tci General Surgery Coding Alert - 2001 Issue 12

Reader Question: Excision of Single Varicose Vein

Question: The surgeon notes a 5-mm well-circumscribed blue firm mass palpable within the varicose vein and describes the procedure as similar to removing a thrombosed hemorrhoid, this is just a thrombosed vein Using a #15 scalpel blade, I made an incision directly over the mass, then extracted the clot with a curette, explored the wound, irrigated with some sterile saline, then brought the wound edges together with Steri-strips All the codes associated with clot removals seem to be for deep veins only. Is there a code for excision of a clot from a varicose or superficial vein? Or should...

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