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Sclerotherapy

Date: Jan 8, 2019

Question:

In the AMA 2018 professional CPT Codebook it states on pg. 247 (top green wording) that 36470/36471 is for "injection(s) of a sclerosant for sclerotherapy of telangiectasia", but in the description of 36470/36471 it contradicts that by saying "other than telangiectasia", so of course I am confused. What is the correct code for compounded (tessari method) injections of polidocanol into diffuse spider telangiectasias? I originally submitted 36468, but insurance is denying for cosmetic. The physician is yelling at me saying it's not cosmetic. Can you shed some light on this?

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