CPT 36476
Global ZZZ ActiveEndovenous rf vein add-on
CPT 36476 Billing & Documentation Guide
CPT code 36476 (Endovenous rf vein add-on) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.58, a non-facility practice expense RVU of 5.2, and a malpractice RVU of 0.57, a total non-facility RVU of 8.35 and facility RVU of 3.52. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $285.49, though rates vary from $245.17 to $356.31 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36476, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 36476 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 36476 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 36476
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.58 | 2.58 |
| Practice Expense RVU | 5.2 | 0.37 |
| Malpractice RVU | 0.57 | 0.57 |
| Total RVU | 8.35 | 3.52 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36476
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $305.1 | $114.21 | $288.2 - $356.31 | 29 |
| Florida | $297.5 | $135.63 | $280.83 - $315.13 | 3 |
| Georgia | $274.78 | $120.87 | $263.79 - $285.76 | 2 |
| Illinois | $290.68 | $134.8 | $274.51 - $305.02 | 4 |
| Michigan | $276.06 | $124.57 | $266.24 - $285.88 | 2 |
| North Carolina | $260.39 | $109.87 | $260.39 - $260.39 | 1 |
| New York | $309.91 | $129.93 | $264.56 - $333.56 | 5 |
| Ohio | $263.94 | $116.65 | $263.94 - $263.94 | 1 |
| Pennsylvania | $277.43 | $119.41 | $263.61 - $291.24 | 2 |
| Texas | $275.33 | $116.5 | $261.91 - $286.97 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 36476
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36476 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 29520 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 29530 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 29540 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 29550 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 29580 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 29581 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 29582 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 29584 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 36002 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 36476
What does CPT code 36476 mean? +
CPT code 36476 represents: Endovenous rf vein add-on. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 36476? +
The 2026 Medicare national average non-facility payment for CPT 36476 is $285.49. Rates range from $245.17 to $356.31 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36476? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 36476? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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