How To Use CPT Code 36470

CPT 36470 describes the injection of a sclerosing solution into one vein, typically used to treat varicose veins or other vascular malformations. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 36470?

CPT 36470 can be used to describe the injection of a sclerosing solution into one vein, excluding spider veins (telangiectasia). This procedure is commonly performed to treat varicose veins or other vascular malformations. The provider inserts a syringe filled with the sclerosing solution directly into the affected vein, causing the vein’s walls to collapse. This helps to improve the appearance and function of the vein.

2. Official Description

The official description of CPT code 36470 is: ‘Injection of sclerosant; single incompetent vein (other than telangiectasia).’ This code specifically refers to the injection of a sclerosing solution into one vein that is not a spider vein.

3. Procedure

1. The provider prepares the patient for the procedure, ensuring appropriate prepping of the treatment area.
2. Using a syringe filled with the sclerosing solution, the provider inserts the needle directly into the affected vein.
3. The sclerosing solution is injected into the vein, causing the walls of the vein to collapse.
4. After the injection, the provider removes the needle and applies pressure to stop any bleeding.

4. Qualifying circumstances

CPT 36470 is used when a provider injects a sclerosing solution into one vein, excluding spider veins (telangiectasia). This procedure is typically performed to treat varicose veins or other vascular malformations. It is important to note that this code is specifically for a single vein injection and should not be used for multiple veins in the same leg.

5. When to use CPT code 36470

CPT code 36470 should be used when a provider performs the injection of a sclerosing solution into a single vein, excluding spider veins. It is important to ensure that the procedure meets the specific criteria outlined in the code description. If multiple veins in the same leg require injection, a different code, such as CPT 36471, should be used.

6. Documentation requirements

To support a claim for CPT 36470, the provider must document the following information:

• The specific vein injected with the sclerosing solution
• The date of the procedure
• Details of the sclerosing solution used
• Any complications or adverse reactions
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 36470, ensure that the procedure meets the criteria outlined in the code description. It is important to accurately document the details of the procedure and any necessary supporting information. Additionally, be aware of any specific guidelines or requirements from insurance payers regarding the use of this code.

8. Historical information

CPT 36470 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2018, with the description being updated to clarify that it refers to the injection of a sclerosing solution into a single vein.

9. Examples

1. A provider injects a sclerosing solution into a varicose vein in a patient’s leg to improve its appearance and function.
2. During a sclerotherapy session, a provider injects a sclerosing solution into a single incompetent vein to treat a vascular malformation.
3. A patient undergoes an injection of a sclerosing solution into a large varicose vein to alleviate discomfort and improve blood flow.
4. A provider performs a sclerotherapy procedure, injecting a sclerosing solution into a single vein to treat a venous insufficiency.
5. Using CPT 36470, a provider administers a sclerosing solution into a dilated vein to reduce its size and improve circulation.
6. A patient receives an injection of a sclerosing solution into a single vein to treat a vascular abnormality.
7. A provider performs a sclerotherapy procedure, injecting a sclerosing solution into a single incompetent vein to address a venous disorder.
8. During a sclerotherapy session, a provider administers a sclerosing solution into a varicose vein to promote its closure and improve symptoms.
9. A patient undergoes an injection of a sclerosing solution into a single vein to treat a vascular malformation.
10. Using CPT 36470, a provider injects a sclerosing solution into a dilated vein to reduce its visibility and improve the patient’s aesthetic appearance.