Varicose Vein Treatments - MEDICAID - SOUTH CAROLINA

This policy addresses surgical and endovenous treatments for varicose veins and chronic venous disease — including SEPS, open subfascial perforator ligation (Linton), saphenous vein ligation/excision, endovenous chemical/thermal ablation, echosclerotherapy, duplex ultrasound evaluation, and compression therapy. It applies to patients with symptomatic varicose veins, chronic lower‑extremity venous insufficiency, perforator‑related varicosities, and superficial truncal reflux, but notes that some services lack definitive evidence or widely accepted guidelines, that CPT/HCPCS codes are informational (with certain codes limited to per‑leg reporting or designated as separate/unlisted procedures), and that no explicit coverage, frequency, age, or prior‑authorization requirements are provided in this excerpt.

"Patient must have been compliant with the compression stocking trial (i."