FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

36476 in Merced

Office / nonfacility

$288.20

Base rate per service

Facility setting

$111.39

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 procedure

About 36476: Additional vein radiofrequency ablation

Reports radiofrequency catheter ablation of each additional incompetent vein treated in the same extremity after the primary vein procedure.

This add-on reports percutaneous radiofrequency ablation of an additional incompetent vein in the same extremity after the first vein is treated. A vascular surgeon, interventional radiologist, or other qualified physician typically uses a catheter and imaging guidance to close refluxing superficial veins in patients with chronic venous insufficiency or varicose veins. Imaging guidance and monitoring are included in the endovenous ablation service.

Report 36476 for each additional vein treated, alongside 36475 for the first vein treated with radiofrequency in that extremity. Document the treated vein, side, ablation method, and number of additional veins so the unit count is supported. CMS identifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period. For a bilateral procedure reported with modifier 50, CMS pays 150%.

CMS billing rules for 36476

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.

Where the value comes from

  • Work RVU2.58 · 31%
  • Practice expense (office) RVU5.20 · 62%
  • Malpractice RVU0.57 · 7%

3.9K

Medicare services in 2024 · #2005 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.

36476 compared with similar codes

Office rates for Merced, from the same CMS release.

36475

Venous ablation

Radiofrequency, first vein

$1,122.37

36475 covers the first vein treated with radiofrequency in an extremity. Use 36476 only for additional veins treated in that same extremity.

36474

Vein ablation

Additional vein

$251.95

Both are add-on services for additional vein treatment, but 36474 uses mechanochemical ablation; 36476 uses radiofrequency.

36479

Laser vein ablation

Each additional vein

$323.17

Both report additional vein treatment, but 36479 uses laser ablation while 36476 uses radiofrequency.

36483

Vein ablation

Additional vein, same extremity

$142.86

36483 reports a subsequent vein treated with chemical adhesive. Choose 36476 when the additional vein is treated with radiofrequency.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 36476 is $289.76—$1.56 higher than the $288.20 rate in Merced. Both use the same code, release and participation basis.

36476 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $288.20

  2. Bakersfield

    $289.76

    $1.56 higher than Merced

  3. Chico

    $288.20

    The same base rate than Merced

  4. El Centro

    $288.30

    $0.10 higher than Merced

  5. Fresno

    $288.20

    The same base rate than Merced

  6. Hanford-Corcoran

    $288.20

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $307.82

    $19.62 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, 36476 ranges from $245.17 in Arkansas to $356.31 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 · 36476

    Office

    $288.20

    Facility

    $111.39

    The same base rate than Merced for the office setting.

  • Modesto

    California · 36476

    Office

    $288.20

    Facility

    $111.39

    The same base rate than Merced for the office setting.

  • Napa

    California · 36476

    Office

    $330.19

    Facility

    $117.56

    $41.99 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36476

    Office

    $305.74

    Facility

    $115.06

    $17.54 higher than Merced for the office setting.

  • Redding

    California · 36476

    Office

    $288.20

    Facility

    $111.39

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 36476

    Office

    $288.20

    Facility

    $111.39

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36476

    Office

    $294.32

    Facility

    $117.51

    $6.12 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36476

    Office

    $301.48

    Facility

    $113.85

    $13.28 higher than Merced for the office setting.

  • Salinas

    California · 36476

    Office

    $300.35

    Facility

    $113.37

    $12.15 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36476

    Office

    $306.81

    Facility

    $113.86

    $18.61 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36476

    Office

    $347.99

    Facility

    $120.52

    $59.79 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 36476

    Office

    $347.35

    Facility

    $119.88

    $59.15 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 36476

    Office

    $356.31

    Facility

    $123.68

    $68.11 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 36476

    Office

    $353.67

    Facility

    $121.03

    $65.47 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36476

    Office

    $295.67

    Facility

    $111.92

    $7.47 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 36476

    Office

    $309.22

    Facility

    $113.20

    $21.02 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 36476

    Office

    $301.31

    Facility

    $113.20

    $13.11 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 36476

    Office

    $312.25

    Facility

    $114.14

    $24.05 higher than Merced for the office setting.

  • Stockton

    California · 36476

    Office

    $288.20

    Facility

    $111.39

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 36476

    Office

    $329.26

    Facility

    $116.63

    $41.06 higher than Merced for the office setting.

  • Visalia

    California · 36476

    Office

    $288.20

    Facility

    $111.39

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 36476

    Office

    $288.20

    Facility

    $111.39

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36476

    Office

    $316.62

    Facility

    $126.58

    $28.42 higher than Merced for the office setting.

  • Miami

    Florida · 36476

    Office

    $315.13

    Facility

    $147.19

    $26.93 higher than Merced for the office setting.

  • Chicago

    Illinois · 36476

    Office

    $305.02

    Facility

    $142.89

    $16.82 higher than Merced for the office setting.

  • Manhattan

    New York · 36476

    Office

    $323.71

    Facility

    $136.24

    $35.51 higher than Merced for the office setting.

  • Alaska*

    Alaska · 36476

    Office

    $324.73

    Facility

    $152.91

    $36.53 higher than Merced for the office setting.

  • Alabama

    Alabama · 36476

    Office

    $248.92

    Facility

    $107.76

    $39.28 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 36476

    Office

    $245.17

    Facility

    $106.59

    $43.03 lower than Merced for the office setting.

  • Arizona

    Arizona · 36476

    Office

    $270.77

    Facility

    $114.45

    $17.43 lower than Merced for the office setting.

  • Colorado

    Colorado · 36476

    Office

    $286.88

    Facility

    $115.23

    $1.32 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 36476

    Office

    $297.99

    Facility

    $124.24

    $9.79 higher than Merced for the office setting.

  • Delaware

    Delaware · 36476

    Office

    $275.32

    Facility

    $115.93

    $12.88 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 36476

    Office

    $296.54

    Facility

    $133.11

    $8.34 higher than Merced for the office setting.

  • Rest Of Florida

    Florida · 36476

    Office

    $280.83

    Facility

    $126.60

    $7.37 lower than Merced for the office setting.

  • Atlanta

    Georgia · 36476

    Office

    $285.76

    Facility

    $121.85

    $2.44 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 36476

    Office

    $263.79

    Facility

    $119.89

    $24.41 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 36476

    Office

    $294.68

    Facility

    $111.25

    $6.48 higher than Merced for the office setting.

  • Iowa

    Iowa · 36476

    Office

    $252.65

    Facility

    $105.04

    $35.55 lower than Merced for the office setting.

  • Idaho

    Idaho · 36476

    Office

    $254.97

    Facility

    $106.55

    $33.23 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 36476

    Office

    $284.31

    Facility

    $135.89

    $3.89 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 36476

    Office

    $274.51

    Facility

    $127.21

    $13.69 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 36476

    Office

    $298.89

    Facility

    $133.21

    $10.69 higher than Merced for the office setting.

  • Indiana

    Indiana · 36476

    Office

    $256.43

    Facility

    $106.88

    $31.77 lower than Merced for the office setting.

  • Kansas

    Kansas · 36476

    Office

    $252.78

    Facility

    $106.94

    $35.42 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 36476

    Office

    $258.00

    Facility

    $114.58

    $30.20 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 36476

    Office

    $271.24

    Facility

    $119.43

    $16.96 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 36476

    Office

    $258.12

    Facility

    $115.35

    $30.08 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 36476

    Office

    $314.03

    Facility

    $121.41

    $25.83 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36476

    Office

    $285.62

    Facility

    $115.74

    $2.58 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36476

    Office

    $297.47

    Facility

    $124.36

    $9.27 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 36476

    Office

    $280.28

    Facility

    $117.02

    $7.92 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 36476

    Office

    $257.81

    Facility

    $109.39

    $30.39 lower than Merced for the office setting.

  • Southern Maine

    Maine · 36476

    Office

    $270.31

    Facility

    $110.43

    $17.89 lower than Merced for the office setting.

  • Detroit

    Michigan · 36476

    Office

    $285.88

    Facility

    $130.20

    $2.32 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 36476

    Office

    $266.24

    Facility

    $118.95

    $21.96 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 36476

    Office

    $270.53

    Facility

    $104.53

    $17.67 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 36476

    Office

    $267.86

    Facility

    $116.38

    $20.34 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 36476

    Office

    $270.60

    Facility

    $117.02

    $17.60 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 36476

    Office

    $254.43

    Facility

    $115.37

    $33.77 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 36476

    Office

    $249.79

    Facility

    $110.88

    $38.41 lower than Merced for the office setting.

  • Montana**

    Montana · 36476

    Office

    $278.86

    Facility

    $117.53

    $9.34 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 36476

    Office

    $260.39

    Facility

    $109.87

    $27.81 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 36476

    Office

    $267.59

    Facility

    $106.26

    $20.61 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 36476

    Office

    $253.68

    Facility

    $104.78

    $34.52 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 36476

    Office

    $283.64

    Facility

    $115.70

    $4.56 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 36476

    Office

    $313.41

    Facility

    $126.27

    $25.21 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 36476

    Office

    $300.17

    Facility

    $124.00

    $11.97 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 36476

    Office

    $268.31

    Facility

    $120.37

    $19.89 lower than Merced for the office setting.

  • Nevada**

    Nevada · 36476

    Office

    $275.89

    Facility

    $114.40

    $12.31 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36476

    Office

    $333.56

    Facility

    $141.74

    $45.36 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36476

    Office

    $303.27

    Facility

    $126.62

    $15.07 higher than Merced for the office setting.

  • Queens

    New York · 36476

    Office

    $324.44

    Facility

    $133.75

    $36.24 higher than Merced for the office setting.

  • Rest Of New York

    New York · 36476

    Office

    $264.56

    Facility

    $111.30

    $23.64 lower than Merced for the office setting.

  • Ohio

    Ohio · 36476

    Office

    $263.94

    Facility

    $116.65

    $24.26 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 36476

    Office

    $256.07

    Facility

    $112.00

    $32.13 lower than Merced for the office setting.

  • Portland

    Oregon · 36476

    Office

    $294.68

    Facility

    $115.45

    $6.48 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 36476

    Office

    $272.55

    Facility

    $111.87

    $15.65 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36476

    Office

    $291.24

    Facility

    $123.30

    $3.04 higher than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36476

    Office

    $263.61

    Facility

    $115.51

    $24.59 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 36476

    Office

    $280.52

    Facility

    $117.42

    $7.68 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 36476

    Office

    $284.21

    Facility

    $117.56

    $3.99 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 36476

    Office

    $262.84

    Facility

    $113.78

    $25.36 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 36476

    Office

    $266.26

    Facility

    $104.93

    $21.94 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 36476

    Office

    $254.28

    Facility

    $107.63

    $33.92 lower than Merced for the office setting.

  • Austin

    Texas · 36476

    Office

    $286.97

    Facility

    $116.29

    $1.23 lower than Merced for the office setting.

  • Beaumont

    Texas · 36476

    Office

    $261.91

    Facility

    $115.11

    $26.29 lower than Merced for the office setting.

  • Brazoria

    Texas · 36476

    Office

    $273.84

    Facility

    $113.96

    $14.36 lower than Merced for the office setting.

  • Dallas

    Texas · 36476

    Office

    $276.27

    Facility

    $115.59

    $11.93 lower than Merced for the office setting.

  • Fort Worth

    Texas · 36476

    Office

    $274.79

    Facility

    $115.72

    $13.41 lower than Merced for the office setting.

  • Galveston

    Texas · 36476

    Office

    $275.10

    Facility

    $114.90

    $13.10 lower than Merced for the office setting.

  • Houston

    Texas · 36476

    Office

    $285.53

    Facility

    $125.33

    $2.67 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 36476

    Office

    $268.19

    Facility

    $115.09

    $20.01 lower than Merced for the office setting.

  • Utah

    Utah · 36476

    Office

    $266.53

    Facility

    $114.89

    $21.67 lower than Merced for the office setting.

  • Virginia

    Virginia · 36476

    Office

    $270.35

    Facility

    $111.76

    $17.85 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36476

    Office

    $280.52

    Facility

    $117.42

    $7.68 lower than Merced for the office setting.

  • Vermont

    Vermont · 36476

    Office

    $267.76

    Facility

    $108.04

    $20.44 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 36476

    Office

    $284.67

    Facility

    $114.80

    $3.53 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 36476

    Office

    $319.15

    Facility

    $121.20

    $30.95 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 36476

    Office

    $258.43

    Facility

    $103.88

    $29.77 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 36476

    Office

    $264.35

    Facility

    $124.16

    $23.85 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 36476

    Office

    $273.95

    Facility

    $112.62

    $14.25 lower than Merced for the office setting.

See how rates vary across the country

36476 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$245.17

$324.73

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$324.731
AL$248.921
AR$245.171
AZ$270.771
CA$288.20–$356.3129
CO$286.881
CT$297.991
DC$316.621
DE$275.321
FL$280.83–$315.133
GA$263.79–$285.762
GU$294.681
HI$294.681
IA$252.651
ID$254.971
IL$274.51–$305.024
IN$256.431
KS$252.781
KY$258.001
LA$258.12–$271.242
MA$285.62–$314.032
MD$280.28–$316.623
ME$257.81–$270.312
MI$266.24–$285.882
MN$270.531
MO$254.43–$270.603
MS$249.791
MT$278.861
NC$260.391
ND$267.591
NE$253.681
NH$283.641
NJ$300.17–$313.412
NM$268.311
NV$275.891
NY$264.56–$333.565
OH$263.941
OK$256.071
OR$272.55–$294.682
PA$263.61–$291.242
PR$280.521
RI$284.211
SC$262.841
SD$266.261
TN$254.281
TX$261.91–$286.978
UT$266.531
VA$270.35–$316.622
VI$280.521
VT$267.761
WA$284.67–$319.152
WI$258.431
WV$264.351
WY$273.951

Explore 36476 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 36476 in Merced, the physician’s office rate is $288.20 and the facility-setting rate is $111.39: a difference of $176.81.

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.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 36476 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$317.02

$288.20 × 110% = $317.02

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.

Compare your contract offer →

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 36476 in Merced.

PPRRVU2026_Oct_nonQPP.csv

4,489

Code
36476
Physician work
2.58
Practice expense
5.20
Malpractice
0.57

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36476 in Merced
ComponentRVULocality factorAdjusted
Physician work2.58× 1.0172.6239
Practice expense5.20× 1.0965.6992
Malpractice0.57× 0.5360.3055
Total RVUs8.6286
Conversion factor× 33.4009

Office / nonfacility rate, Merced$288.20

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 36476 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.581.017
Practice expense5.21.096
Malpractice0.570.536

(2.58 × 1.017 + 5.2 × 1.096 + 0.57 × 0.536) × $33.4009 = $288.20

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.581.017
Practice expense0.371.096
Malpractice0.570.536

(2.58 × 1.017 + 0.37 × 1.096 + 0.57 × 0.536) × $33.4009 = $111.39

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

36476 · Office / nonfacility

$288.20

Effective 2026-10-01

The base rate is $14.71 higher than on 2025-10-01, moving from $273.49 to $288.20 (5.4%).

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

    $273.49changed to$288.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.65 changed to 2.58
    • Practice expense RVU 4.98 changed to 5.20
    • Malpractice RVU 0.58 changed to 0.57
    • 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.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $273.49

    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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$288.20$111.39RVU26D
2026-07-01$288.20$111.39RVU26C
2026-04-01$288.20$111.39RVU26B
2026-01-01$288.20$111.39RVU26A
2025-10-01$273.49$122.17RVU25D
2025-07-01$273.49$122.17RVU25C
2025-04-01$273.49$122.17RVU25B
2025-01-01$273.49$122.17RVU25A

36476 billing questions

When is 36476 reported instead of 36475?

Use 36475 for the first vein treated with radiofrequency in an extremity. Report 36476 for each additional vein treated in that same extremity.

Can 36476 be billed by itself?

No. It is an add-on code and must be reported with the appropriate primary procedure, such as 36475 for radiofrequency treatment of the first vein.

What supports the units reported?

Document each additional vein treated, the extremity and side, and the radiofrequency method. The number of units should match the additional veins treated.

Is imaging guidance separately reported with 36476?

Imaging guidance and monitoring are included in the endovenous ablation service; they are not separate components of 36476.

How does CMS handle bilateral reporting?

For a bilateral procedure reported with modifier 50, the CMS payment rule is 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 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.

RVUs for 36476PPRRVU2026_Oct_nonQPP.csv, line 4,489 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet