CPT code 36476: Vein ablation, additional vein, radiofrequency2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $267.59 for 36476 in the office and $106.26 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 36476 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 36476 covers

This add-on reports percutaneous radiofrequency ablation of an additional incompetent vein in the same extremity after the first vein is treated. A vascular surgeon, interventional radiologist, or other qualified physician typically uses a catheter and imaging guidance to close refluxing superficial veins in patients with chronic venous insufficiency or varicose veins. Imaging guidance and monitoring are included in the endovenous ablation service.

Report 36476 for each additional vein treated, alongside 36475 for the first vein treated with radiofrequency in that extremity. Document the treated vein, side, ablation method, and number of additional veins so the unit count is supported. CMS identifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period. For a bilateral procedure reported with modifier 50, CMS pays 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 North Dakota compares for 36476

Across 109 of 109 payment localities, the office rate for 36476 runs from $245.17 in Arkansas to $356.31 in San Benito County, CA. North Dakota pays $267.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

36476 rates by state

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

See 36476 in every payment locality

How the 36476 rate is calculated

Each of 36476’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 36476

The CMS indicators that decide how 36476 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 36476

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

How 36476 has changed in North Dakota

Price 36476 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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