Varicose veins of other specified sites. I86.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM I86.8 became effective on October 1, 2018. This is the American ICD-10-CM version of I86.8 - other international versions of ICD-10 I86.8 may differ.
Varicosity of right upper limb ICD-10-CM I86.8 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 299 Peripheral vascular disorders with mcc 300 Peripheral vascular disorders with cc
Historically, varicose veins have been treated by conservative measures such as exercise, periodic leg elevation, weight loss, compressive therapy, and avoidance of prolonged immobility. When conservative measures are unsuccessful, and symptoms persist, the next step has been sclerotherapy or surgical ligation with or without stripping.
When reporting sclerotherapy procedures (36465, 36466, 36470, and 36471) performed on opposite legs, report CPT code 36465, 36470 (one vein) and 36466, 36471 (multiple veins) on separate lines using the RT and LT modifiers. For bilateral services, use the 50 modifier.
Varicosities present, adjacent to the long or short saphenous veins, are to be removed at the time of the ligation and stripping at the discretion of the surgeon. Removals of these veins are included in the CPT codes for complete ligation and stripping, 37720 and 37730.
When reporting endoluminal radiofrequency ablation (ERFA), use CPT code 36475 for the first vein on each extremity. Use CPT code 36476 to report the second and subsequent veins treated in a single extremity only when treated through separate access sites.
It is inappropriate to report CPT code 37241 for the treatment of superficial varicose veins of the lower extremity. CPT code 36470 should be used when only one vein is injected on a given date of service. CPT codes 36466, 36471 may be reported once per extremity, regardless of the number of veins treated.
These 2 codes should not be billed on the same claim for the same extremity as 36466 is not an add-on code. Unlike 36470/1, all imaging is inclusive and would not be reported separately, and these codes cannot be reported when using a compounded foam.
Varicose veins of other specified sites I86. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I86. 8 became effective on October 1, 2021.
CPT® Code 36475 in section: Endovenous ablation therapy of incompetent vein.
Treatment of telangiectases CPT code 36468) is not covered by Medicare.
CPT® 36470, Under Sclerotherapy of Telangiectasia and Incompetent Veins. The Current Procedural Terminology (CPT®) code 36470 as maintained by American Medical Association, is a medical procedural code under the range - Sclerotherapy of Telangiectasia and Incompetent Veins.
CPT® Code 36471 - Sclerotherapy of Telangiectasia and Incompetent Veins - Codify by AAPC. CPT. Surgical Procedures on the Cardiovascular System. Surgical Procedures on Arteries and Veins.
Asymptomatic varicose veins of unspecified lower extremity I83. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I83. 90 became effective on October 1, 2021.
CPT Code 76942, Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection and localization device), imaging supervision and interpretation, is an appropriate code for certain procedures when performed. In these cases, the primary injection code is billed in addition to 76942 for ultrasound guidance.
Duplex scan of extremity veins includingCPT code 93971 (Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study) for the following: Preoperative examination of potential harvest vein grafts to be used during bypass surgery.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Language quoted from Centers for Medicare and Medicaid Services (CMS), National Coverage Determinations (NCDs) and coverage provisions in interpretive manuals is italicized throughout the policy. NCDs and coverage provisions in interpretive manuals are not subject to the LCD Review Process (42 CFR 405.860 [b] and 42 CFR 426 [Subpart D]).
The patient's medical record must contain documentation that fully supports the medical necessity for services included within this LCD.
It is the responsibility of the provider to code to the highest level specified in the ICD-10-CM. The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination.
Use of any ICD-10-CM code not listed in the "ICD-10-CM Codes that Support Medical Necessity" section of this LCD will be denied. In addition, the following ICD-10-CM codes are specifically listed as not supporting medical necessity for emphasis, and to avoid any provider errors.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
Question: When coding the placement of an infusion device such as a peripherally inserted central catheter (PICC line), the code assignment for the body part is based on the site in which the device ended up (end placement). For coding purposes, can imaging reports be used to determine the end placement of the device?
Question: ...venous access port. An incision was made in the anterior chest wall and a subcutaneous pocket was created. The catheter was advanced into the vein, tunneled under the skin and attached to the port, which was anchored in the subcutaneous pocket. The incision was closed in layers.
Question: In Coding Clinic, Fourth Quarter 2013, pages 116- 117, information was published about the device character for the insertion of a totally implantable central venous access device (port-a-cath). Although we agree with the device value, the approach value is inaccurate.
Question: A patient diagnosed with Stage IIIC ovarian cancer underwent placement of an intraperitoneal port-a-catheter during total abdominal hysterectomy. An incision on the costal margin in the midclavicular line on the right side was made, and a pocket was formed. A port was then inserted within the pocket and secured with stitches.
Question: The patient has a malfunctioning right internal jugular tunneled catheter. At surgery, the old catheter was removed and a new one placed. Under ultrasound guidance, the jugular was cannulated; the cuff of the old catheter was dissected out; and the entire catheter removed.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
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.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.