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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

March 2018

New Codes Covered for Varicose Veins with Prior Authorization


Effective immediately, Harvard Pilgrim will provide coverage for the following new CPT codes, which were recently released by the American Medical Association for the treatment of varicose veins. Keep in mind that Harvard Pilgrim requires prior authorization for all varicose vein procedures provided to our commercial members in any setting — physician office, outpatient/ambulatory setting, surgical day care center, etc. — including the following:

  • 36465 – Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (e.g., great saphenous vein, accessory saphenous vein)
  • 36466 – Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (e.g., great saphenous vein, accessory saphenous vein), same leg
  • 36482 – Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (e.g., cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated
  • 36483 – Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (e.g., cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)

For complete information, please refer to our updated Varicose Veins Procedures Medical Review Criteria.

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