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See a sample rate comparisonCPT 36468 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Varicose Vein Treatment, Procedure To Collapse And Scar One Or More Spider Or Varicose Veins Usually Found In The Legs Or Ankles. There Are Several Different Procedures That May Be Used.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 36468 |
| Medicaid Fee Schedule | View Medicaid rates for 36468 |
National average reimbursement for CPT 36468 by major payers:
$204.60
$73.35
$65.87
$301.62
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CPT 36468
5 of 25 sample ratesHigher to lower in this preview
Orthopedic Associates Surgery Center LLC
$1,803.00Published rateResurgens Surgery Center LLC
$574.00Published rateHasbrouck Heights Surgery Center, LLC
Hasbrouck Heights Surgery Cent
$312.00Published rateClearway Surgery Center Of National Harbor LLC
Harborside Surgery Center
$174.00Published rateWildcreek Surgery Center
$92.00Published rate
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See a sample payer proposalCPT 36468 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36468 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 36468 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 36465-CPT | High | Injection Of Non-Compounded Foam Sclerosant With Ultrasound, Injection Of Non-Compounded Foam Sclerosant With Ultrasound Compression Maneuvers To Guide Dispersion Of The Injectate Inclusive Of All Imaging Guidance And Monitoring; Single Incompetent Extremity Truncal Vein (Eg Great Saphenous Vein Accessory Sapheno |
| 36466-CPT | High | Injection Of Non-Compounded Foam Sclerosant With Ultrasound, Injection Of Non-Compounded Foam Sclerosant With Ultrasound Compression Maneuvers To Guide Dispersion Of The Injectate Inclusive Of All Imaging Guidance And Monitoring; Multiple Incompetent Truncal Veins (Eg Great Saphenous Vein Accessory Saphenous Vein |
| 36468-CPT | Moderate | Varicose Vein Treatment, Procedure To Collapse And Scar One Or More Spider Or Varicose Veins Usually Found In The Legs Or Ankles. There Are Several Different Procedures That May Be Used. |
| 36470-CPT | Low | Varicose Vein Treatment, Procedure To Inject Medication Into One Or More Veins Usually In The Legs Or Ankles To Treat Varicose Veins Or Spider Veins. The Medication Causes The Vein To Collapse Or Close Off So Blood Is Directed To A Healthier Vein. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36468. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36468 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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