$1,276.26–$1,348.54
36473 reports mechanochemical treatment of the first vein. Use 36474 for an additional vein in the same extremity through a separate access site.
On this page
CMS RVU26D · Effective 2026-10-01
36474 Vein ablation Medicare reimbursement rates in New Jersey
Reports mechanochemical catheter ablation of an additional incompetent vein in the same extremity, following treatment of the first vein. Compare 36474 office and facility rates across CMS payment localities in New Jersey.
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 36474 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$259.70–$272.26
2 of 2 localities have a supported rate.
Facility setting
$82.44–$83.96
2 of 2 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.
Vascular procedure
About 36474: Mechanochemical ablation, additional vein
Reports mechanochemical catheter ablation of an additional incompetent vein in the same extremity, following treatment of the first vein.
This add-on represents catheter-based mechanochemical ablation of an additional incompetent vein, using mechanical action together with a sclerosant to close the treated vein. It is used for venous reflux treatment, including treatment of superficial truncal veins, and is typically performed by a vascular surgeon, interventional radiologist, or vein specialist in an office or outpatient procedural setting. The additional vein is treated through a separate access site in the same extremity as the first vein.
Report 36474 only with the primary mechanochemical ablation code 36473; it is not a stand-alone service. Documentation should identify the treated veins, extremity, separate access sites, and the mechanochemical technique. CMS treats this add-on as paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays at 150%.
CMS billing rules for 36474
- 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 · 24%
- Practice expense (office) RVU5.11 · 71%
- Malpractice RVU0.38 · 5%
100
Medicare services in 2024 · #4883 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.
36474 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$300.17–$313.41
Both are additional-vein codes, but 36476 describes radiofrequency ablation; 36474 describes mechanochemical ablation.
$334.45–$349.92
36479 reports laser ablation of an additional vein. Choose 36474 when the additional vein is treated with the mechanochemical method.
$151.38–$157.12
36483 is for an additional vein treated with chemical adhesive. Code 36474 is for mechanochemical treatment.
Compare 36474 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
$272.26
Facility
$83.96
Rest Of New Jersey →
Office / nonfacility
$259.70
Facility
$82.44
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
36474 billing questions
When should 36474 be reported instead of 36473?
Use 36473 for the first vein treated with mechanochemical ablation. Report 36474 for each qualifying additional vein in the same extremity, treated through a separate access site.
Can 36474 be billed by itself?
No. It is an add-on code and must be reported with 36473 for the primary vein treatment.
What documentation supports the additional-vein service?
Document the mechanochemical method, the first and additional veins treated, the extremity, and the separate access site for the additional vein.
How is bilateral treatment handled?
CMS pays a bilateral procedure reported with modifier 50 at 150%. The add-on remains linked to the primary mechanochemical ablation service.
How does this differ from 36476?
36474 is for an additional vein treated by mechanochemical ablation. Code 36476 is the additional-vein code for radiofrequency ablation.
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.
4,48436470,,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
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