$1,448.82
Use 36465 for foam treatment of one incompetent truncal vein; 36466 is for treatment of multiple incompetent truncal veins.
On this page
CMS RVU26D · Effective 2026-10-01
36465 in Merced
Office / nonfacility
$1395.10
Base rate per service
Facility setting
$100.66
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Vascular surgery
About 36465: Noncompounded foam sclerotherapy, one truncal vein
Reports ultrasound-guided treatment of one incompetent truncal vein using noncompounded foam sclerosant for symptomatic venous reflux.
This service treats venous reflux in one incompetent truncal vein, such as the great saphenous or an accessory saphenous vein. The clinician injects noncompounded foam sclerosant percutaneously and uses ultrasound and compression maneuvers to guide its spread and monitor treatment. Vascular specialists commonly perform it in an office or outpatient setting for patients with symptomatic varicose veins related to truncal reflux.
Report one unit for treatment of one qualifying truncal vein. Documentation should identify the treated vein and extremity, the reflux problem, and the foam treatment performed. Ultrasound guidance and monitoring for this treatment are included. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 results in payment at 150% for bilateral treatment. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 36465
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.29 · 6%
- Practice expense (office) RVU35.75 · 93%
- Malpractice RVU0.48 · 1%
101.8K
Medicare services in 2024 · #551 by national volume
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.
36465 compared with similar codes
Office rates for Merced, from the same CMS release.
$127.79
36470 covers sclerosant injection into one incompetent vein other than a telangiectasia. 36465 is specifically for noncompounded foam treatment of an incompetent truncal vein.
$215.49
36471 covers sclerosant injection into multiple incompetent veins other than telangiectasias. It is not the multiple-truncal-vein foam code; that is 36466.
36468
No office rateNjx sclrsnt spider veins
36468 is for spider-vein sclerotherapy. Use 36465 for foam treatment of one incompetent truncal vein.
The same code, a different location
How does Merced compare?
In Bakersfield, the office rate for 36465 is $1396.42—$1.32 higher than the $1395.10 rate in Merced. Both use the same code, release and participation basis.
36465 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
$1395.10
$1396.42
$1.32 higher than Merced
$1395.10
The same base rate than Merced
$1395.18
$0.08 higher than Merced
$1395.10
The same base rate than Merced
$1395.10
The same base rate than Merced
$107.77 higher than Merced
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 36465 ranges from $1110.46 in Arkansas to $1815.36 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 36465
Office
$1395.10
Facility
$100.66
The same base rate than Merced for the office setting.
Modesto
California · 36465
Office
$1395.10
Facility
$100.66
The same base rate than Merced for the office setting.
Napa
California · 36465
Office
$1663.25
Facility
$106.62
$268.15 higher than Merced for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 36465
Office
$1500.02
Facility
$104.02
$104.92 higher than Merced for the office setting.
Redding
California · 36465
Office
$1395.10
Facility
$100.66
The same base rate than Merced for the office setting.
Rest Of California
California · 36465
Office
$1395.10
Facility
$100.66
The same base rate than Merced for the office setting.
Riverside-San Bernardino-Ontario
California · 36465
Office
$1400.25
Facility
$105.82
$5.15 higher than Merced for the office setting.
Sacramento-Roseville-Folsom
California · 36465
Office
$1476.55
Facility
$102.98
$81.45 higher than Merced for the office setting.
Salinas
California · 36465
Office
$1471.39
Facility
$102.55
$76.29 higher than Merced for the office setting.
San Diego-Chula Vista-Carlsbad
California · 36465
Office
$1515.59
Facility
$103.05
$120.49 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 36465
Office
$1774.77
Facility
$109.48
$379.67 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 36465
Office
$1774.22
Facility
$108.94
$379.12 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 36465
Office
$1815.36
Facility
$112.28
$420.26 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 36465
Office
$1813.13
Facility
$110.05
$418.03 higher than Merced for the office setting.
San Luis Obispo-Paso Robles
California · 36465
Office
$1446.44
Facility
$101.22
$51.34 higher than Merced for the office setting.
Santa Cruz-Watsonville
California · 36465
Office
$1537.50
Facility
$102.51
$142.40 higher than Merced for the office setting.
Santa Maria-Santa Barbara
California · 36465
Office
$1479.52
Facility
$102.41
$84.42 higher than Merced for the office setting.
Santa Rosa-Petaluma
California · 36465
Office
$1553.71
Facility
$103.37
$158.61 higher than Merced for the office setting.
Stockton
California · 36465
Office
$1395.10
Facility
$100.66
The same base rate than Merced for the office setting.
Vallejo
California · 36465
Office
$1662.47
Facility
$105.83
$267.37 higher than Merced for the office setting.
Visalia
California · 36465
Office
$1395.10
Facility
$100.66
The same base rate than Merced for the office setting.
Yuba City
California · 36465
Office
$1395.10
Facility
$100.66
The same base rate than Merced for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 36465
Office
$1505.09
Facility
$113.81
$109.99 higher than Merced for the office setting.
Miami
Florida · 36465
Office
$1360.07
Facility
$130.59
$35.03 lower than Merced for the office setting.
Chicago
Illinois · 36465
Office
$1313.87
Facility
$126.91
$81.23 lower than Merced for the office setting.
Manhattan
New York · 36465
Office
$1494.33
Facility
$121.95
$99.23 higher than Merced for the office setting.
Alaska*
Alaska · 36465
Office
$1395.26
Facility
$137.44
$0.16 higher than Merced for the office setting.
Alabama
Alabama · 36465
Office
$1130.38
Facility
$96.96
$264.72 lower than Merced for the office setting.
Arkansas
Arkansas · 36465
Office
$1110.46
Facility
$95.93
$284.64 lower than Merced for the office setting.
Arizona
Arizona · 36465
Office
$1247.28
Facility
$102.83
$147.82 lower than Merced for the office setting.
Colorado
Colorado · 36465
Office
$1360.43
Facility
$103.79
$34.67 lower than Merced for the office setting.
Connecticut
Connecticut · 36465
Office
$1383.44
Facility
$111.45
$11.66 lower than Merced for the office setting.
Delaware
Delaware · 36465
Office
$1271.04
Facility
$104.15
$124.06 lower than Merced for the office setting.
Fort Lauderdale
Florida · 36465
Office
$1315.08
Facility
$118.67
$80.02 lower than Merced for the office setting.
Rest Of Florida
Florida · 36465
Office
$1242.13
Facility
$113.04
$152.97 lower than Merced for the office setting.
Atlanta
Georgia · 36465
Office
$1309.16
Facility
$109.21
$85.94 lower than Merced for the office setting.
Rest Of Georgia
Georgia · 36465
Office
$1160.72
Facility
$107.22
$234.38 lower than Merced for the office setting.
Hawaii, Guam
Hawaii · 36465
Office
$1443.44
Facility
$100.58
$48.34 higher than Merced for the office setting.
Iowa
Iowa · 36465
Office
$1175.44
Facility
$94.77
$219.66 lower than Merced for the office setting.
Idaho
Idaho · 36465
Office
$1182.63
Facility
$96.06
$212.47 lower than Merced for the office setting.
East St. Louis
Illinois · 36465
Office
$1207.33
Facility
$120.76
$187.77 lower than Merced for the office setting.
Rest Of Illinois
Illinois · 36465
Office
$1191.74
Facility
$113.44
$203.36 lower than Merced for the office setting.
Suburban Chicago
Illinois · 36465
Office
$1331.76
Facility
$118.81
$63.34 lower than Merced for the office setting.
Indiana
Indiana · 36465
Office
$1191.19
Facility
$96.36
$203.91 lower than Merced for the office setting.
Kansas
Kansas · 36465
Office
$1164.02
Facility
$96.34
$231.08 lower than Merced for the office setting.
Kentucky
Kentucky · 36465
Office
$1152.70
Facility
$102.74
$242.40 lower than Merced for the office setting.
New Orleans
Louisiana · 36465
Office
$1218.33
Facility
$106.96
$176.77 lower than Merced for the office setting.
Rest Of Louisiana
Louisiana · 36465
Office
$1148.61
Facility
$103.38
$246.49 lower than Merced for the office setting.
Metropolitan Boston
Massachusetts · 36465
Office
$1519.63
Facility
$109.45
$124.53 higher than Merced for the office setting.
Rest Of Massachusetts
Massachusetts · 36465
Office
$1347.86
Facility
$104.21
$47.24 lower than Merced for the office setting.
Baltimore/Surr. Cntys
Maryland · 36465
Office
$1378.79
Facility
$111.52
$16.31 lower than Merced for the office setting.
Rest Of Maryland
Maryland · 36465
Office
$1300.38
Facility
$105.15
$94.72 lower than Merced for the office setting.
Rest Of Maine
Maine · 36465
Office
$1185.02
Facility
$98.44
$210.08 lower than Merced for the office setting.
Southern Maine
Maine · 36465
Office
$1269.94
Facility
$99.51
$125.16 lower than Merced for the office setting.
Detroit
Michigan · 36465
Office
$1255.81
Facility
$116.09
$139.29 lower than Merced for the office setting.
Rest Of Michigan
Michigan · 36465
Office
$1184.79
Facility
$106.48
$210.31 lower than Merced for the office setting.
Minnesota
Minnesota · 36465
Office
$1309.94
Facility
$94.64
$85.16 lower than Merced for the office setting.
Metropolitan Kansas City
Missouri · 36465
Office
$1213.39
Facility
$104.38
$181.71 lower than Merced for the office setting.
Metropolitan St. Louis
Missouri · 36465
Office
$1229.32
Facility
$104.95
$165.78 lower than Merced for the office setting.
Rest Of Missouri
Missouri · 36465
Office
$1121.40
Facility
$103.33
$273.70 lower than Merced for the office setting.
Mississippi
Mississippi · 36465
Office
$1116.44
Facility
$99.55
$278.66 lower than Merced for the office setting.
Montana**
Montana · 36465
Office
$1286.57
Facility
$105.51
$108.53 lower than Merced for the office setting.
North Carolina
North Carolina · 36465
Office
$1200.81
Facility
$98.89
$194.29 lower than Merced for the office setting.
North Dakota**
North Dakota · 36465
Office
$1277.08
Facility
$96.02
$118.02 lower than Merced for the office setting.
Nebraska
Nebraska · 36465
Office
$1184.69
Facility
$94.57
$210.41 lower than Merced for the office setting.
New Hampshire
New Hampshire · 36465
Office
$1333.56
Facility
$104.08
$61.54 lower than Merced for the office setting.
Northern Nj
New Jersey · 36465
Office
$1483.56
Facility
$113.54
$88.46 higher than Merced for the office setting.
Rest Of New Jersey
New Jersey · 36465
Office
$1401.07
Facility
$111.36
$5.97 higher than Merced for the office setting.
New Mexico
New Mexico · 36465
Office
$1190.72
Facility
$107.69
$204.38 lower than Merced for the office setting.
Nevada**
Nevada · 36465
Office
$1285.12
Facility
$102.88
$109.98 lower than Merced for the office setting.
Nyc Suburbs/Long Island
New York · 36465
Office
$1530.92
Facility
$126.64
$135.82 higher than Merced for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 36465
Office
$1406.85
Facility
$113.59
$11.75 higher than Merced for the office setting.
Queens
New York · 36465
Office
$1515.91
Facility
$119.90
$120.81 higher than Merced for the office setting.
Rest Of New York
New York · 36465
Office
$1222.14
Facility
$100.13
$172.96 lower than Merced for the office setting.
Ohio
Ohio · 36465
Office
$1182.85
Facility
$104.54
$212.25 lower than Merced for the office setting.
Oklahoma
Oklahoma · 36465
Office
$1155.26
Facility
$100.58
$239.84 lower than Merced for the office setting.
Portland
Oregon · 36465
Office
$1416.27
Facility
$104.11
$21.17 higher than Merced for the office setting.
Rest Of Oregon
Oregon · 36465
Office
$1277.06
Facility
$100.73
$118.04 lower than Merced for the office setting.
Metropolitan Philadelphia
Pennsylvania · 36465
Office
$1340.03
Facility
$110.55
$55.07 lower than Merced for the office setting.
Rest Of Pennsylvania
Pennsylvania · 36465
Office
$1187.81
Facility
$103.60
$207.29 lower than Merced for the office setting.
Puerto Rico
Puerto Rico · 36465
Office
$1299.50
Facility
$105.45
$95.60 lower than Merced for the office setting.
Rhode Island
Rhode Island · 36465
Office
$1325.73
Facility
$105.70
$69.37 lower than Merced for the office setting.
South Carolina
South Carolina · 36465
Office
$1193.45
Facility
$102.15
$201.65 lower than Merced for the office setting.
South Dakota**
South Dakota · 36465
Office
$1275.96
Facility
$94.90
$119.14 lower than Merced for the office setting.
Tennessee
Tennessee · 36465
Office
$1170.52
Facility
$96.94
$224.58 lower than Merced for the office setting.
Austin
Texas · 36465
Office
$1354.18
Facility
$104.63
$40.92 lower than Merced for the office setting.
Beaumont
Texas · 36465
Office
$1178.00
Facility
$103.24
$217.10 lower than Merced for the office setting.
Brazoria
Texas · 36465
Office
$1272.94
Facility
$102.51
$122.16 lower than Merced for the office setting.
Dallas
Texas · 36465
Office
$1280.24
Facility
$103.91
$114.86 lower than Merced for the office setting.
Fort Worth
Texas · 36465
Office
$1268.51
Facility
$103.98
$126.59 lower than Merced for the office setting.
Galveston
Texas · 36465
Office
$1276.10
Facility
$103.31
$119.00 lower than Merced for the office setting.
Houston
Texas · 36465
Office
$1284.88
Facility
$112.10
$110.22 lower than Merced for the office setting.
Rest Of Texas
Texas · 36465
Office
$1224.15
Facility
$103.33
$170.95 lower than Merced for the office setting.
Utah
Utah · 36465
Office
$1213.32
Facility
$103.13
$181.78 lower than Merced for the office setting.
Virginia
Virginia · 36465
Office
$1261.59
Facility
$100.61
$133.51 lower than Merced for the office setting.
Virgin Islands
United States Virgin Islands · 36465
Office
$1299.50
Facility
$105.45
$95.60 lower than Merced for the office setting.
Vermont
Vermont · 36465
Office
$1266.74
Facility
$97.50
$128.36 lower than Merced for the office setting.
Rest Of Washington
Washington · 36465
Office
$1347.05
Facility
$103.40
$48.05 lower than Merced for the office setting.
Seattle (King Cnty)
Washington · 36465
Office
$1558.55
Facility
$109.39
$163.45 higher than Merced for the office setting.
Wisconsin
Wisconsin · 36465
Office
$1225.36
Facility
$93.91
$169.74 lower than Merced for the office setting.
West Virginia
West Virginia · 36465
Office
$1137.09
Facility
$110.75
$258.01 lower than Merced for the office setting.
Wyoming**
Wyoming · 36465
Office
$1282.43
Facility
$101.38
$112.67 lower than Merced for the office setting.
See how rates vary across the country
36465 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$1,110.46
$1,605.23
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $1,395.26 | 1 |
| AL | $1,130.38 | 1 |
| AR | $1,110.46 | 1 |
| AZ | $1,247.28 | 1 |
| CA | $1,395.10–$1,815.36 | 29 |
| CO | $1,360.43 | 1 |
| CT | $1,383.44 | 1 |
| DC | $1,505.09 | 1 |
| DE | $1,271.04 | 1 |
| FL | $1,242.13–$1,360.07 | 3 |
| GA | $1,160.72–$1,309.16 | 2 |
| GU | $1,443.44 | 1 |
| HI | $1,443.44 | 1 |
| IA | $1,175.44 | 1 |
| ID | $1,182.63 | 1 |
| IL | $1,191.74–$1,331.76 | 4 |
| IN | $1,191.19 | 1 |
| KS | $1,164.02 | 1 |
| KY | $1,152.70 | 1 |
| LA | $1,148.61–$1,218.33 | 2 |
| MA | $1,347.86–$1,519.63 | 2 |
| MD | $1,300.38–$1,505.09 | 3 |
| ME | $1,185.02–$1,269.94 | 2 |
| MI | $1,184.79–$1,255.81 | 2 |
| MN | $1,309.94 | 1 |
| MO | $1,121.40–$1,229.32 | 3 |
| MS | $1,116.44 | 1 |
| MT | $1,286.57 | 1 |
| NC | $1,200.81 | 1 |
| ND | $1,277.08 | 1 |
| NE | $1,184.69 | 1 |
| NH | $1,333.56 | 1 |
| NJ | $1,401.07–$1,483.56 | 2 |
| NM | $1,190.72 | 1 |
| NV | $1,285.12 | 1 |
| NY | $1,222.14–$1,530.92 | 5 |
| OH | $1,182.85 | 1 |
| OK | $1,155.26 | 1 |
| OR | $1,277.06–$1,416.27 | 2 |
| PA | $1,187.81–$1,340.03 | 2 |
| PR | $1,299.50 | 1 |
| RI | $1,325.73 | 1 |
| SC | $1,193.45 | 1 |
| SD | $1,275.96 | 1 |
| TN | $1,170.52 | 1 |
| TX | $1,178.00–$1,354.18 | 8 |
| UT | $1,213.32 | 1 |
| VA | $1,261.59–$1,505.09 | 2 |
| VI | $1,299.50 | 1 |
| VT | $1,266.74 | 1 |
| WA | $1,347.05–$1,558.55 | 2 |
| WI | $1,225.36 | 1 |
| WV | $1,137.09 | 1 |
| WY | $1,282.43 | 1 |
Where does this rate apply?
Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 36465 in Merced, the physician’s office rate is $1395.10 and the facility-setting rate is $100.66: a difference of $1294.44.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 36465 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1534.61
$1395.10 × 110% = $1534.61
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36465 in Merced.
PPRRVU2026_Oct_nonQPP.csv
4,481
- Code
- 36465
- Physician work
- 2.29
- Practice expense
- 35.75
- Malpractice
- 0.48
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.29 | × 1.017 | 2.3289 |
| Practice expense | 35.75 | × 1.096 | 39.1820 |
| Malpractice | 0.48 | × 0.536 | 0.2573 |
| Total RVUs | 41.7682 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Merced$1395.10
Open 36465 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.29 | 1.017 |
| Practice expense | 35.75 | 1.096 |
| Malpractice | 0.48 | 0.536 |
(2.29 × 1.017 + 35.75 × 1.096 + 0.48 × 0.536) × $33.4009 = $1395.10
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.29 | 1.017 |
| Practice expense | 0.39 | 1.096 |
| Malpractice | 0.48 | 0.536 |
(2.29 × 1.017 + 0.39 × 1.096 + 0.48 × 0.536) × $33.4009 = $100.66
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
36465 · Office / nonfacility
$1395.10
Effective 2026-10-01
The base rate is $116.28 higher than on 2025-10-01, moving from $1278.82 to $1395.10 (9.1%).
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
$1278.82changed to$1395.10
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.35 changed to 2.29
- Practice expense RVU 33.74 changed to 35.75
- Malpractice RVU 0.49 changed to 0.48
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $1278.82
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1395.10 | $100.66 | RVU26D |
| 2026-07-01 | $1395.10 | $100.66 | RVU26C |
| 2026-04-01 | $1395.10 | $100.66 | RVU26B |
| 2026-01-01 | $1395.10 | $100.66 | RVU26A |
| 2025-10-01 | $1278.82 | $110.70 | RVU25D |
| 2025-07-01 | $1278.82 | $110.70 | RVU25C |
| 2025-04-01 | $1278.82 | $110.70 | RVU25B |
| 2025-01-01 | $1278.82 | $110.70 | RVU25A |
36465 billing questions
When should 36465 be used instead of 36466?
Use 36465 when one incompetent truncal vein is treated with noncompounded foam. Use 36466 when multiple incompetent truncal veins are treated.
Is ultrasound guidance separately reported with 36465?
No. Ultrasound guidance and monitoring used to direct and observe the foam treatment are included in 36465.
How many units are reported for one treated vein?
Report one unit for treatment of one qualifying truncal vein. The documentation should identify the treated vein and extremity.
How does 36465 differ from 36470 or 36471?
36465 is for noncompounded foam treatment of an incompetent truncal vein. Codes 36470 and 36471 describe sclerosant treatment of one or multiple other incompetent veins, rather than truncal-vein foam treatment.
How is bilateral treatment handled?
When bilateral treatment is reported with modifier 50, CMS payment is 150% of the single-procedure rate. Multiple procedures in the same session are subject to the standard reduction, with the highest-valued procedure paid in full and others at 50%.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service, and 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,47836455,,Bld exchange truj oth thn nb,A,,2.37,0.46,NA,0.46,,0.59,3.42,3.42,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47936456,,Prtl exchange transfuse nb,A,,1.95,0.39,NA,0.39,,0.12,2.46,2.46,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48036460,,Intrauterine transfusion ftl,A,,6.42,1.36,NA,1.36,,1.13,8.91,8.91,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48136465,,Njx noncmpnd sclrsnt 1 vein,A,,2.29,35.75,,0.39,,0.48,38.52,3.16,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48236466,,Njx noncmpnd sclrsnt mlt vn,A,,2.93,36.57,,0.47,,0.59,40.09,3.99,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48336468,,Njx sclrsnt spider veins,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48436470,,Njx sclrsnt 1 incmptnt vein,A,,0.73,2.74,,0.13,,0.15,3.62,1.01,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623