$254.43–$270.60
36475 applies to the first radiofrequency-treated vein in the extremity; 36476 applies to an additional vein in that same extremity.
On this page
CMS RVU26D · Effective 2026-10-01
36475 Venous ablation Medicare reimbursement rates in Missouri
Percutaneous radiofrequency treatment closes the first incompetent vein in an extremity, commonly for symptomatic superficial venous reflux such as great saphenous vein insufficiency. Compare 36475 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 36475 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
$938.52–$1015.65
3 of 3 localities have a supported rate.
Facility setting
$240.61–$244.88
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 36475 pays more and less in Missouri
3 payment localities
$938.52 to $1015.65
Venous intervention
About 36475: Radiofrequency ablation of first incompetent vein
Percutaneous radiofrequency treatment closes the first incompetent vein in an extremity, commonly for symptomatic superficial venous reflux such as great saphenous vein insufficiency.
This service uses a percutaneously placed catheter to deliver radiofrequency energy and close an incompetent superficial vein in an extremity. Vascular surgeons, interventional radiologists, and other qualified clinicians commonly perform it in an office-based vascular practice or an outpatient facility for symptomatic venous reflux, often involving the great or small saphenous vein. Imaging guidance and treatment monitoring are included in the service.
Report 36475 for the first vein treated with radiofrequency in the extremity. For an additional vein treated in the same extremity, report 36476 when its requirements are met. Documentation should identify the treated vein, support its incompetence or reflux, and describe the radiofrequency treatment. The 0-day global period includes same-day preoperative and postoperative care. With multiple procedures in one session, Medicare pays the highest-valued procedure in full and others at 50%. Bilateral treatment with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 36475
- 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 RVU5.17 · 16%
- Practice expense (office) RVU25.30 · 80%
- Malpractice RVU1.15 · 4%
86K
Medicare services in 2024 · #607 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.
36475 compared with similar codes
Office rates for Missouri, from the same CMS release.
$872.94–$943.37
Both treat the first incompetent vein, but 36478 uses laser energy and 36475 uses radiofrequency.
$1,030.55–$1,124.41
Both address the first incompetent vein, but 36473 uses mechanochemical treatment rather than radiofrequency.
$1,447.16–$1,584.52
36482 treats the first incompetent vein with chemical adhesive; 36475 uses radiofrequency catheter ablation.
Compare 36475 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
$1003.71
Facility
$243.46
Metropolitan St. Louis →
Office / nonfacility
$1015.65
Facility
$244.88
Rest Of Missouri →
Office / nonfacility
$938.52
Facility
$240.61
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36475 billing questions
When should 36475 be used instead of 36476?
Use 36475 for the first vein treated with radiofrequency in the extremity. Use 36476 for an additional vein treated in that same extremity when its requirements are met.
Is imaging guidance separately reported with 36475?
Imaging guidance and monitoring are included in 36475. Do not separately report those elements as though they were outside the ablation service.
What documentation supports reporting 36475?
Document the incompetent vein and evidence of reflux, the extremity and vein treated, and the radiofrequency catheter treatment. The record should distinguish the first treated vein from any additional vein.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or co-surgeon be billed for this procedure?
Assistant-at-surgery services are not paid for 36475. 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.
4,48536471,,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
4,48936476,,Endovenous rf vein add-on,A,,2.58,5.20,,0.37,,0.57,8.35,3.52,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,49036478,,Endovenous laser 1st vein,A,,5.17,23.09,,1.13,,1.09,29.35,7.39,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,49136479,,Endovenous laser vein addon,A,,2.58,6.17,,0.45,,0.54,9.29,3.57,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00