How To Use CPT Code 37785

CPT 37785 describes the procedure of ligation, division, and/or excision of varicose vein cluster(s) in one leg. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 37785?

CPT 37785 can be used to describe the surgical procedure performed to treat varicose veins in one leg. The provider makes an incision over the cluster of varicose veins and removes either the entire cluster or a segment of it. This procedure helps alleviate symptoms such as pain, discoloration of the skin, and ulcers caused by varicose veins.

2. Official Description

The official description of CPT code 37785 is: ‘Ligation, division, and/or excision of varicose vein cluster(s), 1 leg.’ If the procedure is performed on both legs, modifier 50 should be added to indicate a bilateral procedure.

3. Procedure

1. After appropriate prepping and anesthesia, the provider makes a small incision over the affected area of the leg.
2. The cluster of superficial varicose veins is exposed.
3. The provider separates the varicose veins from adjacent structures.
4. The varicose veins are ligated, divided, and/or excised, either as a small diseased segment or the complete cluster.
5. All bleeding is stopped by applying pressure.
6. The incisions are closed with sutures.
7. Pads and a regular and/or pressure dressing are placed over the incisions.

4. Qualifying circumstances

CPT 37785 is used for patients with varicose veins in one leg that require ligation, division, and/or excision of the vein cluster(s). The procedure is performed by a qualified healthcare professional. It is important to note that if the procedure is performed on both legs, modifier 50 should be added to indicate a bilateral procedure.

5. When to use CPT code 37785

CPT code 37785 should be used when a provider performs the ligation, division, and/or excision of varicose vein cluster(s) in one leg. It is important to ensure that the procedure is performed on the appropriate leg and that the documentation supports the medical necessity of the procedure.

6. Documentation requirements

To support a claim for CPT 37785, the provider must document the following information:

• Medical necessity for the procedure
• Details of the procedure performed, including the specific varicose vein cluster(s) treated
• Whether the entire cluster or a segment of it was removed
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 37785, ensure that the procedure is performed on one leg only. If the procedure is performed on both legs, modifier 50 should be added to indicate a bilateral procedure. It is important to follow the payer guidelines for reporting bilateral procedures. Additionally, it is important to review the payer’s policies regarding the medical necessity and documentation requirements for CPT 37785.

8. Historical information

CPT 37785 was added to the Current Procedural Terminology system on January 1, 1990. There have been changes to the code over the years, including updates in 2004 and 2010.

9. Examples

1. A surgeon performing ligation, division, and excision of varicose vein cluster(s) in one leg to alleviate pain and improve circulation.
2. A vascular specialist removing a segment of a varicose vein cluster in one leg to treat ulcers caused by the condition.
3. A general surgeon performing ligation and division of varicose vein cluster(s) in one leg to improve the patient’s quality of life.
4. An interventional radiologist excising a varicose vein cluster in one leg to relieve symptoms and prevent complications.
5. A vascular surgeon performing ligation, division, and excision of varicose vein cluster(s) in one leg to improve the patient’s overall vascular health.
6. A physician removing a segment of a varicose vein cluster in one leg to address cosmetic concerns and improve the patient’s self-esteem.
7. A vascular specialist performing ligation and division of varicose vein cluster(s) in one leg to prevent further complications and improve the patient’s mobility.
8. An interventional radiologist excising a varicose vein cluster in one leg to alleviate pain and improve the patient’s overall well-being.
9. A general surgeon performing ligation, division, and excision of varicose vein cluster(s) in one leg to enhance the patient’s quality of life and prevent further complications.
10. A vascular surgeon removing a segment of a varicose vein cluster in one leg to improve the patient’s circulation and prevent the development of ulcers.