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See a sample rate comparisonCPT 36478 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 Laser 1st Vein, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Laser First Vein Treated
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 36478 |
| Medicaid Fee Schedule | View Medicaid rates for 36478 |
National average reimbursement for CPT 36478 by major payers:
$1,331.89
$1,712.13
$1,685.67
$752.14
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CPT 36478
5 of 25 sample ratesHigher to lower in this preview
Princess Anne Ambulatory Surgery Management LLC, Princess Anne Ambulatory Surgery Center
Princess Anne Ambulatory Surgery Management, LLC
$6,223.00Published rateSurgery Center Of Silverdale LLC
Surgery Center Of Silverdale L
$2,302.00Published rateSan Diego Skin, Inc.
San Diego Skin, Inc M Mark Mofid Md Apc
$1,879.00Published rateAmy Sullivan
Deaconess Hospital Inc
$900.28Published rateEndoscopy Center Of Northeast Tennessee, PC
$425.00Published rate
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See a sample payer proposalCPT 36478 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36478 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 36478 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 |
|---|---|---|
| 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 |
| 36475-CPT | High | Endovenous Ablation Therapy Of, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Radiofrequency First Vein Treated |
| 36478-CPT | High | Endovenous Laser 1st Vein, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Laser 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 36478. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36478 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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