Billing and Coding: Endovenous Stenting

Medicare covers endovenous stenting only for treatment of severely symptomatic venous obstructions per LCD L37893. Claims must include a specific ICD-10-CM code linked to the procedure and comprehensive medical record documentation (including conservative treatment history, device details, and pre/post-deployment images) to support medical necessity; services not meeting the LCD are not covered and must be billed with the appropriate modifier.

"Endovenous stenting is covered when performed to treat severely symptomatic venous obstructions in accordance with LCD L37893."

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