{
    "code": "36465",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/36465/2018/A",
    "release_specific_url": "https://localishealth.com/cpt/36465/2018/D",
    "description": "Treatment of a leaking main superficial vein in the leg, usually the great or small saphenous, by injecting a foamed medication that irritates the lining so the vein swells shut and is gradually absorbed by the body. Ultrasound guides the needle and the operator uses compression maneuvers to hold the foam in the target segment rather than letting it drift. No heat is used, so there is no need for the numbing fluid injected around the vein in heat-based methods. This entry covers a single main vein treated in the session; a companion code covers more than one.",
    "answer": {
        "question": "How much did Medicare pay for CPT 36465 in Q4 2018?",
        "text": "Medicare paid $1,624.30 for CPT 36465 in the office (non-facility) setting and $124.56 in a facility under the Q4 2018 Physician Fee Schedule, effective October 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "D",
        "label": "Q4 2018",
        "effective": "October 1 – December 31, 2018",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1624.3,
        "facility": 124.56,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.35,
        "practice_expense_non_facility": 42.29,
        "practice_expense_facility": 0.63,
        "malpractice": 0.48
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9996,
    "source": {
        "label": "Physician relative value file (Q4 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/D",
        "file": "PPRRVU18_OCT.csv",
        "row": 8427,
        "sha256": "c6312c12acd1b8ed78b409e8508357929aa7e764e333ec568ebb9c0774b7dc4d"
    },
    "modified_at": "2026-08-04T03:08:37+00:00"
}