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CPT 36475 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Endovenous Ablation Therapy Of, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Radiofrequency First Vein Treated
Key FactDetail
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 LevelHigh
Medicare Fee ScheduleView Medicare rates for 36475
Medicaid Fee ScheduleView Medicaid rates for 36475

National average reimbursement for CPT 36475 by major payers:

bcbs

$1,472.52

uhc

$2,097.38

aetna

$1,928.76

cigna

$773.58

Compare published rates across providers.

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CPT 36475
5 of 25 sample ratesHigher to lower in this preview
  1. Gina Choi

    CAGastroenterology PhysicianNPI 1184883738Tax ID 95-4546865

    $9,480.08Published rate
  2. Irene Sonu

    CAGastroenterology PhysicianNPI 1801100300Tax ID 77-0465765

    $5,946.24Published rate
  3. Sepideh Babaei

    CASpecialistNPI 1821439514Tax ID 26-4709927

    $2,295.52Published rate
  4. Mark Diiulio

    Bradford Radiology PC

    NYVascular & Interventional Radiology PhysicianNPI 1063875763Tax ID 85-4080775

    $1,329.39Published rate
  5. Charleston Radiologists PA

    Charleston Radiologists, P.A.

    SCSingle Specialty GroupNPI 1811000177Tax ID 57-0634747

    $640.42Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 36475 vs. Other Surgical Procedures on the Cardiovascular System Codes

The CPT 36475 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 36475 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.

CodeComplexityDescription
36471-CPTModerateVaricose 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.
36473-CPTHighEndovenous Mchnchem 1st Vein, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Mechanochemical First Vein Treated
36474-CPTModerateEndovenous 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
36475-CPTHighEndovenous Ablation Therapy Of, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Radiofrequency First Vein Treated

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36475. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 36475 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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Frequently Asked Questions