$202.56
36470 is for one incompetent vein; 36471 is for multiple incompetent veins.
On this page
CMS RVU26D · Effective 2026-10-01
36470 Vein sclerotherapy Medicare reimbursement rates in Wyoming
Reports injection of sclerosant into one incompetent vein, commonly to treat a varicose vein associated with venous insufficiency. Compare 36470 office and facility rates across CMS payment localities in Wyoming.
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 36470 in Wyoming?
Wyoming 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
$119.61
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$32.43
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 36470: Single incompetent vein sclerotherapy
Reports injection of sclerosant into one incompetent vein, commonly to treat a varicose vein associated with venous insufficiency.
A clinician injects a sclerosing agent into one incompetent vein, commonly a varicose vein in a patient with chronic venous insufficiency. Vascular surgeons, vein specialists, and other clinicians who perform venous procedures may provide the service in an office or facility. Imaging guidance and monitoring integral to the injection are included in the service.
Choose this code when treatment is directed to one incompetent vein; treatment of multiple incompetent veins is reported with 36471. The record should identify the treated vein, the venous condition, and the injection performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36470
- 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 RVU0.73 · 20%
- Practice expense (office) RVU2.74 · 76%
- Malpractice RVU0.15 · 4%
11.3K
Medicare services in 2024 · #1412 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.
36470 compared with similar codes
Office rates for Wyoming, from the same CMS release.
36468
No office rateNjx sclrsnt spider veins
36468 treats spider veins. Use 36470 for injection treatment of one incompetent vein.
$1,282.43
36465 is specific to non-compounded foam treatment of one truncal vein; 36470 describes treatment of one incompetent vein with sclerosant.
$1,167.53
36473 describes mechanochemical endovenous treatment, not injection sclerotherapy.
Compare 36470 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
Wyoming** →
Office / nonfacility
$119.61
Facility
$32.43
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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 36470 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,484
- Code
- 36470
- Physician work
- 0.73
- Practice expense
- 2.74
- Malpractice
- 0.15
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 2.74 | × 1.000 | 2.7400 |
| Malpractice | 0.15 | × 0.740 | 0.1110 |
| Total RVUs | 3.5810 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$119.61
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 2.74 | 1 |
| Malpractice | 0.15 | 0.74 |
(0.73 × 1 + 2.74 × 1 + 0.15 × 0.74) × $33.4009 = $119.61
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 0.13 | 1 |
| Malpractice | 0.15 | 0.74 |
(0.73 × 1 + 0.13 × 1 + 0.15 × 0.74) × $33.4009 = $32.43
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.
36470 billing questions
When should 36470 be chosen instead of 36471?
Use 36470 when one incompetent vein is treated. When multiple incompetent veins are treated, consider 36471.
Can imaging guidance be billed separately?
Imaging guidance and monitoring integral to the sclerotherapy service are included; do not unbundle them as separate services.
How should bilateral treatment be reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
Does 36470 have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
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.
4,48136465,,Njx noncmpnd sclrsnt 1 vein,A,,2.29,35.75,,0.39,,0.48,38.52,3.16,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48236466,,Njx noncmpnd sclrsnt mlt vn,A,,2.93,36.57,,0.47,,0.59,40.09,3.99,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48336468,,Njx sclrsnt spider veins,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,