tci General Surgery Coding Alert - 2002 Issue 8

Contact Payer First to Determine Medical-Necessity Guidelines for Vein Ligation

Medicare and third-party payers will not pay for vein ligation and stripping procedures for cosmetic purposes. If you demonstrate a reasonable level of medical necessity and apply careful and accurate diagnosis coding, however, you can increase your chances for reimbursement. What's Involved?CPT contains two primary codes to describe surgical ligation and stripping of veins: 37720 Ligation and division and complete stripping of long or short saphenous veins 37730 of long and short saphenous veins. In addition, the surgeon may also remove varicose vein clusters, as described by 37785 (Ligation, division, and/or excision of recurrent or secondary varicose veins...

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