Phlebology Payment Information

The following chart provides payment information that is based on the national unadjusted Medicare physician fee schedule for the ultrasound services discussed. Payment will vary by geographic region.

The information provided below is intended to assist providers in determining appropriate codes and the other information for reimbursement purposes. It represents the information available to United Medical Instruments as of January 2012. Subsequent guidance might alter the information provided. United Medical Instruments disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.

Phlebology Ultrasound and Procedural CPT Codes and Descriptions

Ultrasound Evaluation

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
93770 Determination of venous pressure N/A
93965 Noninvasive physiologic studies of extremity veins, complete bilateral study (eg, doppler waveform analysis with responses to compression and other maneuvers, phleborheography, impedance plethysmography) $127.30
93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study $261.07
93971 Duplex scan of extremity veins including responses to compression maneuvers; unilateral or limited study $155.21
93975 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; complete
study		 $381.22
93976 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; limited study $218.18
76942 Ultrasounic guidance for needle placement (eg, biopsy, aspiration, injection, localization devicd), imaging supervision and interpretation $206.61
76970

Ultrasound study, follow up

 $103.13

Procedures

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
36011 Selective catheter placement, venous system, first order branch $921.06
36475 Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated $1,830.88
36476 Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through seperate access sites (listed seperately in addition to code for primary procedure) $406.41
36478 Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous laser; first vein treated $1,448.98
36479 Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through seperate access sites (list seperately in addition to code for primary procedure) $422.75
37204 Transcatheter occlusion or embolization, percutaneous, any method, non-central nervous system, non-head or neck (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method, non-central nervous system, non-head or neck) NA

Sclerotherapy

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
36468 Single or multiple injections of sclerosing solutions, spider veins (telangiectasia); limb or trunk $0.00
36470 Injection of sclerosing solution; single level $152.15
36471 Injection of sclerosing solution; multiple veins, same leg $178.70

Ambulatory Phlebectomy

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
37765 Stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions $685.52
37766 Stab phlebectomy of varicose veins, one extremity; more than 20 stab incisions $810.78

Ligation

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
37700 Ligation and division of long saphenous vein at saphenofemoral juction, or distal interruptions N/A
37718 Ligation, division, and stripping, short saphenous vein NA
37722 Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below N/A
37735 Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulder and skin graft and/or interruption of communicating veins of lower leg, with excision of deep fascia NA
37760 Ligation of perforator veins, subfascial, radical (linton type), with or without skin graft, open NA
37780 Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) NA
37785 Ligation, division, and/or excision of varicose vein cluster (s), one leg $369.99


CPT™ five digit codes, nomenclature and other data are Copyright 2010 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.

Deficit Reduction Act of 2005 Adjustment has not been figured into the above global fees.