CPT code 36476: Vein ablation, additional vein, radiofrequency2026 Medicare rate & RVUs in South Dakota
Reports radiofrequency catheter ablation of each additional incompetent vein treated in the same extremity after the primary vein procedure.
In South Dakota, Medicare pays $266.26 for 36476 in the office and $104.93 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.
On this page 11 sections
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 South 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. South Dakota pays $266.26. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$266.26
- Los Angeles, CA · California$307.82+$41.56
- Washington, DC area · District of Columbia$316.62+$50.36
- Miami, FL · Florida$315.13+$48.87
- Chicago, IL · Illinois$305.02+$38.76
- Manhattan, NY · New York$323.71+$57.45
- Alaska · Alaska$324.73+$58.47
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $248.92 | $107.76 |
| ArkansasArkansas | $245.17 | $106.59 |
| ArizonaArizona | $270.77 | $114.45 |
| Bakersfield, CACalifornia | $289.76 | $112.95 |
| Chico, CACalifornia | $288.20 | $111.39 |
| El Centro, CACalifornia | $288.30 | $111.48 |
| Fresno, CACalifornia | $288.20 | $111.39 |
| Hanford, CACalifornia | $288.20 | $111.39 |
| Madera, CACalifornia | $288.20 | $111.39 |
| Merced, CACalifornia | $288.20 | $111.39 |
| Modesto, CACalifornia | $288.20 | $111.39 |
| Napa, CACalifornia | $330.19 | $117.56 |
| Oxnard, CACalifornia | $305.74 | $115.06 |
| Redding, CACalifornia | $288.20 | $111.39 |
| Rest of CaliforniaCalifornia | $288.20 | $111.39 |
| Riverside, CACalifornia | $294.32 | $117.51 |
| Sacramento, CACalifornia | $301.48 | $113.85 |
| Salinas, CACalifornia | $300.35 | $113.37 |
| San Diego, CACalifornia | $306.81 | $113.86 |
| Marin County, CACalifornia | $347.99 | $120.52 |
| San Francisco, CACalifornia | $347.35 | $119.88 |
| San Benito County, CACalifornia | $356.31 | $123.68 |
| Santa Clara County, CACalifornia | $353.67 | $121.03 |
| San Luis Obispo, CACalifornia | $295.67 | $111.92 |
| Santa Cruz, CACalifornia | $309.22 | $113.20 |
| Santa Maria, CACalifornia | $301.31 | $113.20 |
| Santa Rosa, CACalifornia | $312.25 | $114.14 |
| Stockton, CACalifornia | $288.20 | $111.39 |
| Vallejo, CACalifornia | $329.26 | $116.63 |
| Visalia, CACalifornia | $288.20 | $111.39 |
| Yuba City, CACalifornia | $288.20 | $111.39 |
| ColoradoColorado | $286.88 | $115.23 |
| ConnecticutConnecticut | $297.99 | $124.24 |
| DelawareDelaware | $275.32 | $115.93 |
| Fort Lauderdale, FLFlorida | $296.54 | $133.11 |
| Rest of FloridaFlorida | $280.83 | $126.60 |
| Atlanta, GAGeorgia | $285.76 | $121.85 |
| Rest of GeorgiaGeorgia | $263.79 | $119.89 |
| Hawaii, Guam, HIHawaii | $294.68 | $111.25 |
| IowaIowa | $252.65 | $105.04 |
| IdahoIdaho | $254.97 | $106.55 |
| East St. Louis, ILIllinois | $284.31 | $135.89 |
| Rest of IllinoisIllinois | $274.51 | $127.21 |
| Suburban Chicago, ILIllinois | $298.89 | $133.21 |
| IndianaIndiana | $256.43 | $106.88 |
| KansasKansas | $252.78 | $106.94 |
| KentuckyKentucky | $258.00 | $114.58 |
| New Orleans, LALouisiana | $271.24 | $119.43 |
| Rest of LouisianaLouisiana | $258.12 | $115.35 |
| Metropolitan Boston, MAMassachusetts | $314.03 | $121.41 |
| Rest of MassachusettsMassachusetts | $285.62 | $115.74 |
| Baltimore area, MDMaryland | $297.47 | $124.36 |
| Rest of MarylandMaryland | $280.28 | $117.02 |
| Rest of MaineMaine | $257.81 | $109.39 |
| Southern Maine, MEMaine | $270.31 | $110.43 |
| Detroit, MIMichigan | $285.88 | $130.20 |
| Rest of MichiganMichigan | $266.24 | $118.95 |
| MinnesotaMinnesota | $270.53 | $104.53 |
| Metropolitan Kansas City, MOMissouri | $267.86 | $116.38 |
| Metropolitan St. Louis, MOMissouri | $270.60 | $117.02 |
| Rest of MissouriMissouri | $254.43 | $115.37 |
| MississippiMississippi | $249.79 | $110.88 |
| MontanaMontana | $278.86 | $117.53 |
| North CarolinaNorth Carolina | $260.39 | $109.87 |
| North DakotaNorth Dakota | $267.59 | $106.26 |
| NebraskaNebraska | $253.68 | $104.78 |
| New HampshireNew Hampshire | $283.64 | $115.70 |
| Northern New JerseyNew Jersey | $313.41 | $126.27 |
| Rest of New JerseyNew Jersey | $300.17 | $124.00 |
| New MexicoNew Mexico | $268.31 | $120.37 |
| NevadaNevada | $275.89 | $114.40 |
| NYC suburbs and Long Island, NYNew York | $333.56 | $141.74 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $303.27 | $126.62 |
| Queens, NYNew York | $324.44 | $133.75 |
| Rest of New YorkNew York | $264.56 | $111.30 |
| OhioOhio | $263.94 | $116.65 |
| OklahomaOklahoma | $256.07 | $112.00 |
| Portland, OROregon | $294.68 | $115.45 |
| Rest of OregonOregon | $272.55 | $111.87 |
| Metropolitan Philadelphia, PAPennsylvania | $291.24 | $123.30 |
| Rest of PennsylvaniaPennsylvania | $263.61 | $115.51 |
| Puerto RicoPuerto Rico | $280.52 | $117.42 |
| Rhode IslandRhode Island | $284.21 | $117.56 |
| South CarolinaSouth Carolina | $262.84 | $113.78 |
| TennesseeTennessee | $254.28 | $107.63 |
| Austin, TXTexas | $286.97 | $116.29 |
| Beaumont, TXTexas | $261.91 | $115.11 |
| Brazoria, TXTexas | $273.84 | $113.96 |
| Dallas, TXTexas | $276.27 | $115.59 |
| Fort Worth, TXTexas | $274.79 | $115.72 |
| Galveston, TXTexas | $275.10 | $114.90 |
| Houston, TXTexas | $285.53 | $125.33 |
| Rest of TexasTexas | $268.19 | $115.09 |
| UtahUtah | $266.53 | $114.89 |
| VirginiaVirginia | $270.35 | $111.76 |
| Virgin Islands, VIUnited States Virgin Islands | $280.52 | $117.42 |
| VermontVermont | $267.76 | $108.04 |
| Rest of WashingtonWashington | $284.67 | $114.80 |
| King County, WAWashington | $319.15 | $121.20 |
| WisconsinWisconsin | $258.43 | $103.88 |
| West VirginiaWest Virginia | $264.35 | $124.16 |
| WyomingWyoming | $273.95 | $112.62 |
36476 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.
$245.17
$324.73
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 | $324.73 | 1 |
| AL | $248.92 | 1 |
| AR | $245.17 | 1 |
| AZ | $270.77 | 1 |
| CA | $288.20–$356.31 | 29 |
| CO | $286.88 | 1 |
| CT | $297.99 | 1 |
| DC | $316.62 | 1 |
| DE | $275.32 | 1 |
| FL | $280.83–$315.13 | 3 |
| GA | $263.79–$285.76 | 2 |
| GU | $294.68 | 1 |
| HI | $294.68 | 1 |
| IA | $252.65 | 1 |
| ID | $254.97 | 1 |
| IL | $274.51–$305.02 | 4 |
| IN | $256.43 | 1 |
| KS | $252.78 | 1 |
| KY | $258.00 | 1 |
| LA | $258.12–$271.24 | 2 |
| MA | $285.62–$314.03 | 2 |
| MD | $280.28–$316.62 | 3 |
| ME | $257.81–$270.31 | 2 |
| MI | $266.24–$285.88 | 2 |
| MN | $270.53 | 1 |
| MO | $254.43–$270.60 | 3 |
| MS | $249.79 | 1 |
| MT | $278.86 | 1 |
| NC | $260.39 | 1 |
| ND | $267.59 | 1 |
| NE | $253.68 | 1 |
| NH | $283.64 | 1 |
| NJ | $300.17–$313.41 | 2 |
| NM | $268.31 | 1 |
| NV | $275.89 | 1 |
| NY | $264.56–$333.56 | 5 |
| OH | $263.94 | 1 |
| OK | $256.07 | 1 |
| OR | $272.55–$294.68 | 2 |
| PA | $263.61–$291.24 | 2 |
| PR | $280.52 | 1 |
| RI | $284.21 | 1 |
| SC | $262.84 | 1 |
| SD | $266.26 | 1 |
| TN | $254.28 | 1 |
| TX | $261.91–$286.97 | 8 |
| UT | $266.53 | 1 |
| VA | $270.35–$316.62 | 2 |
| VI | $280.52 | 1 |
| VT | $267.76 | 1 |
| WA | $284.67–$319.15 | 2 |
| WI | $258.43 | 1 |
| WV | $264.35 | 1 |
| WY | $273.95 | 1 |
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.
How the rate is built · 36476
RVUs × geographic indexes × conversion factor
Work2.58
2.58 RVUs× 1.000 GPCI
Practice expense5.20
5.20 RVUs× 1.000 GPCI
Malpractice0.57
0.57 RVUs× 1.000 GPCI
Adjusted RVUs
8.3500
Conversion factor
$33.4009
Medicare rate
$278.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,489
- Code
- 36476
- Physician work
- 2.58
- Practice expense
- 5.20
- Malpractice
- 0.57
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.58 | × 1.000 | 2.5800 |
| Practice expense | 5.20 | × 1.000 | 5.2000 |
| Malpractice | 0.57 | × 0.336 | 0.1915 |
| Total RVUs | 7.9715 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$266.26
Office: (2.58 × 1 + 5.2 × 1 + 0.57 × 0.336) × $33.4009 = $266.26
Facility: (2.58 × 1 + 0.37 × 1 + 0.57 × 0.336) × $33.4009 = $104.93
Payment rules and modifiers for 36476
The CMS indicators that decide how 36476 is paid alongside other services.
CMS payment indicators · 36476
Vein ablation, additional vein, radiofrequency
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
36476 without 50 · national office
$278.90
Vein ablation, additional vein, radiofrequency
36476-50 · Bilateral: 150%
$418.35
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 36476 has changed in South Dakota
36476 · Office / nonfacility
$266.26
Effective 2026-10-01
The base rate is $12.29 higher than on 2025-10-01, moving from $253.97 to $266.26 (4.8%).
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
$253.97changed to$266.26
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.65 changed to 2.58
- Practice expense RVU 4.98 changed to 5.20
- Malpractice RVU 0.58 changed to 0.57
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$266.43changed to$253.97
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.14 changed to 4.98
- Malpractice RVU 0.56 changed to 0.58
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$262.08changed to$266.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$276.31changed to$262.08
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.30 changed to 5.14
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$287.85changed to$276.31
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.47 changed to 5.30
- Malpractice RVU 0.57 changed to 0.56
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$300.34changed to$287.85
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.77 changed to 5.47
- Malpractice RVU 0.54 changed to 0.57
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$305.63changed to$300.34
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.62 changed to 5.77
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$296.02changed to$305.63
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.35 changed to 5.62
- Malpractice RVU 0.55 changed to 0.54
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$288.64changed to$296.02
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.15 changed to 5.35
- Malpractice RVU 0.56 changed to 0.55
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$288.95changed to$288.64
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.18 changed to 5.15
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$292.66changed to$288.95
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.30 changed to 5.18
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$291.78changed to$292.66
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.25 changed to 5.30
- Malpractice RVU 0.55 changed to 0.56
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$290.33changed to$291.78
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$372.45changed to$290.33
- Conversion factor 35.8228 changed to 35.7547
- Work RVU 3.38 changed to 2.65
- Practice expense RVU 6.73 changed to 5.25
- Malpractice RVU 0.69 changed to 0.55
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$388.92changed to$372.45
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 7.74 changed to 6.73
- Malpractice RVU 0.72 changed to 0.69
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $388.92
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $266.26 | $104.93 | RVU26D |
| 2026-07-01 | $266.26 | $104.93 | RVU26C |
| 2026-04-01 | $266.26 | $104.93 | RVU26B |
| 2026-01-01 | $266.26 | $104.93 | RVU26A |
| 2025-10-01 | $253.97 | $115.53 | RVU25D |
| 2025-07-01 | $253.97 | $115.53 | RVU25C |
| 2025-04-01 | $253.97 | $115.53 | RVU25B |
| 2025-01-01 | $253.97 | $115.53 | RVU25A |
| 2024-10-01 | $266.43 | $118.30 | RVU24D |
| 2024-07-01 | $266.43 | $118.30 | RVU24C |
| 2024-04-01 | $266.43 | $118.30 | RVU24B |
| 2024-03-09 | $266.43 | $118.30 | RVU24AR |
| 2024-01-01 | $262.08 | $116.37 | RVU24A |
| 2023-10-01 | $276.31 | $120.77 | RVU23D |
| 2023-07-01 | $276.31 | $120.77 | RVU23C |
| 2023-04-01 | $276.31 | $120.77 | RVU23B |
| 2023-01-01 | $276.31 | $120.77 | RVU23A |
| 2022-10-01 | $287.85 | $123.47 | RVU22D |
| 2022-07-01 | $287.85 | $123.47 | RVU22C |
| 2022-04-01 | $287.85 | $123.47 | RVU22B |
| 2022-01-01 | $287.85 | $123.47 | RVU22A |
| 2021-10-01 | $300.34 | $124.13 | RVU21D |
| 2021-07-01 | $300.34 | $124.13 | RVU21C |
| 2021-04-01 | $300.34 | $124.13 | RVU21B |
| 2021-01-01 | $300.34 | $124.13 | RVU21A |
| 2020-10-01 | $305.63 | $129.15 | RVU20D |
| 2020-07-01 | $305.63 | $129.15 | RVU20C |
| 2020-04-01 | $305.63 | $129.15 | RVU20B |
| 2020-01-01 | $305.63 | $129.15 | RVU20A |
| 2019-10-01 | $296.02 | $129.52 | RVU19D |
| 2019-07-01 | $296.02 | $129.52 | RVU19C |
| 2019-04-01 | $296.02 | $129.52 | RVU19B |
| 2019-01-01 | $296.02 | $129.52 | RVU19A |
| 2018-10-01 | $288.64 | $129.88 | RVU18D |
| 2018-07-01 | $288.64 | $129.88 | RVU18C |
| 2018-04-01 | $288.64 | $129.88 | RVU18B |
| 2018-01-01 | $288.64 | $129.88 | RVU18AR1 |
| 2017-10-01 | $288.95 | $130.32 | RVU17D |
| 2017-07-01 | $288.95 | $130.32 | RVU17C |
| 2017-04-01 | $288.95 | $130.32 | RVU17B |
| 2017-01-01 | $288.95 | $130.32 | RVU17A |
| 2016-10-01 | $292.66 | $130.47 | RVU16D |
| 2016-07-01 | $292.66 | $130.47 | RVU16C |
| 2016-04-01 | $292.66 | $130.47 | RVU16B |
| 2016-01-01 | $292.66 | $130.47 | RVU16A |
| 2015-10-01 | $291.78 | $130.44 | RVU15D |
| 2015-07-01 | $291.78 | $130.44 | RVU15C |
| 2015-04-01 | $290.33 | $129.79 | RVU15B |
| 2015-01-01 | $290.33 | $129.79 | RVU15A |
| 2014-10-01 | $372.45 | $167.54 | RVU14D |
| 2014-07-01 | $372.45 | $167.54 | RVU14C |
| 2014-04-01 | $372.45 | $167.54 | RVU14B |
| 2014-01-01 | $372.45 | $167.54 | RVU14A |
| 2013-10-01 | $388.92 | $163.35 | RVU13D |
| 2013-07-01 | $388.92 | $163.35 | RVU13C |
| 2013-04-01 | $388.92 | $163.35 | RVU13B |
| 2013-01-01 | $388.92 | $163.35 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
36476 billing questions
When is 36476 reported instead of 36475?
Use 36475 for the first vein treated with radiofrequency in an extremity. Report 36476 for each additional vein treated in that same extremity.
Can 36476 be billed by itself?
No. It is an add-on code and must be reported with the appropriate primary procedure, such as 36475 for radiofrequency treatment of the first vein.
What supports the units reported?
Document each additional vein treated, the extremity and side, and the radiofrequency method. The number of units should match the additional veins treated.
Is imaging guidance separately reported with 36476?
Imaging guidance and monitoring are included in the endovenous ablation service; they are not separate components of 36476.
How does CMS handle bilateral reporting?
For a bilateral procedure reported with modifier 50, the CMS payment rule is 150%.
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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