CPT code 36482: Vein ablation, chemical adhesive, first vein2026 Medicare rate & RVUs in Miami, FL

Percutaneous catheter delivery of chemical adhesive closes the first incompetent extremity vein treated for symptomatic superficial venous reflux.

CMS RVU26DEffective Oct 1, 2026One payment locality52K Medicare services in 2024

In Miami, FL, Medicare pays $1,757.91 for 36482 in the office and $197.76 when it’s performed in a hospital or facility.

$1,757.91Office (non-facility)
$197.76Hospital or facility
+6.1%vs the national office rate ($1,657.35)

Check a contract rate as a % of Medicare · 36482 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 36482 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 36482 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 36482 covers

Code 36482 represents percutaneous catheter-based closure of an incompetent extremity vein using a chemical adhesive, commonly cyanoacrylate, rather than heat or injected sclerosant. Vascular surgeons, interventional radiologists, and other appropriately trained physicians use it for symptomatic superficial venous reflux, often involving a saphenous vein, in office-based procedure rooms or hospital outpatient settings. Imaging guidance and monitoring during the ablation are included in the service.

Report 36482 for the first vein treated; code 36483 identifies each additional vein treated in the same session. The record should identify the treated vein and side, document the venous disease or reflux supporting intervention, and describe catheter delivery and closure. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are reduced to 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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 Miami, FL compares for 36482

Across 109 of 109 payment localities, the office rate for 36482 runs from $1,431.11 in Arkansas to $2,329.39 in San Benito County, CA. Miami, FL pays $1,757.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

36482 in Miami, FL vs other payment areas
  1. Miami, FL · this page$1,757.91
  2. Fort Lauderdale, FL · Florida$1,697.33−$60.58
  3. Rest of Florida · Florida$1,603.14−$154.77
  4. Los Angeles, CA · California$1,931.47+$173.56
  5. Washington, DC area · District of Columbia$1,936.61+$178.70
  6. Chicago, IL · Illinois$1,698.18−$59.73
  7. Manhattan, NY · New York$1,925.30+$167.39

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

Every other payment area

36482 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$1,801.75$205.64
AlabamaAlabama$1,456.68$145.32
ArkansasArkansas$1,431.11$143.73
ArizonaArizona$1,606.67$154.44
Bakersfield, CACalifornia$1,795.49$152.92
Chico, CACalifornia$1,793.43$150.86
El Centro, CACalifornia$1,793.56$150.98
Fresno, CACalifornia$1,793.43$150.86

36482 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.

$1,431.11

$2,061.41

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

View every state and territory as a table
36482 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,801.751
AL$1,456.681
AR$1,431.111
AZ$1,606.671
CA$1,793.43–$2,329.3929
CO$1,750.411
CT$1,781.811
DC$1,936.611
DE$1,637.171
FL$1,603.14–$1,757.913
GA$1,498.17–$1,687.022
GU$1,854.831
HI$1,854.831
IA$1,513.181
ID$1,522.681
IL$1,539.35–$1,718.494
IN$1,533.631
KS$1,499.161
KY$1,486.681
LA$1,481.68–$1,571.172
MA$1,734.57–$1,953.842
MD$1,674.66–$1,936.613
ME$1,526.41–$1,634.442
MI$1,528.48–$1,621.392
MN$1,683.751
MO$1,447.16–$1,584.523
MS$1,439.761
MT$1,657.301
NC$1,546.581
ND$1,642.471
NE$1,524.851
NH$1,716.481
NJ$1,804.03–$1,909.182
NM$1,536.361
NV$1,654.691
NY$1,573.99–$1,973.095
OH$1,525.451
OK$1,489.301
OR$1,643.84–$1,821.302
PA$1,531.47–$1,726.492
PR$1,673.681
RI$1,706.921
SC$1,538.201
SD$1,640.721
TN$1,507.581
TX$1,518.92–$1,742.798
UT$1,563.691
VA$1,624.17–$1,936.612
VI$1,673.681
VT$1,629.791
WA$1,733.32–$2,003.142
WI$1,576.241
WV$1,469.241
WY$1,650.841

See 36482 in every payment locality

How the 36482 rate is calculated

Each of 36482’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 · 36482

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense45.46

45.46 RVUs× 1.000 GPCI

Malpractice0.75

0.75 RVUs× 1.000 GPCI

Adjusted RVUs

49.6200

Conversion factor

$33.4009

Medicare rate

$1,657.35

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,493

Code
36482
Physician work
3.41
Practice expense
45.46
Malpractice
0.75

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 36482 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0003.4100
Practice expense45.46× 1.04147.3239
Malpractice0.75× 2.5291.8967
Total RVUs52.6306
Conversion factor× 33.4009

Office rate, Miami, FL$1757.91

Office: (3.41 × 1 + 45.46 × 1.041 + 0.75 × 2.529) × $33.4009 = $1757.91

Facility: (3.41 × 1 + 0.59 × 1.041 + 0.75 × 2.529) × $33.4009 = $197.76

Open 36482 in the RVU calculator

Payment rules and modifiers for 36482

The CMS indicators that decide how 36482 is paid alongside other services.

CMS payment indicators · 36482

Vein ablation, chemical adhesive, 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

36482 without 50 · national office

$1,657.35

Vein ablation, chemical adhesive, first vein

36482-50 · Bilateral: 150%

$2,486.03

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

How 36482 has changed in Miami, FL

36482 · Office / nonfacility

$1757.91

Effective 2026-10-01

The base rate is $154.84 higher than on 2025-10-01, moving from $1603.07 to $1757.91 (9.7%).

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

    $1603.07changed to$1757.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.50 changed to 3.41
    • Practice expense RVU 43.12 changed to 45.46
    • Malpractice RVU 0.71 changed to 0.75
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1716.51changed to$1603.07

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 45.05 changed to 43.12
    • Malpractice RVU 0.72 changed to 0.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1688.50changed to$1716.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1782.94changed to$1688.50

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 46.19 changed to 45.05
    • Malpractice RVU 0.69 changed to 0.72
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $1872.48changed to$1782.94

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 47.62 changed to 46.19
    • Malpractice RVU 0.72 changed to 0.69
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2022.73changed to$1872.48

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 51.42 changed to 47.62
    • Malpractice RVU 0.71 changed to 0.72

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $2035.35changed to$2022.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 49.86 changed to 51.42
    • Malpractice RVU 0.67 changed to 0.71
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $2185.63changed to$2035.35

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 53.79 changed to 49.86
    • Malpractice RVU 0.70 changed to 0.67
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $2259.92changed to$2185.63

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 55.86 changed to 53.79

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$2259.92

    Held through RVU18B, RVU18C, RVU18D.

  11. 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, RVU17A, RVU17B, RVU17C, RVU17D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,757.91$197.76RVU26D
2026-07-01$1,757.91$197.76RVU26C
2026-04-01$1,757.91$197.76RVU26B
2026-01-01$1,757.91$197.76RVU26A
2025-10-01$1,603.07$206.17RVU25D
2025-07-01$1,603.07$206.17RVU25C
2025-04-01$1,603.07$206.17RVU25B
2025-01-01$1,603.07$206.17RVU25A
2024-10-01$1,716.51$211.98RVU24D
2024-07-01$1,716.51$211.98RVU24C
2024-04-01$1,716.51$211.98RVU24B
2024-03-09$1,716.51$211.98RVU24AR
2024-01-01$1,688.50$208.52RVU24A
2023-10-01$1,782.94$214.33RVU23D
2023-07-01$1,782.94$214.33RVU23C
2023-04-01$1,782.94$214.33RVU23B
2023-01-01$1,782.94$214.33RVU23A
2022-10-01$1,872.48$223.45RVU22D
2022-07-01$1,872.48$223.45RVU22C
2022-04-01$1,872.48$223.45RVU22B
2022-01-01$1,872.48$223.45RVU22A
2021-10-01$2,022.73$224.02RVU21D
2021-07-01$2,022.73$224.02RVU21C
2021-04-01$2,022.73$224.02RVU21B
2021-01-01$2,022.73$224.02RVU21A
2020-10-01$2,035.35$227.27RVU20D
2020-07-01$2,035.35$227.27RVU20C
2020-04-01$2,035.35$227.27RVU20B
2020-01-01$2,035.35$227.27RVU20A
2019-10-01$2,185.63$224.99RVU19D
2019-07-01$2,185.63$224.99RVU19C
2019-04-01$2,185.63$224.99RVU19B
2019-01-01$2,185.63$224.99RVU19A
2018-10-01$2,259.92$225.11RVU18D
2018-07-01$2,259.92$225.11RVU18C
2018-04-01$2,259.92$225.11RVU18B
2018-01-01$2,259.92$225.11RVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 36482 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

36482 billing questions

What is reported for an additional vein treated during the session?

Report 36482 for the first vein and 36483 for each additional vein treated. The record should distinguish the veins treated.

Is imaging guidance separately reported with 36482?

Imaging guidance and monitoring for the adhesive ablation are included in 36482.

How does 36482 differ from 36473?

36482 closes the vein with chemical adhesive. Code 36473 uses mechanochemical ablation, combining mechanical disruption with a sclerosant.

How does 36482 differ from 36475 or 36478?

36482 uses chemical adhesive; 36475 uses radiofrequency energy, and 36478 uses laser energy to ablate the vein.

How is bilateral treatment handled?

CMS lists 36482 as a bilateral procedure; with modifier 50, payment is at 150%.

Can an assistant surgeon or co-surgeon be reported?

CMS does not pay an assistant at surgery for 36482. 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 36482PPRRVU2026_Oct_nonQPP.csv, line 4,493 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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