tci Part B Insider - 2004 Issue 36

CPT 2005: Stymied By Endovenous Ablation?

Transcatheter stent placement codes clarify coding muddleOnce again, the wheels of coding turn slower than the gears of technological change - but coders finally have a vehicle that works.Coders have been struggling for years with billing for endovenous ablation, a minimally invasive technique for treating varicose veins. Usually, the physician inserts a catheter using ultrasound imaging and guides an ablation probe into the great saphenous vein, then heats it or seals it using ultrasound, radiofrequency or laser energy. Old way: There weren't any particular codes for this technique, and payors were stuck between unlisted code 37799 and a...

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