$1,083.16
36475 covers the first vein treated with radiofrequency in an extremity. Use 36476 only for additional veins treated in that same extremity.
On this page
CMS RVU26D · Effective 2026-10-01
36476 Vein ablation Medicare reimbursement rates in Rhode Island
Reports radiofrequency catheter ablation of each additional incompetent vein treated in the same extremity after the primary vein procedure. Compare 36476 office and facility rates across CMS payment localities in Rhode Island.
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 36476 in Rhode Island?
Rhode Island 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
$284.21
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$117.56
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 36476: Additional vein radiofrequency ablation
Reports radiofrequency catheter ablation of each additional incompetent vein treated in the same extremity after the primary vein procedure.
This add-on reports percutaneous radiofrequency ablation of an additional incompetent vein in the same extremity after the first vein is treated. A vascular surgeon, interventional radiologist, or other qualified physician typically uses a catheter and imaging guidance to close refluxing superficial veins in patients with chronic venous insufficiency or varicose veins. Imaging guidance and monitoring are included in the endovenous ablation service.
Report 36476 for each additional vein treated, alongside 36475 for the first vein treated with radiofrequency in that extremity. Document the treated vein, side, ablation method, and number of additional veins so the unit count is supported. CMS identifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period. For a bilateral procedure reported with modifier 50, CMS pays 150%.
CMS billing rules for 36476
- 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 RVU2.58 · 31%
- Practice expense (office) RVU5.20 · 62%
- Malpractice RVU0.57 · 7%
3.9K
Medicare services in 2024 · #2005 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.
36476 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$245.83
Both are add-on services for additional vein treatment, but 36474 uses mechanochemical ablation; 36476 uses radiofrequency.
$316.78
Both report additional vein treatment, but 36479 uses laser ablation while 36476 uses radiofrequency.
$143.26
36483 reports a subsequent vein treated with chemical adhesive. Choose 36476 when the additional vein is treated with radiofrequency.
Compare 36476 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
Rhode Island →
Office / nonfacility
$284.21
Facility
$117.56
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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 36476 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
4,489
- Code
- 36476
- Physician work
- 2.58
- Practice expense
- 5.20
- Malpractice
- 0.57
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.58 | × 1.019 | 2.6290 |
| Practice expense | 5.20 | × 1.033 | 5.3716 |
| Malpractice | 0.57 | × 0.892 | 0.5084 |
| Total RVUs | 8.5091 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$284.21
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.58 | 1.019 |
| Practice expense | 5.2 | 1.033 |
| Malpractice | 0.57 | 0.892 |
(2.58 × 1.019 + 5.2 × 1.033 + 0.57 × 0.892) × $33.4009 = $284.21
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.58 | 1.019 |
| Practice expense | 0.37 | 1.033 |
| Malpractice | 0.57 | 0.892 |
(2.58 × 1.019 + 0.37 × 1.033 + 0.57 × 0.892) × $33.4009 = $117.56
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.
36476 billing questions
When is 36476 reported instead of 36475?
Use 36475 for the first vein treated with radiofrequency in an extremity. Report 36476 for each additional vein treated in that same extremity.
Can 36476 be billed by itself?
No. It is an add-on code and must be reported with the appropriate primary procedure, such as 36475 for radiofrequency treatment of the first vein.
What supports the units reported?
Document each additional vein treated, the extremity and side, and the radiofrequency method. The number of units should match the additional veins treated.
Is imaging guidance separately reported with 36476?
Imaging guidance and monitoring are included in the endovenous ablation service; they are not separate components of 36476.
How does CMS handle bilateral reporting?
For a bilateral procedure reported with modifier 50, the CMS payment rule is 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.
4,48636473,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537