CPT^® 36476, Under Endovascular Ablation Therapy of Incompetent Extremity Veins

The Current Procedural Terminology (CPT^®) code 36476 as maintained by American Medical Association, is a medical procedural code under the range - Endovascular Ablation Therapy of Incompetent Extremity Veins.

Additional/Related Information

Tabs

Summary

In this add–on procedure the provider inserts a specially designed radiofrequency probe through the skin to destroy the wall of a diseased vein in an extremity. The provider performs this procedure to ablate subsequent veins in the same session as ablation of the initial vein.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 36476 ? Start a discussion here

Varicose Vein Surgery and Modifier 22

Has anyone who codes for Varicose Veins had success with using Modifier 22 to 36475, 36476, 36478, 36479, 36482, 36483 when your surgeon has had to access the vein via 2 access points? I.E. maybe ther... [ Read More ]

Venclose RF Ablation

Since Venclose is a catheter manufactured to perform radiofrequency (RF) ablation of the veins, I would code CPT 36475 for the first vein treated in the leg and code 36476 if a second vein is treated ... [ Read More ]

Endovenous ablation 36475 & 36476

It would be 36475,50 (or 36475,LT & 36475,RT, depending on payor policy) 36476 is used if it's for another vein on the same leg. Also, only 1 unit of 36476 can be reported per leg regardless of how ma... [ Read More ]

Endovenous ablation 36475 & 36476

Can 36476 only be used when performed on the same extremity (RT/LT) as 36475? The issue I'm dealing with is 1 ablation was done on Lt leg and another on Rt leg. Do modifiers need to be used and/or t... [ Read More ]

Multiple Veins vs. Multiple Branches of same vein anterior and posterior endovenous ablation greater saphenous vein radiofrequency

Patient had an endovenous radiofrequency ablation of the anterior and posterior branch of the right greater saphenous vein. It is the same vein just two different branches off the vein. After infor... [ Read More ]

36475 & 36476 Veins / CMS billing

Thanks for the reply. I appreciate your insight. I thought that because 36476 was considered a Type I add-on code (and it was billed with the primary procedure 36475) it would be eligible for reimbu... [ Read More ]

36475 & 36476 Veins / CMS billing

36476 is a status N (packaged) code under OPPS, so zero payment on the line for this code is correct for Medicare and any payers that follow Medicare OPPS reimbursement methodology. Most add-on codes... [ Read More ]

36475 & 36476 Veins / CMS billing billing veins

Hi. We've been getting a lot of zero pays for add-on code 36476 when it is billed with 36475, both from Medicare and some other commercial payers. I think part of the problem is on the 2018 CMS Fee ... [ Read More ]

Coding for Radiofrequency Ablation - needing some assistance appreciated performing refer suggestion tutorial

needing some assistance where to locate information on the above codes (36475 36476 36478 36479) our physician will soon be performing this. is there a tutorial or maybe an article you can re... [ Read More ]

VNUS procedure

Hopefully someone can help me with this! Our cardiology group wants to start doing the VNUS procedure in their office. I know the codes would be 36475 and 36476, however my question is that they are p... [ Read More ]

View All