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Varicose veins

Date: Feb 25, 2019

Question:

Patient has Klippel-Trenaunay Weber syndrome with numerous varicosities that are painful. Doctor embolized (using Glue) the lateral thigh, deep posterior thigh, and mid-calf varicosities. I know we can’t code 37241 for varicose veins in the extremity veins, and 36470-36471 doesn’t fit since he didn’t inject a sclerosant. Would I resort to 37799 (unlisted)? If he embolizes and injects a sclerosant, would I code 36470-36471 only? Also, if the doctor embolizes vulvar/pelvic varicosities, would I use 36468 or 37241? The pelvic isn’t considered lower extremity but the trunk, but 36468 is for spider veins which these are not. These codes are confusing me.

Question ID : 12123
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