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Related Items: 32500 32504 32507 32508 32511 32514 32517 35321

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• Next - Note TN.8.33

Varicose veins, multiple injections of sclerosant using continuous compression techniques, including associated consultation, one or both legs, if:

(a) proximal reflux of 0.5 seconds or longer has been demonstrated; and

(b) the service is not for cosmetic purposes; and

(c) the service is not associated with:

(i) any other varicose vein operation on the same leg (excluding aftercare); or

(ii) a service on the same leg (excluding aftercare) to which any of the following items apply:

(A) 35200;

(B) 59970 to 60078;

(C) 60500 to 60509;

(D) 61109

Applicable to a maximum of 6 treatments in a 12 month period

Multiple Operation Rule

Fee: $120.85 Benefit: 75% = $90.65 85% = $102.75

(See para TN.8.4, TN.8.32, TN.8.33, TN.8.228 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $132.95

• Previous - Item 32237
• Next - Item 32504

VARICOSE VEINS, multiple excision of tributaries, with or without division of 1 or more perforating veins - 1 leg - not being a service associated with a service to which item 32507, 32508, 32511, 32514 or 32517 applies on the same leg

Multiple Operation Rule

Fee: $294.65 Benefit: 75% = $221.00 85% = $250.50

(See para TN.8.32 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $235.75

• Previous - Item 32500
• Next - Item 32507

Varicose veins, sub‑fascial ligation of one or more incompetent perforating veins in one leg of a patient, if the service:

(a) is performed by open surgical technique (not including endoscopic ligation) and the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(i) ache;

(ii) pain;

(iii) tightness;

(iv) skin irritation;

(v) heaviness;

(vi) muscle cramps;

(vii) limb swelling;

(viii) discolouration;

(ix) discomfort;

(x) any other signs or symptoms attributable to venous dysfunction; and

(b) is not associated with:

(i) any other varicose vein operation on the same leg; or

(ii) a service (on the same leg) to which item 35200, 60072, 60075 or 60078 applies

(H)

Multiple Operation Rule

Fee: $587.35 Benefit: 75% = $440.55

(See para TN.8.32, TN.8.33 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $469.90

• Previous - Item 32504
• Next - Item 32508

Varicose veins, complete dissection at the sapheno‑femoral or sapheno‑popliteal junction, with or without either ligation or stripping, or both, of the great or small saphenous veins in one leg of a patient, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both, if the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(a) ache;

(b) pain;

(c) tightness;

(d) skin irritation;

(e) heaviness;

(f) muscle cramps;

(g) limb swelling;

(h) discolouration;

(i) discomfort;

(j) any other signs or symptoms attributable to venous dysfunction

(H)

Multiple Operation Rule

Fee: $587.35 Benefit: 75% = $440.55

(See para TN.8.32, TN.8.33 of explanatory notes to this Category)

• Previous - Item 32507
• Next - Item 32511

Varicose veins, complete dissection at the sapheno‑femoral and sapheno‑popliteal junction, with or without either ligation or stripping, or both, of the great or small saphenous veins in one leg of a patient, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both, if the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(a) ache;

(b) pain;

(c) tightness;

(d) skin irritation;

(e) heaviness;

(f) muscle cramps;

(g) limb swelling;

(h) discolouration;

(i) discomfort;

(j) any other signs or symptoms attributable to venous dysfunction

(H)

Multiple Operation Rule

Fee: $873.20 Benefit: 75% = $654.90

(See para TN.8.32, TN.8.33 of explanatory notes to this Category)

• Previous - Item 32508
• Next - Item 32514

Varicose veins, ligation of the great or small saphenous vein in the same leg of a patient, with or without stripping, by re‑operation for recurrent veins in the same territory—one leg—including excision or injection of either tributaries or incompetent perforating veins, or both, if the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(a) ache;

(b) pain;

(c) tightness;

(d) skin irritation;

(e) heaviness;

(f) muscle cramps;

(g) limb swelling;

(h) discolouration;

(i) discomfort;

(j) any other signs or symptoms attributable to venous dysfunction

(H)

Multiple Operation Rule

Fee: $1,020.15 Benefit: 75% = $765.15

(See para TN.8.32, TN.8.33 of explanatory notes to this Category)

• Previous - Item 32511
• Next - Item 32517

Varicose veins, ligation of the great and small saphenous vein in the same leg of a patient, with or without stripping, by re‑operation for recurrent veins in either territory—one leg—including excision or injection of either tributaries or incompetent perforating veins, or both, if the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(a) ache;

(b) pain;

(c) tightness;

(d) skin irritation;

(e) heaviness;

(f) muscle cramps;

(g) limb swelling;

(h) discolouration;

(i) discomfort;

(j) any other signs or symptoms attributable to venous dysfunction

(H)

Multiple Operation Rule

Fee: $1,313.60 Benefit: 75% = $985.20

(See para TN.8.32, TN.8.33 of explanatory notes to this Category)

• Previous - Item 32514
• Next - Item 32520

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great or small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a laser probe introduced by an endovenous catheter, if all of the following apply:

(a) it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) of the patient demonstrates reflux of 0.5 seconds or longer;

(b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(i) ache;

(ii) pain;

(iii) tightness;

(iv) skin irritation;

(v) heaviness;

(vi) muscle cramps;

(vii) limb swelling;

(viii) discolouration;

(ix) discomfort;

(x) any other signs or symptoms attributable to venous dysfunction;

(c) the service does not include radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive;

(d) the service is not associated with a service (on the same leg) to which any of the following items apply:

(i) 32500 to 32507;

(ii) 35200;

(iii) 59970 to 60021;

(iv) 60036 to 60045;

(v) 60060 to 60078;

(vi) 60500 to 60509;

(vii) 61109

The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both)

Multiple Operation Rule

Fee: $587.35 Benefit: 75% = $440.55 85% = $499.25

(See para TN.8.33 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $88.15

• Previous - Item 32517
• Next - Item 32522

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great and small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a laser probe introduced by an endovenous catheter, if all of the following apply:

(a) it is documented by duplex ultrasound that the great and small saphenous veins of the patient demonstrate reflux of 0.5 seconds or longer;

(b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(i) ache;

(ii) pain;

(iii) tightness;

(iv) skin irritation;

(v) heaviness;

(vi) muscle cramps;

(vii) limb swelling;

(viii) discolouration;

(ix) discomfort;

(x) any other signs or symptoms attributable to venous dysfunction;

(c) the service does not include radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive;

(d) the service is not associated with a service (on the same leg) to which any of the following items apply:

(i) 32500 to 32507;

(ii) 35200;

        (iii) 59970 to 60021;

        (iv) 60036 to 60045;

        (v) 60060 to 60078;

        (vi) 60500 to 60509;

        (vii) 61109 

The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both)

Multiple Operation Rule

Fee: $873.20 Benefit: 75% = $654.90 85% = $774.50

(See para TN.8.33 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $87.35

• Previous - Item 32520
• Next - Item 32523