About this policy
The following coding and billing guidance is to be used with its associated Local coverage determination. 1. Each claim must be submitted with an ICD-10-CM code(s) that reflects the condition of the patient and indicates the reason(s) for which the service was performed. 2. The patient's medical record must contain a history and physical examination supporting the diagnosis of symptomatic varicose veins, and the failure of an adequate (at least 3 months) trial of conservative management. 3. The medical record must document the performance of appropriate tests, if medically necessary, to confirm the pathology of the vascular anatomy. 4. This documentation must be made available to Medicare upon request. 5. The HCPCS/CPT code(s) may be subject to Correct Coding Initiative (CCI) edits. This policy does not take precedence over CCI edits. Please refer to the CCI for correct coding guidelines and specific applicable code combinations prior to billing Medicare. 6. When the documentation does not meet the criteria for the service rendered or the documentation does not establish the medical necessity for the services, such services will be denied as not reasonable and necessary under Section 1862(a)(1) of the Social Security Act.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
| Code | Code system | Status in this policy |
|---|---|---|
| 36299 | HCPCS | Covered |
| 36465 | HCPCS | Covered |
| 36466 | HCPCS | Covered |
| 36470 | HCPCS | Covered |
| 36471 | HCPCS | Covered |
| 36473 | HCPCS | Covered |
| 36474 | HCPCS | Covered |
| 36475 | HCPCS | Covered |
| 36476 | HCPCS | Covered |
| 36478 | HCPCS | Covered |
| 36479 | HCPCS | Covered |
| 36482 | HCPCS | Covered |
| 36483 |