2025 CPT code 37760
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open, 1 leg.
Modifiers 50 (bilateral procedure), 76 (repeat procedure), and potentially others depending on the circumstances of the procedure (e.g., 22 for increased procedural services, 52 for reduced services).
Medical necessity is established by symptomatic varicose veins causing pain, swelling, skin discoloration, or ulceration, unresponsive to conservative management.Documentation should include a thorough clinical examination and justification for the surgical intervention.
The surgeon is responsible for prepping the patient, making incisions, accessing and ligating the perforator vein, excising diseased tissue, repairing the fascia, and potentially placing a skin graft.
In simple words: This surgery treats varicose veins in one leg. The doctor makes cuts near the affected vein, finds the connecting vein, removes diseased tissue, and ties off the connecting vein.Sometimes, the doctor uses a skin graft to cover the wound.
This procedure involves making incisions along the affected vein to access the perforator vein, which connects superficial and deep veins.The provider incises through the fascia, excises nearby diseased structures, and ligates the perforator vein to treat varicose veins in one leg. A skin graft may be placed at the excision site. The procedure includes prepping and anesthetizing the patient, making incisions over the saphenous vein to access the perforator vein, incising to the fascia, separating the perforator vein by incising the fascial covering, ligating the perforator vein with a suture or clip, excising nearby diseased soft tissues, securing the ligated vein within the fascia, suturing the fascia, and repairing the defect with a skin graft.The procedure may be repeated on other veins in the same leg.
Example 1: A patient presents with large, symptomatic varicose veins in their left leg.The surgeon performs a ligation of multiple perforator veins, requiring a skin graft to close the wound. Code 37760 is used., A patient with recurrent varicose veins undergoes a repeat procedure to ligate several perforator veins in their right leg.Code 37760 with modifier 76 (Repeat procedure) is applied., A patient has extensive varicose veins in both legs. The surgeon performs the procedure on both legs during one surgical session. Code 37760 with modifier 50 (Bilateral procedure) is used.
Detailed operative report including the number of perforator veins ligated, location of incisions, size and type of skin graft (if used), and any complications.
** This code reflects a radical subfascial approach, typically involving multiple perforator vein ligations. The skin graft is included when performed as part of the procedure.Always refer to the latest CPT guidelines for accurate coding.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- Payment Status: Active
- Specialties:Vascular Surgery, Phlebology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)