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See a sample rate comparisonHealthcare 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.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 36474 |
| Medicaid Fee Schedule | View Medicaid rates for 36474 |
National average reimbursement for CPT 36474 by major payers:

$305.74

$381.62

$386.72

$186.77
Choose a payer to see a sample of rates for CPT 36474.
Toms River Surgery Center LLC
Advanced Center For Surgery
Mississippi Coast Endoscopy And Ambulatory Center, LLC
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Rate Benchmarking
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See a sample payer proposalCPT 36474 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36474 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 36474 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 |
|---|---|---|
| 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. |
| 36473-CPT | High | Endovenous Mchnchem 1st Vein, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Mechanochemical First Vein Treated |
| 36474-CPT | Moderate | Endovenous Mchnchem Add On, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Mechanochemical Subsequent Vein S Treated In A Single Extremity Each Through Separate Access Sites List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36474. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36474 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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