tci General Surgery Coding Alert - 2003 Issue 6

You Be The Coder: Get Preauthorization for Varicose Vein Injections

Question: Payers routinely reject our claims for varicose vein injections. What are we doing wrong? Colorado Subscriber   Answer: Physicians can treat distended, lengthened and/or tortuous (that is, varicose) veins by injecting an irritant solution to encourage obliteration of the veins by thrombosis and subsequent scarring (a technique known as sclerotherapy). Sclerotherapy is useful primarily for managing smaller varicose veins and for recurrent or persistent varicosities after operative treatment (that is, 37720-37730). The appropriate CPT codes to describe such injections are 36470* (Injection of sclerosing solution; single vein) and 36471* ( multiple veins, same leg). Some insurers consider such...

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