-01$904.37$240.92RVU24A
2023-10-01$951.39$247.83RVU23D
2023-07-01$951.39$247.83RVU23C
2023-04-01$951.39$247.83RVU23B
2023-01-01$951.39$247.83RVU23A
2022-10-01$991.80$251.69RVU22D
2022-07-01$991.80$251.69RVU22C
2022-04-01$991.80$251.69RVU22B
2022-01-01$991.80$251.69RVU22A
2021-10-01$1,129.61$253.91RVU21D
2021-07-01$1,129.61$253.91RVU21C
2021-04-01$1,129.61$253.91RVU21B
2021-01-01$1,129.61$253.91RVU21A
2020-10-01$1,220.79$264.72RVU20D
2020-07-01$1,220.79$264.72RVU20C
2020-04-01$1,220.79$264.72RVU20B
2020-01-01$1,220.79$264.72RVU20A
2019-10-01$1,288.83$267.79RVU19D
2019-07-01$1,288.83$267.79RVU19C
2019-04-01$1,288.83$267.79RVU19B
2019-01-01$1,288.83$267.79RVU19A
2018-10-01$1,364.01$268.44RVU18D
2018-07-01$1,364.01$268.44RVU18C
2018-04-01$1,364.01$268.44RVU18B
2018-01-01$1,364.01$268.44RVU18AR1
2017-10-01$1,357.30$267.30RVU17D
2017-07-01$1,357.30$267.30RVU17C
2017-04-01$1,357.30$267.30RVU17B
2017-01-01$1,357.30$267.30RVU17A
2016-10-01$1,371.78$266.98RVU16D
2016-07-01$1,371.78$266.98RVU16C
2016-04-01$1,371.78$266.98RVU16B
2016-01-01$1,371.78$266.98RVU16A
2015-10-01$1,372.25$268.14RVU15D
2015-07-01$1,372.25$268.14RVU15C
2015-04-01$1,365.42$266.80RVU15B
2015-01-01$1,365.42$266.80RVU15A
2014-10-01$1,485.44$335.12RVU14D
2014-07-01$1,485.44$335.12RVU14C
2014-04-01$1,485.44$335.12RVU14B
2014-01-01$1,485.44$335.12RVU14A
2013-10-01$1,578.55$323.07RVU13D
2013-07-01$1,578.55$323.07RVU13C
2013-04-01$1,578.55$323.07RVU13B
2013-01-01$1,578.55$323.07RVU13AR

Price 36475 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

36475 billing questions

When should 36475 be used instead of 36476?

Use 36475 for the first vein treated with radiofrequency in the extremity. Use 36476 for an additional vein treated in that same extremity when its requirements are met.

Is imaging guidance separately reported with 36475?

Imaging guidance and monitoring are included in 36475. Do not separately report those elements as though they were outside the ablation service.

What documentation supports reporting 36475?

Document the incompetent vein and evidence of reflux, the extremity and vein treated, and the radiofrequency catheter treatment. The record should distinguish the first treated vein from any additional vein.

How is bilateral treatment reported?

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

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

Can an assistant or co-surgeon be billed for this procedure?

Assistant-at-surgery services are not paid for 36475. 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 36475PPRRVU2026_Oct_nonQPP.csv, line 4,488 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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