Billing and Coding: Treatment of Varicose Veins of the Lower Extremities

Coverage for treatment of varicose veins of the lower extremities requires a documented diagnosis of symptomatic varicose veins and failure of an adequate conservative management trial of at least 3 months, with appropriate diagnostic testing as medically necessary. Claims must include ICD-10-CM codes that reflect the condition and reason for service, comply with CCI coding edits, and have documentation available to Medicare; services lacking required documentation or medical necessity will be denied under Section 1862(a)(1).

"Treatment of symptomatic varicose veins of the lower extremities is covered when the medical record documents symptomatic varicose veins and failure of an adequate conservative management trial of ..."

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