CPT code 36475: Venous ablation, radiofrequency, first vein2026 Medicare rate & RVUs in West Virginia
Percutaneous radiofrequency treatment closes the first incompetent vein in an extremity, commonly for symptomatic superficial venous reflux such as great saphenous vein insufficiency.
In West Virginia, Medicare pays $961.99 for 36475 in the office and $258.42 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 West Virginia 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. West Virginia pays $961.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$961.99
- Los Angeles, CA · California$1,204.95+$242.96
- Washington, DC area · District of Columbia$1,220.22+$258.23
- Miami, FL · Florida$1,149.51+$187.52
- Chicago, IL · Illinois$1,111.31+$149.32
- Manhattan, NY · New York$1,226.59+$264.60
- Alaska · Alaska$1,180.16+$218.17
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $933.84 | $225.40 |
| ArkansasArkansas | $918.36 | $222.88 |
| 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 |
| Merced, CACalifornia | $1,122.37 | $235.01 |
| Modesto, CACalifornia | $1,122.37 | $235.01 |
| Napa, CACalifornia | $1,316.84 | $249.74 |
| Oxnard, CACalifornia | $1,200.29 | $243.30 |
| Redding, CACalifornia | $1,122.37 | $235.01 |
| Rest of CaliforniaCalifornia | $1,122.37 | $235.01 |
| Riverside, CACalifornia | $1,134.72 | $247.36 |
| Sacramento, CACalifornia | $1,182.27 | $240.66 |
| Salinas, CACalifornia | $1,178.03 | $239.66 |
| San Diego, CACalifornia | $1,209.35 | $241.03 |
| Marin County, CACalifornia | $1,398.23 | $256.64 |
| San Francisco, CACalifornia | $1,396.92 | $255.33 |
| San Benito County, CACalifornia | $1,430.82 | $263.32 |
| Santa Clara County, CACalifornia | $1,425.48 | $257.98 |
| San Luis Obispo, CACalifornia | $1,158.71 | $236.53 |
| Santa Cruz, CACalifornia | $1,223.62 | $239.91 |
| Santa Maria, CACalifornia | $1,183.43 | $239.39 |
| Santa Rosa, CACalifornia | $1,236.16 | $241.93 |
| Stockton, CACalifornia | $1,122.37 | $235.01 |
| Vallejo, CACalifornia | $1,314.96 | $247.86 |
| Visalia, CACalifornia | $1,122.37 | $235.01 |
| Yuba City, CACalifornia | $1,122.37 | $235.01 |
| ColoradoColorado | $1,103.88 | $242.42 |
| ConnecticutConnecticut | $1,132.72 | $260.74 |
| DelawareDelaware | $1,042.98 | $243.06 |
| Fort Lauderdale, FLFlorida | $1,098.16 | $278.00 |
| Rest of FloridaFlorida | $1,038.28 | $264.26 |
| Atlanta, GAGeorgia | $1,077.90 | $255.30 |
| Rest of GeorgiaGeorgia | $972.25 | $250.05 |
| Hawaii, Guam, HIHawaii | $1,155.74 | $235.18 |
| IowaIowa | $961.15 | $220.33 |
| IdahoIdaho | $968.29 | $223.42 |
| East St. Louis, ILIllinois | $1,027.48 | $282.62 |
| Rest of IllinoisIllinois | $1,004.24 | $265.04 |
| Suburban Chicago, ILIllinois | $1,109.81 | $278.32 |
| IndianaIndiana | $974.71 | $224.17 |
| KansasKansas | $955.96 | $224.05 |
| KentuckyKentucky | $959.07 | $239.30 |
| New Orleans, LALouisiana | $1,011.50 | $249.63 |
| Rest of LouisianaLouisiana | $957.34 | $240.81 |
| Metropolitan Boston, MAMassachusetts | $1,222.93 | $256.22 |
| Rest of MassachusettsMassachusetts | $1,095.89 | $243.34 |
| Baltimore area, MDMaryland | $1,129.69 | $260.95 |
| Rest of MarylandMaryland | $1,064.85 | $245.50 |
| Rest of MaineMaine | $974.01 | $229.15 |
| Southern Maine, MEMaine | $1,034.36 | $232.01 |
| Detroit, MIMichigan | $1,052.91 | $271.61 |
| Rest of MichiganMichigan | $987.57 | $248.37 |
| MinnesotaMinnesota | $1,053.60 | $220.48 |
| Metropolitan Kansas City, MOMissouri | $1,003.71 | $243.46 |
| Metropolitan St. Louis, MOMissouri | $1,015.65 | $244.88 |
| Rest of MissouriMissouri | $938.52 | $240.61 |
| MississippiMississippi | $928.65 | $231.55 |
| MontanaMontana | $1,056.06 | $246.42 |
| North CarolinaNorth Carolina | $985.65 | $230.26 |
| North DakotaNorth Dakota | $1,033.32 | $223.68 |
| NebraskaNebraska | $967.18 | $219.88 |
| New HampshireNew Hampshire | $1,085.98 | $243.15 |
| Northern New JerseyNew Jersey | $1,204.83 | $265.65 |
| Rest of New JerseyNew Jersey | $1,144.51 | $260.39 |
| New MexicoNew Mexico | $993.72 | $251.28 |
| NevadaNevada | $1,050.57 | $240.12 |
| NYC suburbs and Long Island, NYNew York | $1,259.82 | $297.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,152.25 | $265.70 |
| Queens, NYNew York | $1,237.96 | $280.97 |
| Rest of New YorkNew York | $1,002.48 | $233.32 |
| OhioOhio | $982.93 | $243.73 |
| OklahomaOklahoma | $957.15 | $234.14 |
| Portland, OROregon | $1,142.87 | $243.36 |
| Rest of OregonOregon | $1,041.35 | $234.95 |
| Metropolitan Philadelphia, PAPennsylvania | $1,101.30 | $258.47 |
| Rest of PennsylvaniaPennsylvania | $984.73 | $241.48 |
| Puerto RicoPuerto Rico | $1,064.86 | $246.31 |
| Rhode IslandRhode Island | $1,083.16 | $246.80 |
| South CarolinaSouth Carolina | $986.15 | $238.05 |
| South DakotaSouth Dakota | $1,030.63 | $220.99 |
| TennesseeTennessee | $961.45 | $225.49 |
| Austin, TXTexas | $1,101.12 | $244.52 |
| Beaumont, TXTexas | $977.36 | $240.59 |
| Brazoria, TXTexas | $1,041.46 | $239.11 |
| Dallas, TXTexas | $1,048.86 | $242.46 |
| Fort Worth, TXTexas | $1,040.90 | $242.60 |
| Galveston, TXTexas | $1,045.00 | $241.03 |
| Houston, TXTexas | $1,066.05 | $262.07 |
| Rest of TexasTexas | $1,009.31 | $240.97 |
| UtahUtah | $1,001.52 | $240.46 |
| VirginiaVirginia | $1,030.48 | $234.60 |
| Virgin Islands, VIUnited States Virgin Islands | $1,064.86 | $246.31 |
| VermontVermont | $1,028.71 | $227.17 |
| Rest of WashingtonWashington | $1,093.99 | $241.44 |
| King County, WAWashington | $1,249.57 | $256.14 |
| WisconsinWisconsin | $994.06 | $218.43 |
| WyomingWyoming | $1,046.15 | $236.51 |
36475 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.
$918.36
$1,276.59
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 | $1,180.16 | 1 |
| AL | $933.84 | 1 |
| AR | $918.36 | 1 |
| AZ | $1,024.41 | 1 |
| CA | $1,122.37–$1,430.82 | 29 |
| CO | $1,103.88 | 1 |
| CT | $1,132.72 | 1 |
| DC | $1,220.22 | 1 |
| DE | $1,042.98 | 1 |
| FL | $1,038.28–$1,149.51 | 3 |
| GA | $972.25–$1,077.90 | 2 |
| GU | $1,155.74 | 1 |
| HI | $1,155.74 | 1 |
| IA | $961.15 | 1 |
| ID | $968.29 | 1 |
| IL | $1,004.24–$1,111.31 | 4 |
| IN | $974.71 | 1 |
| KS | $955.96 | 1 |
| KY | $959.07 | 1 |
| LA | $957.34–$1,011.50 | 2 |
| MA | $1,095.89–$1,222.93 | 2 |
| MD | $1,064.85–$1,220.22 | 3 |
| ME | $974.01–$1,034.36 | 2 |
| MI | $987.57–$1,052.91 | 2 |
| MN | $1,053.60 | 1 |
| MO | $938.52–$1,015.65 | 3 |
| MS | $928.65 | 1 |
| MT | $1,056.06 | 1 |
| NC | $985.65 | 1 |
| ND | $1,033.32 | 1 |
| NE | $967.18 | 1 |
| NH | $1,085.98 | 1 |
| NJ | $1,144.51–$1,204.83 | 2 |
| NM | $993.72 | 1 |
| NV | $1,050.57 | 1 |
| NY | $1,002.48–$1,259.82 | 5 |
| OH | $982.93 | 1 |
| OK | $957.15 | 1 |
| OR | $1,041.35–$1,142.87 | 2 |
| PA | $984.73–$1,101.30 | 2 |
| PR | $1,064.86 | 1 |
| RI | $1,083.16 | 1 |
| SC | $986.15 | 1 |
| SD | $1,030.63 | 1 |
| TN | $961.45 | 1 |
| TX | $977.36–$1,101.12 | 8 |
| UT | $1,001.52 | 1 |
| VA | $1,030.48–$1,220.22 | 2 |
| VI | $1,064.86 | 1 |
| VT | $1,028.71 | 1 |
| WA | $1,093.99–$1,249.57 | 2 |
| WI | $994.06 | 1 |
| WV | $961.99 | 1 |
| WY | $1,046.15 | 1 |
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
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 West Virginia 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
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.17 | × 1.000 | 5.1700 |
| Practice expense | 25.30 | × 0.869 | 21.9857 |
| Malpractice | 1.15 | × 1.431 | 1.6456 |
| Total RVUs | 28.8014 | ||
| Conversion factor | × 33.4009 | ||
Office rate, West Virginia$961.99
Office: (5.17 × 1 + 25.3 × 0.869 + 1.15 × 1.431) × $33.4009 = $961.99
Facility: (5.17 × 1 + 1.06 × 0.869 + 1.15 × 1.431) × $33.4009 = $258.42
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
| 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
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).
How 36475 has changed in West Virginia
36475 · Office / nonfacility
$961.99
Effective 2026-10-01
The base rate is $67.60 higher than on 2025-10-01, moving from $894.39 to $961.99 (7.6%).
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
$894.39changed to$961.99
- 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 0.862 changed to 0.869
- Malpractice GPCI 1.333 changed to 1.431
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$952.26changed to$894.39
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 25.26 changed to 24.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$936.72changed to$952.26
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$986.69changed to$936.72
- 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 0.860 changed to 0.862
- Malpractice GPCI 1.266 changed to 1.333
January 1, 2023
RVU23A
$1030.23changed to$986.69
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 26.97 changed to 26.06
- Practice expense GPCI 0.858 changed to 0.860
- Malpractice GPCI 1.198 changed to 1.266
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1169.78changed to$1030.23
- 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.
January 1, 2021
RVU21A
$1246.47changed to$1169.78
- 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 0.857 changed to 0.858
- Malpractice GPCI 1.247 changed to 1.198
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1298.35changed to$1246.47
- 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
- Malpractice GPCI 1.296 changed to 1.247
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1372.21changed to$1298.35
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 36.66 changed to 34.22
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1355.46changed to$1372.21
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 36.69 changed to 36.66
- Practice expense GPCI 0.847 changed to 0.857
- Malpractice GPCI 1.289 changed to 1.296
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1359.73changed to$1355.46
- 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 0.836 changed to 0.847
- Malpractice GPCI 1.282 changed to 1.289
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1360.59changed to$1359.73
- 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.
July 1, 2015
RVU15C
$1353.82changed to$1360.59
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1474.73changed to$1353.82
- 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 0.832 changed to 0.836
- Malpractice GPCI 1.256 changed to 1.282
Held through RVU15B.
January 1, 2014
RVU14A
$1559.37changed to$1474.73
- 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 0.828 changed to 0.832
- Malpractice GPCI 1.229 changed to 1.256
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1559.37
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $961.99 | $258.42 | RVU26D |
| 2026-07-01 | $961.99 | $258.42 | RVU26C |
| 2026-04-01 | $961.99 | $258.42 | RVU26B |
| 2026-01-01 | $961.99 | $258.42 | RVU26A |
| 2025-10-01 | $894.39 | $268.70 | RVU25D |
| 2025-07-01 | $894.39 | $268.70 | RVU25C |
| 2025-04-01 | $894.39 | $268.70 | RVU25B |
| 2025-01-01 | $894.39 | $268.70 | RVU25A |
| 2024-10-01 | $952.26 | $276.23 | RVU24D |
| 2024-07-01 | $952.26 | $276.23 | RVU24C |
| 2024-04-01 | $952.26 | $276.23 | RVU24B |
| 2024-03-09 | $952.26 | $276.23 | RVU24AR |
| 2024-01-01 | $936.72 | $271.72 | RVU24A |
| 2023-10-01 | $986.69 | $277.35 | RVU23D |
| 2023-07-01 | $986.69 | $277.35 | RVU23C |
| 2023-04-01 | $986.69 | $277.35 | RVU23B |
| 2023-01-01 | $986.69 | $277.35 | RVU23A |
| 2022-10-01 | $1,030.23 | $280.50 | RVU22D |
| 2022-07-01 | $1,030.23 | $280.50 | RVU22C |
| 2022-04-01 | $1,030.23 | $280.50 | RVU22B |
| 2022-01-01 | $1,030.23 | $280.50 | RVU22A |
| 2021-10-01 | $1,169.78 | $282.71 | RVU21D |
| 2021-07-01 | $1,169.78 | $282.71 | RVU21C |
| 2021-04-01 | $1,169.78 | $282.71 | RVU21B |
| 2021-01-01 | $1,169.78 | $282.71 | RVU21A |
| 2020-10-01 | $1,246.47 | $292.63 | RVU20D |
| 2020-07-01 | $1,246.47 | $292.63 | RVU20C |
| 2020-04-01 | $1,246.47 | $292.63 | RVU20B |
| 2020-01-01 | $1,246.47 | $292.63 | RVU20A |
| 2019-10-01 | $1,298.35 | $294.88 | RVU19D |
| 2019-07-01 | $1,298.35 | $294.88 | RVU19C |
| 2019-04-01 | $1,298.35 | $294.88 | RVU19B |
| 2019-01-01 | $1,298.35 | $294.88 | RVU19A |
| 2018-10-01 | $1,372.21 | $295.48 | RVU18D |
| 2018-07-01 | $1,372.21 | $295.48 | RVU18C |
| 2018-04-01 | $1,372.21 | $295.48 | RVU18B |
| 2018-01-01 | $1,372.21 | $295.48 | RVU18AR1 |
| 2017-10-01 | $1,355.46 | $294.28 | RVU17D |
| 2017-07-01 | $1,355.46 | $294.28 | RVU17C |
| 2017-04-01 | $1,355.46 | $294.28 | RVU17B |
| 2017-01-01 | $1,355.46 | $294.28 | RVU17A |
| 2016-10-01 | $1,359.73 | $294.43 | RVU16D |
| 2016-07-01 | $1,359.73 | $294.43 | RVU16C |
| 2016-04-01 | $1,359.73 | $294.43 | RVU16B |
| 2016-01-01 | $1,359.73 | $294.43 | RVU16A |
| 2015-10-01 | $1,360.59 | $295.95 | RVU15D |
| 2015-07-01 | $1,360.59 | $295.95 | RVU15C |
| 2015-04-01 | $1,353.82 | $294.48 | RVU15B |
| 2015-01-01 | $1,353.82 | $294.48 | RVU15A |
| 2014-10-01 | $1,474.73 | $369.58 | RVU14D |
| 2014-07-01 | $1,474.73 | $369.58 | RVU14C |
| 2014-04-01 | $1,474.73 | $369.58 | RVU14B |
| 2014-01-01 | $1,474.73 | $369.58 | RVU14A |
| 2013-10-01 | $1,559.37 | $357.59 | RVU13D |
| 2013-07-01 | $1,559.37 | $357.59 | RVU13C |
| 2013-04-01 | $1,559.37 | $357.59 | RVU13B |
| 2013-01-01 | $1,559.37 | $357.59 | RVU13AR |
Where the West Virginia rate applies
West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.
- Accoville
- Addison (Webster Springs)
- Adrian
- Albright
- Alderson
- Alum Creek
- Amherstdale
- Anawalt
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
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