Varicose vein treatment
Applies to:
All plans
Priority Health Medicare plans coverage is determined by the Centers for Medicare and Medicaid Services (CMS); if a coverage determination has not been adopted by CMS, our medical policy applies
Definition
First-line treatment of varicose veins includes conservative methods such as exercise, weight reduction, elevation of the legs, avoidance of prolonged immobility, or compression therapy. When these measures fail, medium to large incompetent veins may be treated with surgical stripping, ligation, sclerotherapy, endovenous laser therapy (EVLT), or endoluminal radiofrequency ablation (ERFA).
Medical policy
- Varicose Vein Treatment - 91326
Varicose vein treatment coverage
Certain treatments are covered only when necessary due to functional impairment. See the criteria in the medical policy.
When surgical treatments are covered, some members will have non-standard cost-sharing for those services.
Non-standard cost-sharing
If/when commercial employer group and MyPriority® individual plans cover certain surgeries, these surgeries may be covered at a different cost-sharing level than our standard benefit coverage levels.
To verify member cost sharing and coverage, use the Member Inquiry tool and look in the Additional benefits drop-down menu for Certain surgeries benefit information.
Varicose vein treatment authorizations
We'll require prior authorization following InterQual® criteria for certain varicose vein procedures effective Jan. 1, 2025 for commercial and Medicaid plans and in 2026 for Medicare plans. See the Varicose Vein Treatment (#91326) medical policy for a list of impacted procedures.
- Participating providers: Use our online authorizations tool to go to GuidingCare.
- Out-of-network providers: Use this Medical Authorization form.
Varicose vein treatment billing
See the medical policy for codes that may apply and codes not covered.