Billing code 36466: Foam sclerotherapyMedicare rate & RVUs in Utah
Reports ultrasound-guided injection of noncompounded foam sclerosant to treat multiple incompetent veins, such as veins in the saphenous system.
Medicare pays $1,263.74 for 36466 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 36466 covers
A clinician injects noncompounded foam sclerosant into multiple incompetent veins to close them, using ultrasound and compression maneuvers to guide the treatment. Common targets include the great saphenous and accessory saphenous veins. Vascular specialists, interventional radiologists, and other clinicians who treat venous disease commonly perform the procedure in an office or outpatient setting.
Select this code when noncompounded foam is used to treat multiple incompetent veins; the record should identify the veins treated and support the foam technique and ultrasound guidance. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment reported with modifier 50, CMS pays 150%. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
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.
36466 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $1,263.74 | $130.32 |
How the 36466 rate is calculated
Each of 36466’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 36466
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.93Practice expense 36.57Malpractice 0.59
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 36466
The CMS indicators that decide how 36466 is paid alongside other services.
CMS payment indicators · 36466
Foam sclerotherapy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
36466 without 50 · national office
$1,339.04
Foam sclerotherapy
36466-50 · Bilateral: 150%
$2,008.56
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
36466 compared with similar codes
Compare codes
36466 vs 36465 vs 36471 vs 36468 vs 36475: national Medicare rates
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How to choose
- 36465Foam sclerotherapy
- Both use noncompounded foam with ultrasound guidance and compression maneuvers; 36465 is for a single incompetent vein, while 36466 is for multiple veins.
- 36471Sclerotherapy
- 36471 covers sclerosant injection for multiple incompetent veins. Use 36466 when the documented treatment uses noncompounded foam.
- 36468Njx sclrsnt spider veins
- 36468 is for sclerotherapy of spider veins. 36466 treats multiple incompetent veins using noncompounded foam.
- 36475Venous ablation
- 36475 treats an incompetent vein with endovenous radiofrequency ablation; 36466 uses injected noncompounded foam for multiple incompetent veins.
36466 billing questions
How does this differ from 36465?
36466 is for noncompounded foam treatment of multiple incompetent veins. 36465 is the corresponding code when treating a single incompetent vein.
When would 36471 be more appropriate?
36471 describes injection of a sclerosant for multiple incompetent veins without the noncompounded foam technique specified for 36466. Choose based on the agent and technique documented.
Can ultrasound guidance be billed separately?
The ultrasound guidance and monitoring for the foam treatment are included in 36466. Do not separately report them as components of this service.
What supports reporting multiple veins?
Document the incompetent veins treated and the use of noncompounded foam, with ultrasound guidance and compression maneuvers. The record should support treatment of multiple veins rather than a single vein.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150% under the supplied fee schedule rule.
Is same-day follow-up included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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