36478 Endovenous laser first vein
Also known as: endovenous laser ablation, EVLA, laser vein closure, 980-nm laser, vein ablation additional
Endovenous ablation with laser energy, first vein treated.
In Plain Language
using laser light to seal a vein; closing a vein with laser energy
Clinical Context
Used for varicose vein ablation via laser-induced thermal damage to vein wall. Common for saphenous vein insufficiency.
RVU Breakdown
| Work RVU | 5.17 |
| Total RVU | 5.17 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.17, this code ranks in the 35th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 36478?
CPT 36478 (Endovenous laser first vein) is a Surgery code. Endovenous ablation with laser energy, first vein treated.
What is the wRVU value for CPT 36478?
The work RVU for CPT 36478 is 5.17. This code is primarily used by Vascular Surgery, Interventional Radiology, Phlebology.
When is CPT 36478 used?
Used for varicose vein ablation via laser-induced thermal damage to vein wall. Common for saphenous vein insufficiency.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.