37766 Stab phlebectomy Medicare reimbursement rates in New Jersey

A surgeon removes superficial varicose vein segments through multiple small skin openings, typically using a hook to extract the veins. The service is performed on one leg and is commonly used for symptomatic varicose tributaries, such as bulging veins associated with leg aching or swelling. Vascular surgeons and other surgeons who treat venous disease may perform it in an office-based procedure room or a facility setting.

Select this code when the documented stab phlebectomy involves 20 or more incisions on the treated leg; the incision count distinguishes it from the lower-count service. The operative note should identify the leg, the phlebectomy technique, and the number of incisions. Medicare assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.