In simple words: The doctor makes a small cut over the varicose veins in your leg and removes the affected veins. They then close the cut with stitches and apply a bandage.

This procedure involves making an incision over a cluster of varicose veins in one leg and removing the entire cluster or a segment of it. The surgeon separates the varicose veins from adjacent structures, ligates, divides, excises, or strips out the diseased segment or the entire cluster. After removal, pressure is applied to stop bleeding, the incision is closed with sutures, and a dressing is applied.

Example 1: A patient presents with symptomatic varicose veins in clusters on their left leg. The surgeon performs ligation, division, and excision of the affected vein clusters using code 37785-LT., A patient has varicose vein clusters on both legs. The surgeon performs the procedure on both legs during the same session. The procedure is coded as 37785-50., A patient undergoes ligation and stripping of the long saphenous vein on the right leg (37730-RT) and excision of a varicose vein cluster on the left leg (37785-LT) during the same session. Modifier 59 may be appended to 37730 to indicate a distinct procedural service.

Documentation should include the location and extent of varicose veins, the surgical technique used (ligation, division, excision), and any complications encountered. Preoperative and postoperative evaluations should also be documented.