tci General Surgery Coding Alert - 2000 Issue 1

Minimize Denials for Vein Stripping Claims

Vein ligation and stripping procedures often are rejected by payers, including Medicare, as cosmetic. But by correctly using diagnostic codes to show medical necessity and adding the right modifier, surgeons can minimize denials.Surgical ligation and stripping is done to the main trunk of the superficial saphenous vein. If the long saphenous vein is to be removed, an incision (1-2 inches) is made in the groin. The superficial saphenous vein is located and a special surgical instrument is then fed down the vein to just above the knee on the inner thigh. An excision is made at the ending...

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