CPT code 36479: Laser vein ablation, each additional vein2026 Medicare rate & RVUs in Napa, CA
Reports laser ablation of an additional incompetent vein in the same extremity after the primary endovenous laser vein treatment.
In Napa, CA, Medicare pays $372.38 for 36479 in the office and $120.58 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36479 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 36479 covers
This add-on reports laser treatment of an additional incompetent vein in the same extremity during an endovenous ablation session. Vascular surgeons, interventional radiologists, and other qualified physicians may perform the procedure in an office or facility setting. It is used alongside treatment of the first vein, not as a stand-alone service.
Report 36479 with the primary laser ablation code 36478 when another vein in that extremity is treated. Documentation should identify the treated veins and extremity and support that laser ablation was performed on each reported vein. CMS treats this as an add-on paid within the primary procedure's global period. For a bilateral procedure reported with modifier 50, CMS payment is 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 Napa, CA compares for 36479
Across 109 of 109 payment localities, the office rate for 36479 runs from $272.49 in Arkansas to $402.49 in San Benito County, CA. Napa, CA pays $372.38. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Napa, CA · this page$372.38
- Bakersfield, CA · California$324.66−$47.72
- Chico, CA · California$323.17−$49.21
- El Centro, CA · California$323.26−$49.12
- Fresno, CA · California$323.17−$49.21
- Hanford, CA · California$323.17−$49.21
- Los Angeles, CA · California$345.48−$26.90
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $323.17 | $113.78 |
| Merced, CACalifornia | $323.17 | $113.78 |
| Modesto, CACalifornia | $323.17 | $113.78 |
| Oxnard, CACalifornia | $343.41 | $117.59 |
| Redding, CACalifornia | $323.17 | $113.78 |
| Rest of CaliforniaCalifornia | $323.17 | $113.78 |
| Riverside, CACalifornia | $328.98 | $119.58 |
| Sacramento, CACalifornia | $338.62 | $116.42 |
| Salinas, CACalifornia | $337.36 | $115.93 |
| San Diego, CACalifornia | $345.01 | $116.51 |
| Marin County, CACalifornia | $393.22 | $123.83 |
| San Francisco, CACalifornia | $392.60 | $123.22 |
| San Benito County, CACalifornia | $402.49 | $126.99 |
| Santa Clara County, CACalifornia | $399.99 | $124.49 |
| San Luis Obispo, CACalifornia | $332.04 | $114.43 |
| Santa Cruz, CACalifornia | $348.04 | $115.91 |
| Santa Maria, CACalifornia | $338.55 | $115.78 |
| Santa Rosa, CACalifornia | $351.50 | $116.88 |
| Stockton, CACalifornia | $323.17 | $113.78 |
| Vallejo, CACalifornia | $371.50 | $119.69 |
| Visalia, CACalifornia | $323.17 | $113.78 |
| Yuba City, CACalifornia | $323.17 | $113.78 |
| Washington, DC areaDistrict of Columbia | $353.67 | $128.61 |
| Miami, FLFlorida | $346.32 | $147.44 |
| Chicago, ILIllinois | $335.29 | $143.28 |
| Manhattan, NYNew York | $359.76 | $137.76 |
| AlaskaAlaska | $358.68 | $155.21 |
| AlabamaAlabama | $276.71 | $109.53 |
| ArkansasArkansas | $272.49 | $108.37 |
| ArizonaArizona | $301.31 | $116.18 |
| ColoradoColorado | $320.57 | $117.29 |
| ConnecticutConnecticut | $331.67 | $125.91 |
| DelawareDelaware | $306.43 | $117.67 |
| Fort Lauderdale, FLFlorida | $327.55 | $134.01 |
| Rest of FloridaFlorida | $310.30 | $127.65 |
| Atlanta, GAGeorgia | $317.48 | $123.37 |
| Rest of GeorgiaGeorgia | $291.50 | $121.08 |
| Hawaii, Guam, HIHawaii | $330.93 | $113.71 |
| IowaIowa | $281.90 | $107.09 |
| IdahoIdaho | $284.30 | $108.53 |
| East St. Louis, ILIllinois | $312.10 | $136.33 |
| Rest of IllinoisIllinois | $302.52 | $128.09 |
| Suburban Chicago, ILIllinois | $330.39 | $134.17 |
| IndianaIndiana | $285.98 | $108.87 |
| KansasKansas | $281.56 | $108.85 |
| KentuckyKentucky | $285.89 | $116.04 |
| New Orleans, LALouisiana | $300.59 | $120.81 |
| Rest of LouisianaLouisiana | $285.84 | $116.76 |
| Metropolitan Boston, MAMassachusetts | $351.82 | $123.71 |
| Rest of MassachusettsMassachusetts | $318.93 | $117.76 |
| Baltimore area, MDMaryland | $330.99 | $125.99 |
| Rest of MarylandMaryland | $312.15 | $118.80 |
| Rest of MaineMaine | $286.99 | $111.22 |
| Southern Maine, MEMaine | $301.78 | $112.45 |
| Detroit, MIMichigan | $315.45 | $131.09 |
| Rest of MichiganMichigan | $294.69 | $120.26 |
| MinnesotaMinnesota | $303.57 | $106.98 |
| Metropolitan Kansas City, MOMissouri | $297.31 | $117.91 |
| Metropolitan St. Louis, MOMissouri | $300.44 | $118.56 |
| Rest of MissouriMissouri | $281.39 | $116.70 |
| MississippiMississippi | $276.94 | $112.44 |
| MontanaMontana | $310.26 | $119.21 |
| North CarolinaNorth Carolina | $289.98 | $111.72 |
| North DakotaNorth Dakota | $299.58 | $108.53 |
| NebraskaNebraska | $283.21 | $106.87 |
| New HampshireNew Hampshire | $316.49 | $117.60 |
| Northern New JerseyNew Jersey | $349.92 | $128.30 |
| Rest of New JerseyNew Jersey | $334.45 | $125.82 |
| New MexicoNew Mexico | $296.81 | $121.62 |
| NevadaNevada | $307.49 | $116.24 |
| NYC suburbs and Long Island, NYNew York | $370.22 | $143.05 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $337.54 | $128.33 |
| Queens, NYNew York | $361.29 | $135.46 |
| Rest of New YorkNew York | $294.63 | $113.13 |
| OhioOhio | $292.51 | $118.08 |
| OklahomaOklahoma | $284.22 | $113.61 |
| Portland, OROregon | $329.93 | $117.67 |
| Rest of OregonOregon | $304.11 | $113.82 |
| Metropolitan Philadelphia, PAPennsylvania | $323.78 | $124.89 |
| Rest of PennsylvaniaPennsylvania | $292.40 | $117.02 |
| Puerto RicoPuerto Rico | $312.29 | $119.14 |
| Rhode IslandRhode Island | $316.78 | $119.43 |
| South CarolinaSouth Carolina | $291.93 | $115.39 |
| South DakotaSouth Dakota | $298.32 | $107.26 |
| TennesseeTennessee | $283.19 | $109.52 |
| Austin, TXTexas | $320.36 | $118.23 |
| Beaumont, TXTexas | $290.47 | $116.61 |
| Brazoria, TXTexas | $305.16 | $115.83 |
| Dallas, TXTexas | $307.68 | $117.40 |
| Fort Worth, TXTexas | $305.86 | $117.48 |
| Galveston, TXTexas | $306.44 | $116.72 |
| Houston, TXTexas | $316.32 | $126.61 |
| Rest of TexasTexas | $298.03 | $116.73 |
| UtahUtah | $296.09 | $116.50 |
| VirginiaVirginia | $301.49 | $113.68 |
| Virgin Islands, VIUnited States Virgin Islands | $312.29 | $119.14 |
| VermontVermont | $299.32 | $110.18 |
| Rest of WashingtonWashington | $318.03 | $116.85 |
| King County, WAWashington | $358.08 | $123.66 |
| WisconsinWisconsin | $289.16 | $106.13 |
| West VirginiaWest Virginia | $291.07 | $125.05 |
| WyomingWyoming | $305.60 | $114.55 |
36479 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.
$272.49
$362.83
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 | $358.68 | 1 |
| AL | $276.71 | 1 |
| AR | $272.49 | 1 |
| AZ | $301.31 | 1 |
| CA | $323.17–$402.49 | 29 |
| CO | $320.57 | 1 |
| CT | $331.67 | 1 |
| DC | $353.67 | 1 |
| DE | $306.43 | 1 |
| FL | $310.30–$346.32 | 3 |
| GA | $291.50–$317.48 | 2 |
| GU | $330.93 | 1 |
| HI | $330.93 | 1 |
| IA | $281.90 | 1 |
| ID | $284.30 | 1 |
| IL | $302.52–$335.29 | 4 |
| IN | $285.98 | 1 |
| KS | $281.56 | 1 |
| KY | $285.89 | 1 |
| LA | $285.84–$300.59 | 2 |
| MA | $318.93–$351.82 | 2 |
| MD | $312.15–$353.67 | 3 |
| ME | $286.99–$301.78 | 2 |
| MI | $294.69–$315.45 | 2 |
| MN | $303.57 | 1 |
| MO | $281.39–$300.44 | 3 |
| MS | $276.94 | 1 |
| MT | $310.26 | 1 |
| NC | $289.98 | 1 |
| ND | $299.58 | 1 |
| NE | $283.21 | 1 |
| NH | $316.49 | 1 |
| NJ | $334.45–$349.92 | 2 |
| NM | $296.81 | 1 |
| NV | $307.49 | 1 |
| NY | $294.63–$370.22 | 5 |
| OH | $292.51 | 1 |
| OK | $284.22 | 1 |
| OR | $304.11–$329.93 | 2 |
| PA | $292.40–$323.78 | 2 |
| PR | $312.29 | 1 |
| RI | $316.78 | 1 |
| SC | $291.93 | 1 |
| SD | $298.32 | 1 |
| TN | $283.19 | 1 |
| TX | $290.47–$320.36 | 8 |
| UT | $296.09 | 1 |
| VA | $301.49–$353.67 | 2 |
| VI | $312.29 | 1 |
| VT | $299.32 | 1 |
| WA | $318.03–$358.08 | 2 |
| WI | $289.16 | 1 |
| WV | $291.07 | 1 |
| WY | $305.60 | 1 |
How the 36479 rate is calculated
Each of 36479’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 · 36479
RVUs × geographic indexes × conversion factor
Work2.58
2.58 RVUs× 1.000 GPCI
Practice expense6.17
6.17 RVUs× 1.000 GPCI
Malpractice0.54
0.54 RVUs× 1.000 GPCI
Adjusted RVUs
9.2900
Conversion factor
$33.4009
Medicare rate
$310.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Napa, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,491
- Code
- 36479
- Physician work
- 2.58
- Practice expense
- 6.17
- Malpractice
- 0.54
GPCI2026.csv
17
- Locality
- Napa, CA
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.508
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.58 | × 1.063 | 2.7425 |
| Practice expense | 6.17 | × 1.318 | 8.1321 |
| Malpractice | 0.54 | × 0.508 | 0.2743 |
| Total RVUs | 11.1489 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Napa, CA$372.38
Office: (2.58 × 1.063 + 6.17 × 1.318 + 0.54 × 0.508) × $33.4009 = $372.38
Facility: (2.58 × 1.063 + 0.45 × 1.318 + 0.54 × 0.508) × $33.4009 = $120.58
Payment rules and modifiers for 36479
The CMS indicators that decide how 36479 is paid alongside other services.
CMS payment indicators · 36479
Laser vein ablation, each additional vein
| 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
36479 without 50 · national office
$310.29
Laser vein ablation, each additional vein
36479-50 · Bilateral: 150%
$465.44
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 36479 has changed in Napa, CA
36479 · Office / nonfacility
$372.38
Effective 2026-10-01
The base rate is $30.63 higher than on 2025-10-01, moving from $341.75 to $372.38 (9.0%).
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
$341.75changed to$372.38
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.65 changed to 2.58
- Practice expense RVU 5.71 changed to 6.17
- Work GPCI 1.058 changed to 1.063
- Practice expense GPCI 1.310 changed to 1.318
- Malpractice GPCI 0.521 changed to 0.508
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$354.91changed to$341.75
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.78 changed to 5.71
- Malpractice RVU 0.55 changed to 0.54
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$349.12changed to$354.91
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$351.97changed to$349.12
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.79 changed to 5.78
- Malpractice RVU 0.54 changed to 0.55
- Work GPCI 1.051 changed to 1.058
- Practice expense GPCI 1.265 changed to 1.310
- Malpractice GPCI 0.513 changed to 0.521
January 1, 2023
RVU23A
$354.85changed to$351.97
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.91 changed to 5.79
- Malpractice RVU 0.55 changed to 0.54
- Work GPCI 1.044 changed to 1.051
- Practice expense GPCI 1.220 changed to 1.265
- Malpractice GPCI 0.504 changed to 0.513
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$372.17changed to$354.85
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.26 changed to 5.91
- Malpractice RVU 0.52 changed to 0.55
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$382.62changed to$372.17
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 6.11 changed to 6.26
- Work GPCI 1.049 changed to 1.044
- Practice expense GPCI 1.238 changed to 1.220
- Malpractice GPCI 0.496 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$374.88changed to$382.62
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.87 changed to 6.11
- Malpractice RVU 0.51 changed to 0.52
- Work GPCI 1.055 changed to 1.049
- Practice expense GPCI 1.256 changed to 1.238
- Malpractice GPCI 0.458 changed to 0.496
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$365.43changed to$374.88
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.67 changed to 5.87
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$366.69changed to$365.43
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.64 changed to 5.67
- Malpractice RVU 0.52 changed to 0.51
- Work GPCI 1.057 changed to 1.055
- Practice expense GPCI 1.271 changed to 1.256
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$366.69
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $372.38 | $120.58 | RVU26D |
| 2026-07-01 | $372.38 | $120.58 | RVU26C |
| 2026-04-01 | $372.38 | $120.58 | RVU26B |
| 2026-01-01 | $372.38 | $120.58 | RVU26A |
| 2025-10-01 | $341.75 | $133.69 | RVU25D |
| 2025-07-01 | $341.75 | $133.69 | RVU25C |
| 2025-04-01 | $341.75 | $133.69 | RVU25B |
| 2025-01-01 | $341.75 | $133.69 | RVU25A |
| 2024-10-01 | $354.91 | $136.88 | RVU24D |
| 2024-07-01 | $354.91 | $136.88 | RVU24C |
| 2024-04-01 | $354.91 | $136.88 | RVU24B |
| 2024-03-09 | $354.91 | $136.88 | RVU24AR |
| 2024-01-01 | $349.12 | $134.65 | RVU24A |
| 2023-10-01 | $351.97 | $136.78 | RVU23D |
| 2023-07-01 | $351.97 | $136.78 | RVU23C |
| 2023-04-01 | $351.97 | $136.78 | RVU23B |
| 2023-01-01 | $351.97 | $136.78 | RVU23A |
| 2022-10-01 | $354.85 | $138.27 | RVU22D |
| 2022-07-01 | $354.85 | $138.27 | RVU22C |
| 2022-04-01 | $354.85 | $138.27 | RVU22B |
| 2022-01-01 | $354.85 | $138.27 | RVU22A |
| 2021-10-01 | $372.17 | $138.88 | RVU21D |
| 2021-07-01 | $372.17 | $138.88 | RVU21C |
| 2021-04-01 | $372.17 | $138.88 | RVU21B |
| 2021-01-01 | $372.17 | $138.88 | RVU21A |
| 2020-10-01 | $382.62 | $144.93 | RVU20D |
| 2020-07-01 | $382.62 | $144.93 | RVU20C |
| 2020-04-01 | $382.62 | $144.93 | RVU20B |
| 2020-01-01 | $382.62 | $144.93 | RVU20A |
| 2019-10-01 | $374.88 | $144.93 | RVU19D |
| 2019-07-01 | $374.88 | $144.93 | RVU19C |
| 2019-04-01 | $374.88 | $144.93 | RVU19B |
| 2019-01-01 | $374.88 | $144.93 | RVU19A |
| 2018-10-01 | $365.43 | $145.23 | RVU18D |
| 2018-07-01 | $365.43 | $145.23 | RVU18C |
| 2018-04-01 | $365.43 | $145.23 | RVU18B |
| 2018-01-01 | $365.43 | $145.23 | RVU18AR1 |
| 2017-10-01 | $366.69 | $146.83 | RVU17D |
| 2017-07-01 | $366.69 | $146.83 | RVU17C |
| 2017-04-01 | $366.69 | $146.83 | RVU17B |
| 2017-01-01 | $366.69 | $146.83 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Napa, CA rate applies
Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Napa
- American Canyon
- Angwin
- Calistoga
- Deer Park
- Moskowite Corner
- Oakville
- Rutherford
36479 billing questions
When is 36479 reported instead of 36478?
Use 36478 for the first vein treated with endovenous laser ablation. Report 36479 for each additional treated vein in the same extremity.
Can 36479 be billed without 36478?
No. It is an add-on code and must be reported with the primary laser ablation procedure, 36478.
How does 36479 differ from 36476?
Both describe additional-vein treatment, but 36479 is for laser ablation and 36476 is for radiofrequency ablation.
What should the procedure note identify?
Document the extremity, each vein treated, and the use of laser ablation. The record should support that a vein beyond the first vein was treated.
How is bilateral treatment handled?
CMS pays a bilateral procedure reported with modifier 50 at 150%. The add-on must still accompany the applicable primary procedure.
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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