CPT 36479
Global ZZZ ActiveEndovenous laser vein addon
CPT 36479 Billing & Documentation Guide
CPT code 36479 (Endovenous laser vein addon) 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 6.17, and a malpractice RVU of 0.54, a total non-facility RVU of 9.29 and facility RVU of 3.57. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $318.45, though rates vary from $272.49 to $402.49 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36479, 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 36479 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 36479 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 36479
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.58 | 2.58 |
| Practice Expense RVU | 6.17 | 0.45 |
| Malpractice RVU | 0.54 | 0.54 |
| Total RVU | 9.29 | 3.57 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36479
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 | $342.9 | $116.83 | $323.17 - $402.49 | 29 |
| Florida | $328.06 | $136.37 | $310.3 - $346.32 | 3 |
| Georgia | $304.49 | $122.23 | $291.5 - $317.48 | 2 |
| Illinois | $320.08 | $135.47 | $302.52 - $335.29 | 4 |
| Michigan | $305.07 | $125.68 | $294.69 - $315.45 | 2 |
| North Carolina | $289.98 | $111.72 | $289.98 - $289.98 | 1 |
| New York | $344.69 | $131.55 | $294.63 - $370.22 | 5 |
| Ohio | $292.51 | $118.08 | $292.51 - $292.51 | 1 |
| Pennsylvania | $308.09 | $120.96 | $292.4 - $323.78 | 2 |
| Texas | $306.29 | $118.2 | $290.47 - $320.36 | 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 36479
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36479 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 36479
What does CPT code 36479 mean? +
CPT code 36479 represents: Endovenous laser vein addon. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 36479? +
The 2026 Medicare national average non-facility payment for CPT 36479 is $318.45. Rates range from $272.49 to $402.49 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36479? +
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 36479? +
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 2, 2026.
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