$1,152.70
Both use noncompounded foam with ultrasound guidance and compression maneuvers; 36465 is for a single incompetent vein, while 36466 is for multiple veins.
On this page
CMS RVU26D · Effective 2026-10-01
36466 Foam sclerotherapy Medicare reimbursement rates in Kentucky
Reports ultrasound-guided injection of noncompounded foam sclerosant to treat multiple incompetent veins, such as veins in the saphenous system. Compare 36466 office and facility rates across CMS payment localities in Kentucky.
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.
What does Medicare pay for 36466 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$1201.78
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$129.85
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular procedure
About 36466: Noncompounded foam sclerotherapy, multiple veins
Reports ultrasound-guided injection of noncompounded foam sclerosant to treat multiple incompetent veins, such as veins in the saphenous system.
A clinician injects noncompounded foam sclerosant into multiple incompetent veins to close them, using ultrasound and compression maneuvers to guide the treatment. Common targets include the great saphenous and accessory saphenous veins. Vascular specialists, interventional radiologists, and other clinicians who treat venous disease commonly perform the procedure in an office or outpatient setting.
Select this code when noncompounded foam is used to treat multiple incompetent veins; the record should identify the veins treated and support the foam technique and ultrasound guidance. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment reported with modifier 50, CMS pays 150%. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36466
- 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 RVU2.93 · 7%
- Practice expense (office) RVU36.57 · 91%
- Malpractice RVU0.59 · 1%
20.3K
Medicare services in 2024 · #1142 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.
36466 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$187.98
36471 covers sclerosant injection for multiple incompetent veins. Use 36466 when the documented treatment uses noncompounded foam.
36468
No office rateNjx sclrsnt spider veins
36468 is for sclerotherapy of spider veins. 36466 treats multiple incompetent veins using noncompounded foam.
$959.07
36475 treats an incompetent vein with endovenous radiofrequency ablation; 36466 uses injected noncompounded foam for multiple incompetent veins.
Compare 36466 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kentucky →
Office / nonfacility
$1201.78
Facility
$129.85
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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 36466 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
4,482
- Code
- 36466
- Physician work
- 2.93
- Practice expense
- 36.57
- Malpractice
- 0.59
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 36.57 | × 0.889 | 32.5107 |
| Malpractice | 0.59 | × 0.915 | 0.5398 |
| Total RVUs | 35.9806 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$1201.78
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 36.57 | 0.889 |
| Malpractice | 0.59 | 0.915 |
(2.93 × 1 + 36.57 × 0.889 + 0.59 × 0.915) × $33.4009 = $1201.78
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 0.47 | 0.889 |
| Malpractice | 0.59 | 0.915 |
(2.93 × 1 + 0.47 × 0.889 + 0.59 × 0.915) × $33.4009 = $129.85
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.
36466 billing questions
How does this differ from 36465?
36466 is for noncompounded foam treatment of multiple incompetent veins. 36465 is the corresponding code when treating a single incompetent vein.
When would 36471 be more appropriate?
36471 describes injection of a sclerosant for multiple incompetent veins without the noncompounded foam technique specified for 36466. Choose based on the agent and technique documented.
Can ultrasound guidance be billed separately?
The ultrasound guidance and monitoring for the foam treatment are included in 36466. Do not separately report them as components of this service.
What supports reporting multiple veins?
Document the incompetent veins treated and the use of noncompounded foam, with ultrasound guidance and compression maneuvers. The record should support treatment of multiple veins rather than a single vein.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150% under the supplied fee schedule rule.
Is same-day follow-up included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
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.
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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
4,48536471,,Njx sclrsnt mlt incmptnt vn,A,,1.46,4.39,,0.25,,0.29,6.14,2.00,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631