CPT code 36483: Vein ablation, additional vein, same extremity2026 Medicare rate & RVUs in Virginia
Reports adhesive catheter ablation of each qualifying additional incompetent vein treated in the same extremity after the primary vein procedure.
In Virginia, Medicare pays $136.15 for 36483 in the office and $75.41 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36483 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 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.
How Virginia compares for 36483
Across 109 of 109 payment localities, the office rate for 36483 runs from $124.82 in Arkansas to $172.67 in San Benito County, CA. Virginia pays $136.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$136.15
- Los Angeles, CA · California$152.10+$15.95
- Washington, DC area · District of Columbia$158.48+$22.33
- Miami, FL · Florida$164.62+$28.47
- Chicago, IL · Illinois$159.34+$23.19
- Manhattan, NY · New York$164.24+$28.09
- Alaska · Alaska$168.45+$32.30
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $126.64 | $72.57 |
| ArkansasArkansas | $124.82 | $71.74 |
| ArizonaArizona | $137.17 | $77.29 |
| Bakersfield, CACalifornia | $143.94 | $76.22 |
| Chico, CACalifornia | $142.86 | $75.13 |
| El Centro, CACalifornia | $142.92 | $75.20 |
| Fresno, CACalifornia | $142.86 | $75.13 |
| Hanford, CACalifornia | $142.86 | $75.13 |
| Madera, CACalifornia | $142.86 | $75.13 |
| Merced, CACalifornia | $142.86 | $75.13 |
| Modesto, CACalifornia | $142.86 | $75.13 |
| Napa, CACalifornia | $160.83 | $79.39 |
| Oxnard, CACalifornia | $150.74 | $77.70 |
| Redding, CACalifornia | $142.86 | $75.13 |
| Rest of CaliforniaCalifornia | $142.86 | $75.13 |
| Riverside, CACalifornia | $147.15 | $79.42 |
| Sacramento, CACalifornia | $148.68 | $76.82 |
| Salinas, CACalifornia | $148.12 | $76.50 |
| San Diego, CACalifornia | $150.76 | $76.86 |
| Marin County, CACalifornia | $168.52 | $81.39 |
| San Francisco, CACalifornia | $168.06 | $80.94 |
| San Benito County, CACalifornia | $172.67 | $83.56 |
| Santa Clara County, CACalifornia | $170.81 | $81.71 |
| San Luis Obispo, CACalifornia | $145.90 | $75.52 |
| Santa Cruz, CACalifornia | $151.51 | $76.43 |
| Santa Maria, CACalifornia | $148.44 | $76.39 |
| Santa Rosa, CACalifornia | $152.94 | $77.06 |
| Stockton, CACalifornia | $142.86 | $75.13 |
| Vallejo, CACalifornia | $160.17 | $78.73 |
| Visalia, CACalifornia | $142.86 | $75.13 |
| Yuba City, CACalifornia | $142.86 | $75.13 |
| ColoradoColorado | $143.58 | $77.83 |
| ConnecticutConnecticut | $150.69 | $84.14 |
| DelawareDelaware | $139.37 | $78.32 |
| Fort Lauderdale, FLFlorida | $153.00 | $90.41 |
| Rest of FloridaFlorida | $144.89 | $85.82 |
| Atlanta, GAGeorgia | $145.28 | $82.50 |
| Rest of GeorgiaGeorgia | $136.20 | $81.09 |
| Hawaii, Guam, HIHawaii | $145.36 | $75.10 |
| IowaIowa | $127.21 | $70.67 |
| IdahoIdaho | $128.58 | $71.73 |
| East St. Louis, ILIllinois | $149.17 | $92.32 |
| Rest of IllinoisIllinois | $142.65 | $86.23 |
| Suburban Chicago, ILIllinois | $153.91 | $90.45 |
| IndianaIndiana | $129.25 | $71.97 |
| KansasKansas | $127.86 | $72.00 |
| KentuckyKentucky | $132.29 | $77.36 |
| New Orleans, LALouisiana | $138.93 | $80.78 |
| Rest of LouisianaLouisiana | $132.58 | $77.90 |
| Metropolitan Boston, MAMassachusetts | $155.90 | $82.12 |
| Rest of MassachusettsMassachusetts | $143.24 | $78.17 |
| Baltimore area, MDMaryland | $150.54 | $84.23 |
| Rest of MarylandMaryland | $141.61 | $79.08 |
| Rest of MaineMaine | $130.57 | $73.72 |
| Southern Maine, MEMaine | $135.72 | $74.48 |
| Detroit, MIMichigan | $147.97 | $88.34 |
| Rest of MichiganMichigan | $136.85 | $80.43 |
| MinnesotaMinnesota | $133.93 | $70.35 |
| Metropolitan Kansas City, MOMissouri | $136.66 | $78.64 |
| Metropolitan St. Louis, MOMissouri | $137.91 | $79.09 |
| Rest of MissouriMissouri | $131.17 | $77.90 |
| MississippiMississippi | $127.96 | $74.75 |
| MontanaMontana | $141.26 | $79.47 |
| North CarolinaNorth Carolina | $131.72 | $74.07 |
| North DakotaNorth Dakota | $133.35 | $71.56 |
| NebraskaNebraska | $127.52 | $70.49 |
| New HampshireNew Hampshire | $142.52 | $78.19 |
| Northern New JerseyNew Jersey | $157.12 | $85.44 |
| Rest of New JerseyNew Jersey | $151.38 | $83.90 |
| New MexicoNew Mexico | $138.09 | $81.43 |
| NevadaNevada | $139.13 | $77.27 |
| NYC suburbs and Long Island, NYNew York | $169.77 | $96.30 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $153.39 | $85.73 |
| Queens, NYNew York | $163.73 | $90.70 |
| Rest of New YorkNew York | $133.78 | $75.08 |
| OhioOhio | $135.23 | $78.82 |
| OklahomaOklahoma | $130.73 | $75.55 |
| Portland, OROregon | $146.64 | $77.99 |
| Rest of OregonOregon | $137.03 | $75.49 |
| Metropolitan Philadelphia, PAPennsylvania | $147.80 | $83.47 |
| Rest of PennsylvaniaPennsylvania | $134.74 | $78.02 |
| Puerto RicoPuerto Rico | $141.86 | $79.39 |
| Rhode IslandRhode Island | $143.26 | $79.43 |
| South CarolinaSouth Carolina | $133.90 | $76.80 |
| South DakotaSouth Dakota | $132.41 | $70.62 |
| TennesseeTennessee | $128.66 | $72.49 |
| Austin, TXTexas | $143.98 | $78.61 |
| Beaumont, TXTexas | $133.96 | $77.73 |
| Brazoria, TXTexas | $138.17 | $76.93 |
| Dallas, TXTexas | $139.62 | $78.07 |
| Fort Worth, TXTexas | $139.09 | $78.16 |
| Galveston, TXTexas | $138.95 | $77.59 |
| Houston, TXTexas | $146.27 | $84.91 |
| Rest of TexasTexas | $136.38 | $77.74 |
| UtahUtah | $135.67 | $77.59 |
| Virgin Islands, VIUnited States Virgin Islands | $141.86 | $79.39 |
| VermontVermont | $133.98 | $72.80 |
| Rest of WashingtonWashington | $142.59 | $77.52 |
| King County, WAWashington | $157.77 | $81.95 |
| WisconsinWisconsin | $129.07 | $69.87 |
| West VirginiaWest Virginia | $137.77 | $84.07 |
| WyomingWyoming | $137.81 | $76.02 |
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.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,494
- Code
- 36483
- Physician work
- 1.71
- Practice expense
- 2.12
- Malpractice
- 0.40
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.71 | × 1.000 | 1.7100 |
| Practice expense | 2.12 | × 0.983 | 2.0840 |
| Malpractice | 0.40 | × 0.706 | 0.2824 |
| Total RVUs | 4.0764 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$136.15
Office: (1.71 × 1 + 2.12 × 0.983 + 0.4 × 0.706) × $33.4009 = $136.15
Facility: (1.71 × 1 + 0.27 × 0.983 + 0.4 × 0.706) × $33.4009 = $75.41
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).
How 36483 has changed in Virginia
36483 · Office / nonfacility
$136.15
Effective 2026-10-01
The base rate is $6.88 higher than on 2025-10-01, moving from $129.27 to $136.15 (5.3%).
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
$129.27changed to$136.15
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.75 changed to 1.71
- Practice expense RVU 1.98 changed to 2.12
- Malpractice RVU 0.39 changed to 0.40
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$132.04changed to$129.27
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.95 changed to 1.98
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$129.89changed to$132.04
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$135.08changed to$129.89
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.37 changed to 0.39
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$139.47changed to$135.08
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.94 changed to 1.95
- Malpractice RVU 0.39 changed to 0.37
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$146.98changed to$139.47
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.15 changed to 1.94
- Malpractice RVU 0.36 changed to 0.39
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$158.55changed to$146.98
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.33 changed to 2.15
- Malpractice RVU 0.37 changed to 0.36
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$151.28changed to$158.55
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.16 changed to 2.33
- Malpractice RVU 0.35 changed to 0.37
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$144.75changed to$151.28
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.99 changed to 2.16
- Malpractice RVU 0.34 changed to 0.35
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$144.75
Held through RVU18B, RVU18C, RVU18D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $136.15 | $75.41 | RVU26D |
| 2026-07-01 | $136.15 | $75.41 | RVU26C |
| 2026-04-01 | $136.15 | $75.41 | RVU26B |
| 2026-01-01 | $136.15 | $75.41 | RVU26A |
| 2025-10-01 | $129.27 | $81.20 | RVU25D |
| 2025-07-01 | $129.27 | $81.20 | RVU25C |
| 2025-04-01 | $129.27 | $81.20 | RVU25B |
| 2025-01-01 | $129.27 | $81.20 | RVU25A |
| 2024-10-01 | $132.04 | $82.91 | RVU24D |
| 2024-07-01 | $132.04 | $82.91 | RVU24C |
| 2024-04-01 | $132.04 | $82.91 | RVU24B |
| 2024-03-09 | $132.04 | $82.91 | RVU24AR |
| 2024-01-01 | $129.89 | $81.56 | RVU24A |
| 2023-10-01 | $135.08 | $85.43 | RVU23D |
| 2023-07-01 | $135.08 | $85.43 | RVU23C |
| 2023-04-01 | $135.08 | $85.43 | RVU23B |
| 2023-01-01 | $135.08 | $85.43 | RVU23A |
| 2022-10-01 | $139.47 | $89.20 | RVU22D |
| 2022-07-01 | $139.47 | $89.20 | RVU22C |
| 2022-04-01 | $139.47 | $89.20 | RVU22B |
| 2022-01-01 | $139.47 | $89.20 | RVU22A |
| 2021-10-01 | $146.98 | $89.00 | RVU21D |
| 2021-07-01 | $146.98 | $89.00 | RVU21C |
| 2021-04-01 | $146.98 | $89.00 | RVU21B |
| 2021-01-01 | $146.98 | $89.00 | RVU21A |
| 2020-10-01 | $158.55 | $92.74 | RVU20D |
| 2020-07-01 | $158.55 | $92.74 | RVU20C |
| 2020-04-01 | $158.55 | $92.74 | RVU20B |
| 2020-01-01 | $158.55 | $92.74 | RVU20A |
| 2019-10-01 | $151.28 | $91.22 | RVU19D |
| 2019-07-01 | $151.28 | $91.22 | RVU19C |
| 2019-04-01 | $151.28 | $91.22 | RVU19B |
| 2019-01-01 | $151.28 | $91.22 | RVU19A |
| 2018-10-01 | $144.75 | $90.80 | RVU18D |
| 2018-07-01 | $144.75 | $90.80 | RVU18C |
| 2018-04-01 | $144.75 | $90.80 | RVU18B |
| 2018-01-01 | $144.75 | $90.80 | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
Show the CMS file lines behind this rate
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