Varicose Vein

mmelcam

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St. Louis, Missouri
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Does anyone have any ideas on what code I would use for removal of varicose vein in the ARM? The op note reads "We identified the ends of this varicosity, and these were suture ligated. Then, we excised the vein from the subcutaneous tissues and held pressure." This clearly was not a stab phlebectomy and the rest of the codes in the ligation section is of the lower extremity. Any ideas???
 

tsigler

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preventive service codes

I need some help with preventive service codes--If the patient comes in with a problem initially then it is not appropriate to use the preventive codes, correct? The GYN notes "irregular bleeding" in the HPI and never notes annual exam/yearly physical.
 
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