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Article - Billing and Coding: Treatment of Varicose Veins of the …

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56914&LCDId=34536&DocID=L34536
    The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the associated Local Coverage Determination (LCD) L34536 Treatment of Varicose Veins of the Lower Extremities. …

Article - Billing and Coding: Treatment of Varicose Veins of the …

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52870&LCDId=33575&DocID=L33575
    The patient's medical record must contain documentation that fully supports the medical necessity for services included within the LCD. (Please see "Indications and Limitations …

Medical Necessity Guidelines: Procedures for the Treatment …

    https://tuftshealthplan.com/documents/providers/guidelines/medical-necessity-guidelines/varicose
    Medical Necessity Guidelines: Procedures for the Treatment of Symptomatic Varicose Veins Effective: January 1, 2023 Prior Authorization Required If REQUIRED, submit …

Surgical and Ablative Procedures for Venous Insufficiency …

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/surgical-ablative-procedures-venous-insufficiency-varicose-veins.pdf
    Ambulatory Phlebectomy Ambulatory phlebectomy for treating Varicose Veins is proven and medically necessary in certain circumstances. For medical necessity clinical …

Varicose Veins - Medical Clinical Policy Bulletins | Aetna

    https://www.aetna.com/cpb/medical/data/1_99/0050.html
    Additional multiple stab phlebectomy incisions are considered medically necessary for persons with persistent or recurrent symptoms. Note: A set of stab phlebectomy …

Denied for Medical Necessity Stab phlebectomy of varicose veins

    https://www.aapc.com/discuss/threads/denied-for-medical-necessity-stab-phlebectomy-of-varicose-veins.144973/
    I've exhausted myself trying to research how to code this for medical necessity. We have been receiving major denials from mostly Medicare but as well other payers. CPT 37765 …

Varicose Vein Treatments - Cigna

    https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0234_coveragepositioncriteria_varicose_vein_treatments.pdf
    MEDICAL NECESSITY CRITERIA FOR LOWER RISK INDICATIONS . Ligation and excision, endovascular embolization with cyanoacrylate adhesive (e.g., VenaSeal™ …

Surgical Treatment of Varicose Veins | BCBSND

    https://www.bcbsnd.com/providers/policies-precertification/medical-policy/s/surgical-treatment-of-varicose-veins
    Ligation/stripping and ambulatory phlebectomy (i.e., stab, hook, transilluminated powered) Sclerotherapy (liquid or microfoam) Subfascial endoscopic perforator surgery (SEPS) …

Superficial Venous Coding Guide - Medtronic

    https://asiapac.medtronic.com/content/dam/medtronic-com/us-en/hcp/reimbursement/documents/superficial-venous-coding-guide-us.pdf
    • If a stab phlebectomy or sclerotherapy is performed adjunctively with RF Ablation then modifier –51 should be applied. The multiple procedure reduction will apply here to the …

Medical Policy Treatment of Varicose Veins/Venous …

    https://www.bluecrossma.org/medical-policies/sites/g/files/csphws2091/files/acquiadam-assets/238%20Treatment%20of%20Varicose%20Veins%20and%20Venous%20Insufficiency%20prn.pdf
    The following treatments are considered MEDICALLY NECESSARY as a component of the treatment of symptomatic varicose tributaries when performed either at the same time or …



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