$1,524.85
36482 reports the primary vein treated with adhesive; 36483 reports qualifying additional veins in the same extremity through separate access sites.
On this page
CMS RVU26D · Effective 2026-10-01
36483 Vein ablation Medicare reimbursement rates in Nebraska
Reports adhesive catheter ablation of each qualifying additional incompetent vein treated in the same extremity after the primary vein procedure. Compare 36483 office and facility rates across CMS payment localities in Nebraska.
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 36483 in Nebraska?
Nebraska 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
$127.52
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$70.49
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 procedures
About 36483: Additional vein adhesive ablation
Reports adhesive catheter ablation of each qualifying additional incompetent vein treated in the same extremity after the primary vein procedure.
This add-on describes catheter delivery of a medical adhesive to close an additional incompetent superficial vein in the same extremity. It is used after the primary vein has been treated with the adhesive-ablation technique. Vascular surgeons, interventional radiologists, and other qualified vein specialists commonly perform the procedure in an office or facility setting, using imaging to guide and monitor treatment.
Report 36483 with primary code 36482, not by itself. The additional vein must be in the same extremity and treated through a separate access site; documentation should identify the treated veins, access sites, laterality, and adhesive technique. Report each qualifying additional vein according to the code’s unit definition. CMS treats this as an add-on paid within the primary procedure’s global period. For bilateral procedures reported with modifier 50, CMS pays 150%.
CMS billing rules for 36483
- 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 RVU1.71 · 40%
- Practice expense (office) RVU2.12 · 50%
- Malpractice RVU0.40 · 9%
1.7K
Medicare services in 2024 · #2585 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.
36483 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$219.45
Both address an additional vein, but 36474 is for mechanochemical ablation; 36483 is for catheter-delivered adhesive.
$253.68
36476 is the additional-vein code for radiofrequency ablation. Choose 36483 when the treatment uses adhesive.
$283.21
36479 is the additional-vein code for laser ablation. Choose 36483 when the treatment uses adhesive.
Compare 36483 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
Nebraska →
Office / nonfacility
$127.52
Facility
$70.49
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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 36483 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,494
- Code
- 36483
- Physician work
- 1.71
- Practice expense
- 2.12
- Malpractice
- 0.40
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.71 | × 1.000 | 1.7100 |
| Practice expense | 2.12 | × 0.923 | 1.9568 |
| Malpractice | 0.40 | × 0.378 | 0.1512 |
| Total RVUs | 3.8180 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$127.52
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 2.12 | 0.923 |
| Malpractice | 0.4 | 0.378 |
(1.71 × 1 + 2.12 × 0.923 + 0.4 × 0.378) × $33.4009 = $127.52
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 0.27 | 0.923 |
| Malpractice | 0.4 | 0.378 |
(1.71 × 1 + 0.27 × 0.923 + 0.4 × 0.378) × $33.4009 = $70.49
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.
36483 billing questions
Can 36483 be reported by itself?
No. It is an add-on code reported with 36482 for the primary adhesive-ablation treatment.
When is 36483 appropriate instead of 36482?
Use 36482 for the primary vein treated with adhesive. Use 36483 for each qualifying additional vein in the same extremity treated through a separate access site.
How many units should be reported?
Report a unit for each qualifying additional vein treated, as supported by the operative documentation and separate access site.
Does the code include imaging guidance?
The adhesive-ablation service includes imaging guidance and monitoring; do not separately report those elements as though they were outside the procedure.
How is bilateral treatment handled?
CMS identifies this as a bilateral procedure. When reported with modifier 50, CMS pays 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.
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
4,49236481,,Insertion of catheter vein,A,,6.56,41.76,,1.11,,0.75,49.07,8.42,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,49336482,,Endoven ther chem adhes 1st,A,,3.41,45.46,,0.59,,0.75,49.62,4.75,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,49436483,,Endoven ther chem adhes sbsq,A,,1.71,2.12,,0.27,,0.40,4.23,2.38,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,49536500,,Insertion of catheter vein,A,,3.42,0.71,NA,0.71,,0.67,4.80,4.80,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,4963650F,,Eeg ordered rvwd reqstd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,49736510,,Insertion of catheter vein,A,,1.06,1.45,,0.22,,0.07,2.58,1.35,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068