CPT code 36483: Vein ablation, additional vein, same extremity2026 Medicare rate & RVUs
Reports adhesive catheter ablation of each qualifying additional incompetent vein treated in the same extremity after the primary vein procedure.
Medicare pays $141.29 for 36483 nationally in the office and $79.49 in a hospital or facility. Local office rates run $124.82–$172.67.
Medicare rate · 36483
Vein ablation, additional vein, same extremity
- Work RVUs
- 1.71
- Total RVUs
- 4.23
- Global days
- ZZZ
National rate · 2026
$141.29
Office setting, before claim adjustments.
See every locality for 36483 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 36483 covers
This add-on describes catheter delivery of a medical adhesive to close an additional incompetent superficial vein in the same extremity. It is used after the primary vein has been treated with the adhesive-ablation technique. Vascular surgeons, interventional radiologists, and other qualified vein specialists commonly perform the procedure in an office or facility setting, using imaging to guide and monitor treatment.
Report 36483 with primary code 36482, not by itself. The additional vein must be in the same extremity and treated through a separate access site; documentation should identify the treated veins, access sites, laterality, and adhesive technique. Report each qualifying additional vein according to the code’s unit definition. CMS treats this as an add-on paid within the primary procedure’s global period. For bilateral procedures 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.
Where 36483 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$124.82 to $172.67
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $126.64 | $72.57 |
| Alaska | $168.45 | $102.64 |
| Arizona | $137.17 | $77.29 |
| Arkansas | $124.82 | $71.74 |
| Atlanta, GA | $145.28 | $82.50 |
| Austin, TX | $143.98 | $78.61 |
| Bakersfield, CA | $143.94 | $76.22 |
| Baltimore area, MD | $150.54 | $84.23 |
| Beaumont, TX | $133.96 | $77.73 |
| Brazoria, TX | $138.17 | $76.93 |
| Chicago, IL | $159.34 | $97.24 |
| Chico, CA | $142.86 | $75.13 |
| Colorado | $143.58 | $77.83 |
| Connecticut | $150.69 | $84.14 |
| Dallas, TX | $139.62 | $78.07 |
| Delaware | $139.37 | $78.32 |
| Detroit, MI | $147.97 | $88.34 |
| East St. Louis, IL | $149.17 | $92.32 |
| El Centro, CA | $142.92 | $75.20 |
| Fort Lauderdale, FL | $153.00 | $90.41 |
| Fort Worth, TX | $139.09 | $78.16 |
| Fresno, CA | $142.86 | $75.13 |
| Galveston, TX | $138.95 | $77.59 |
| Hanford, CA | $142.86 | $75.13 |
| Hawaii, Guam, HI | $145.36 | $75.10 |
| Houston, TX | $146.27 | $84.91 |
| Idaho | $128.58 | $71.73 |
| Indiana | $129.25 | $71.97 |
| Iowa | $127.21 | $70.67 |
| Kansas | $127.86 | $72.00 |
| Kentucky | $132.29 | $77.36 |
| King County, WA | $157.77 | $81.95 |
| Los Angeles, CA | $152.10 | $79.00 |
| Madera, CA | $142.86 | $75.13 |
| Manhattan, NY | $164.24 | $92.44 |
| Marin County, CA | $168.52 | $81.39 |
| Merced, CA | $142.86 | $75.13 |
| Metropolitan Boston, MA | $155.90 | $82.12 |
| Metropolitan Kansas City, MO | $136.66 | $78.64 |
| Metropolitan Philadelphia, PA | $147.80 | $83.47 |
| Metropolitan St. Louis, MO | $137.91 | $79.09 |
| Miami, FL | $164.62 | $100.29 |
| Minnesota | $133.93 | $70.35 |
| Mississippi | $127.96 | $74.75 |
| Modesto, CA | $142.86 | $75.13 |
| Montana | $141.26 | $79.47 |
| Napa, CA | $160.83 | $79.39 |
| Nebraska | $127.52 | $70.49 |
| Nevada | $139.13 | $77.27 |
| New Hampshire | $142.52 | $78.19 |
| New Mexico | $138.09 | $81.43 |
| New Orleans, LA | $138.93 | $80.78 |
| North Carolina | $131.72 | $74.07 |
| North Dakota | $133.35 | $71.56 |
| Northern New Jersey | $157.12 | $85.44 |
| NYC suburbs and Long Island, NY | $169.77 | $96.30 |
| Ohio | $135.23 | $78.82 |
| Oklahoma | $130.73 | $75.55 |
| Oxnard, CA | $150.74 | $77.70 |
| Portland, OR | $146.64 | $77.99 |
| Poughkeepsie and northern NYC suburbs, NY | $153.39 | $85.73 |
| Puerto Rico | $141.86 | $79.39 |
| Queens, NY | $163.73 | $90.70 |
| Redding, CA | $142.86 | $75.13 |
| Rest of California | $142.86 | $75.13 |
| Rest of Florida | $144.89 | $85.82 |
| Rest of Georgia | $136.20 | $81.09 |
| Rest of Illinois | $142.65 | $86.23 |
| Rest of Louisiana | $132.58 | $77.90 |
| Rest of Maine | $130.57 | $73.72 |
| Rest of Maryland | $141.61 | $79.08 |
| Rest of Massachusetts | $143.24 | $78.17 |
| Rest of Michigan | $136.85 | $80.43 |
| Rest of Missouri | $131.17 | $77.90 |
| Rest of New Jersey | $151.38 | $83.90 |
| Rest of New York | $133.78 | $75.08 |
| Rest of Oregon | $137.03 | $75.49 |
| Rest of Pennsylvania | $134.74 | $78.02 |
| Rest of Texas | $136.38 | $77.74 |
| Rest of Washington | $142.59 | $77.52 |
| Rhode Island | $143.26 | $79.43 |
| Riverside, CA | $147.15 | $79.42 |
| Sacramento, CA | $148.68 | $76.82 |
| Salinas, CA | $148.12 | $76.50 |
| San Benito County, CA | $172.67 | $83.56 |
| San Diego, CA | $150.76 | $76.86 |
| San Francisco, CA | $168.06 | $80.94 |
| San Luis Obispo, CA | $145.90 | $75.52 |
| Santa Clara County, CA | $170.81 | $81.71 |
| Santa Cruz, CA | $151.51 | $76.43 |
| Santa Maria, CA | $148.44 | $76.39 |
| Santa Rosa, CA | $152.94 | $77.06 |
| South Carolina | $133.90 | $76.80 |
| South Dakota | $132.41 | $70.62 |
| Southern Maine, ME | $135.72 | $74.48 |
| Stockton, CA | $142.86 | $75.13 |
| Suburban Chicago, IL | $153.91 | $90.45 |
| Tennessee | $128.66 | $72.49 |
| Utah | $135.67 | $77.59 |
| Vallejo, CA | $160.17 | $78.73 |
| Vermont | $133.98 | $72.80 |
| Virgin Islands, VI | $141.86 | $79.39 |
| Virginia | $136.15 | $75.41 |
| Visalia, CA | $142.86 | $75.13 |
| Washington, DC area | $158.48 | $85.69 |
| West Virginia | $137.77 | $84.07 |
| Wisconsin | $129.07 | $69.87 |
| Wyoming | $137.81 | $76.02 |
| Yuba City, CA | $142.86 | $75.13 |
36483 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.
$124.82
$168.45
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 | $168.45 | 1 |
| AL | $126.64 | 1 |
| AR | $124.82 | 1 |
| AZ | $137.17 | 1 |
| CA | $142.86–$172.67 | 29 |
| CO | $143.58 | 1 |
| CT | $150.69 | 1 |
| DC | $158.48 | 1 |
| DE | $139.37 | 1 |
| FL | $144.89–$164.62 | 3 |
| GA | $136.20–$145.28 | 2 |
| GU | $145.36 | 1 |
| HI | $145.36 | 1 |
| IA | $127.21 | 1 |
| ID | $128.58 | 1 |
| IL | $142.65–$159.34 | 4 |
| IN | $129.25 | 1 |
| KS | $127.86 | 1 |
| KY | $132.29 | 1 |
| LA | $132.58–$138.93 | 2 |
| MA | $143.24–$155.90 | 2 |
| MD | $141.61–$158.48 | 3 |
| ME | $130.57–$135.72 | 2 |
| MI | $136.85–$147.97 | 2 |
| MN | $133.93 | 1 |
| MO | $131.17–$137.91 | 3 |
| MS | $127.96 | 1 |
| MT | $141.26 | 1 |
| NC | $131.72 | 1 |
| ND | $133.35 | 1 |
| NE | $127.52 | 1 |
| NH | $142.52 | 1 |
| NJ | $151.38–$157.12 | 2 |
| NM | $138.09 | 1 |
| NV | $139.13 | 1 |
| NY | $133.78–$169.77 | 5 |
| OH | $135.23 | 1 |
| OK | $130.73 | 1 |
| OR | $137.03–$146.64 | 2 |
| PA | $134.74–$147.80 | 2 |
| PR | $141.86 | 1 |
| RI | $143.26 | 1 |
| SC | $133.90 | 1 |
| SD | $132.41 | 1 |
| TN | $128.66 | 1 |
| TX | $133.96–$146.27 | 8 |
| UT | $135.67 | 1 |
| VA | $136.15–$158.48 | 2 |
| VI | $141.86 | 1 |
| VT | $133.98 | 1 |
| WA | $142.59–$157.77 | 2 |
| WI | $129.07 | 1 |
| WV | $137.77 | 1 |
| WY | $137.81 | 1 |
How the 36483 rate is calculated
Each of 36483’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 · 36483
RVUs × geographic indexes × conversion factor
Work1.71
1.71 RVUs× 1.000 GPCI
Practice expense2.12
2.12 RVUs× 1.000 GPCI
Malpractice0.40
0.40 RVUs× 1.000 GPCI
Adjusted RVUs
4.2300
Conversion factor
$33.4009
Medicare rate
$141.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36483
The CMS indicators that decide how 36483 is paid alongside other services.
CMS payment indicators · 36483
Vein ablation, additional vein, same extremity
| 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
36483 without 50 · national office
$141.29
Vein ablation, additional vein, same extremity
36483-50 · Bilateral: 150%
$211.94
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).
36483 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 36482Vein ablationChemical adhesive, first vein
- 36482 reports the primary vein treated with adhesive; 36483 reports qualifying additional veins in the same extremity through separate access sites.
- 36474Vein ablationAdditional vein
- Both address an additional vein, but 36474 is for mechanochemical ablation; 36483 is for catheter-delivered adhesive.
- 36476Vein ablationAdditional vein, radiofrequency
- 36476 is the additional-vein code for radiofrequency ablation. Choose 36483 when the treatment uses adhesive.
- 36479Laser vein ablationEach additional vein
- 36479 is the additional-vein code for laser ablation. Choose 36483 when the treatment uses adhesive.
36483 billing questions
Can 36483 be reported by itself?
No. It is an add-on code reported with 36482 for the primary adhesive-ablation treatment.
When is 36483 appropriate instead of 36482?
Use 36482 for the primary vein treated with adhesive. Use 36483 for each qualifying additional vein in the same extremity treated through a separate access site.
How many units should be reported?
Report a unit for each qualifying additional vein treated, as supported by the operative documentation and separate access site.
Does the code include imaging guidance?
The adhesive-ablation service includes imaging guidance and monitoring; do not separately report those elements as though they were outside the procedure.
How is bilateral treatment handled?
CMS identifies this as a bilateral procedure. When reported with modifier 50, CMS pays 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
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