Short description: Varic vein leg,comp NEC. ICD-9-CM 454.8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 454.8 should only be used for claims with a date of service on or before September 30, 2015.
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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.
Codes 36465 and 36466 describe injection (s) of a “non-compounded” foam sclerosant into an extremity truncal vein. This sclerosant is one that is not compounded by a physician or other qualified health care professional.
Varicose veins are a common condition treated in physicians’ offices and hospital outpatient departments. Several types of procedures are used to treat incompetent veins. Medical coding outsourcing is a viable option to keep track of changes in CPT codes and coverage policies to report varicose vein treatment correctly.
Varicose veins develop when the veins get bigger due to this pooling of blood. Complications associated with varicose veins include pain, blood clots or skin ulcers.
Incompetent Veins – An Overview. Varicose veins are enlarged, twisted veins that are raised above the surface of the skin. The veins commonly affected are those in the legs and feet and appear dark purple or blue.
Varicose vein treatment includes lifestyle changes and surgical and minimally invasive options. Surgical removal of varicose veins or vein stripping is usually done only for aesthetic reasons. Phlebectomy is a minimally invasive surgical option that involves very small incisions to insert a hook to remove the incompetent veins.
The blood supply in the legs will not be affected by surgery as the blood will re-direct into other healthy veins. Today , there are several alternatives to the surgical removal of varicose veins. These include: Direct puncture sclerotherapy: Sclerotherapy is often considered a good alternative for small varicose veins.
454.2 is a legacy non-billable code used to specify a medical diagnosis of varicose veins of lower extremities with ulcer and inflammation. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Varicose veins are swollen, twisted veins that you can see just under the skin. They usually occur in the legs, but also can form in other parts of the body. Hemorrhoids are a type of varicose vein.