$108.15–$116.53
36470 is for treatment of one incompetent vein. Use 36471 when multiple incompetent veins in the same leg are treated.
On this page
CMS RVU26D · Effective 2026-10-01
36471 Sclerotherapy Medicare reimbursement rates in Missouri
Reports sclerosant treatment of multiple incompetent veins in the same leg, typically for symptomatic superficial venous disease and varicosities. Compare 36471 office and facility rates across CMS payment localities in Missouri.
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 36471 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$184.59–$198.06
3 of 3 localities have a supported rate.
Facility setting
$65.40–$66.42
3 of 3 localities have a supported rate.
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.
Where 36471 pays more and less in Missouri
3 payment localities
$184.59 to $198.06
Vascular procedure
About 36471: Multiple-vein sclerotherapy
Reports sclerosant treatment of multiple incompetent veins in the same leg, typically for symptomatic superficial venous disease and varicosities.
This service treats multiple incompetent superficial veins in one leg by injecting a sclerosing agent to close the targeted veins. It is commonly performed by a vascular surgeon, interventional radiologist, or other qualified clinician in an office or outpatient setting for patients with varicose veins or related symptoms. The code distinguishes treatment of multiple veins from treatment of a single incompetent vein and from injection treatment directed at spider veins.
Report the service when documentation identifies the treated leg, the multiple incompetent veins addressed, and the injection treatment performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 36471
- 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 RVU1.46 · 24%
- Practice expense (office) RVU4.39 · 71%
- Malpractice RVU0.29 · 5%
82.5K
Medicare services in 2024 · #617 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.
36471 compared with similar codes
Office rates for Missouri, from the same CMS release.
$1,121.40–$1,229.32
36465 describes non-compounded foam sclerosant treatment of one vein. 36471 represents injection treatment of multiple incompetent veins using a different documented technique.
$1,169.97–$1,280.45
36466 also addresses multiple veins but specifies non-compounded foam sclerosant. Select based on the sclerosant technique documented.
36468
No office rateNjx sclrsnt spider veins
36468 is for injection treatment of spider veins. 36471 is for multiple incompetent veins in the same leg.
Compare 36471 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$195.91
Facility
$66.07
Metropolitan St. Louis →
Office / nonfacility
$198.06
Facility
$66.42
Rest Of Missouri →
Office / nonfacility
$184.59
Facility
$65.40
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36471 billing questions
When should 36471 be chosen over 36470?
Use 36471 when multiple incompetent veins in the same leg are treated. Use 36470 when treatment is limited to one incompetent vein.
How does 36471 differ from foam sclerotherapy codes 36465 and 36466?
Those codes describe treatment using non-compounded foam sclerosant. Choose between them and 36471 based on the documented technique and number of veins treated.
Can same-day preoperative or postoperative care be billed separately?
Same-day preoperative and postoperative care is included in the 0-day global period for this procedure.
How is bilateral treatment reported?
When both legs are treated and the service is reported with modifier 50, CMS pays at 150%.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be billed for this procedure?
Assistant-at-surgery services are not paid for this code. 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.
4,48236466,,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
4,48636473,,Endovenous mchnchem 1st vein,A,,3.41,30.99,,0.58,,0.75,35.15,4.74,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48736474,,Endovenous mchnchem add-on,A,,1.71,5.11,,0.25,,0.38,7.20,2.34,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48836475,,Endovenous rf 1st vein,A,,5.17,25.30,,1.06,,1.15,31.62,7.38,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00