Reimbursement

CPT Codes 36465 & 36466 are here

CPT Codes Explained

 

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 (eg, 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 (eg, great saphenous vein, accessory saphenous vein), same leg.
 

How do these CPT codes affect you?

Reach out to your rep for policy primers
 

Per Site of  Care (non-facility/facility)

As of January 1st, 2018, Varithena® may be billed with one of the following CPT codes listed below. 
Per CPT instructions, the code selected should accurately describe the service performed.

 
CPT Code Description Physician (Non-facility) Total RVUs2 Physician (Non-facility) Total Payment2 Physician (Facility) Total RVUs2 Physician (Facility) Total Payment2
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) 45.12 $1,624.30 3.46 $124.56
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 47.14 $1,697.02 4.40 $158.40
36468 Injection(s) of sclerosant for spider veins (telangiectasia),limb or trunk Not paid by Medicare   Not paid by Medicare  
36470* Injection of sclerosant; single incompetent vein (other than telangiectasia) 3.00 $108.00 1.11 $39.96
36471* Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg 5.39 $194.04 2.21 $79.56


*If the targeted vein is an extremity truncal vein and injection of non-compounded foam sclerosant with ultrasound guided compression maneuvers to guide dispersion of the injectate is performed, see 36465,36466. Reference: AMA 2018 CPT Professional, Page 248

Disclaimer
This resource is provided for informational purposes only and is not legal advice or official coding or reimbursement guidance from any payer, including both government and commercial payers. BTG does not warrant, promise, guarantee or make any statement that the CPT® codes included in this document are appropriate, or that the use of this information will result in coverage or payment for the use of Varithena. Providers are responsible for compliance with Medicare and other payer rules and requirements and for the information submitted with all claims and appeals. Before any claims or appeals are submitted, providers should review official payer instructions and requirements and should use independent judgment when selecting codes that most appropriately describe the services or supplies provided.

Click here for additional Hospital Outpatient and ICD-10 uses for Varithena®

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Ordering Varithena®

Varithena® can be ordered through BTG International or another approved specialty distributor. See the list and contact information below.
 

Reminder: Do you have the supplies you need?


A new Varithena® administration pack is needed for each patient. It is recommended that you have an additional Varithena® bi-canister and administration packs on hand at all times.

If you wish to return product that you have received, please review the  Returned Goods Policy.

 

Learn more about the efficacy and safety of Varithena® in our clinical data

Specialty Distributor Contact Information
(alphabetical order)

BTG Direct Physician Offices, Hospitals 855-971-8346 (VEIN) 877-626-9910 Please email: VarithenaCustomerCare@btgplc.com
Specialty Distributor Customer Telephone Fax Web Orders
ASD Healthcare Hospitals 800-746-6273 800-547-9413 asdhealthcare.com
Cardinal Health Specialty Distribution Physician Offices, Hospitals 866-677-4844 888-345-4916 specialtyonline.cardinalhealth.com
McKesson Plasma and Biologics Hospitals 877-625-2566 888-752-7626 Please Call for Ordering
McKesson Specialty Health Physician Offices 855-477-9800 800-289-2985 mscs.mckesson.com

Questions?

Contact your
Territory Sales Manager

Contact Customer Service at

1-855-971-VEIN (8346)

Monday through Friday,
8 am to 5 pm ET

Contact Us

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

INDICATIONS

Varithena®  (polidocanol injectable foam) is indicated for the treatment of incompetent great saphenous veins, accessory saphenous veins and visible varicosities of the great saphenous vein (GSV) system above and below the knee. Varithena®  improves the symptoms of superficial venous incompetence and the appearance of visible varicosities.

IMPORTANT SAFETY INFORMATION

The use of Varithena®  is contraindicated in patients with known allergy to polidocanol and those with acute thromboembolic disease.

Severe allergic reactions have been reported following administration of liquid polidocanol, including anaphylactic reactions, some of them fatal. Observe patients for at least 10 minutes following injection and be prepared to treat anaphylaxis appropriately. Intra-arterial injection or extravasation of polidocanol can cause severe necrosis, ischemia or gangrene. Patients with underlying arterial disease may be at increased risk for tissue ischemia. If intra-arterial injection of polidocanol occurs, consult a vascular surgeon immediately.

Varithena®  can cause venous thrombosis. Follow administration instructions closely and monitor for signs of venous thrombosis after treatment. Patients with reduced mobility, history of deep vein thrombosis or pulmonary embolism, or recent (within 3 months) major surgery, prolonged hospitalization, or pregnancy are at increased risk for developing thrombosis. The most common adverse events observed were pain/discomfort in extremity, retained coagulum, injection site hematoma or pain, common femoral vein thrombus extension, superficial thrombophlebitis, and deep vein thrombosis.

Physicians administering Varithena®  must be experienced with venous procedures, possess a detailed working knowledge of the use of the duplex ultrasound in venous disease and be trained in the administration of Varithena® .

See Full Prescribing Information for Varithena®.

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