Will Insurance Cover My
Vein Treatment?

The good news is that most insurance companies cover treatment for vein disease. Vein disease is a symptomatic medical condition and insurance companies do understand this and cover treatment for this. Patients who have symptoms such as achiness, heaviness, or tiredness in the legs, leg swelling, varicose veins with itching or throbbing in varicose veins, bleeding from varicose veins, skin changes or ulcerations due to vein disease are eligible for treatment of vein disease if the ultrasound shows appropriate valve dysfunction.

Typically, a compression stocking trial of three months is required though some companies ask patients to wear compression stockings for up to six months. We recommend that the compression stockings be worn from morning to evening during waking hours. During the night, compression stockings may be taken off. In addition, it is also recommended that patients try elevation of legs when they are seated or when they are in bed. If such conservative treatment is not effective in relieving symptoms, then, insurance companies do cover ablation of veins as described elsewhere on this website. Symptomatic patients who have ultrasound-documented venous reflux due to valve incompetence who have tried and failed conservative treatment, are the ones that are eligible for vein treatment.

Please note that if patients have certain symptoms, they are exempted by insurance from the compression stocking trial requirement. These symptoms include; skin color or texture changes, bleeding from varicose veins, recurrent clots in the varicose veins, and current or healed ulcers of the leg. 

When might insurance company deny coverage:

If the patient does not try compression stockings, insurance companies may require them to try the stockings before they approve coverage for treatment.
There are certain other circumstances when insurance companies do not cover vein treatment. Most typically, such a circumstance is one where a patient has varicose veins, but does not have any symptoms. In these circumstances, any treatment is considered cosmetic by insurance companies. Some people have spider veins which are small pink-to-purple-looking veins under the skin without any symptoms. These are also considered cosmetic and are not covered by insurance companies.
You may also call your insurance companies and request information about their policies regarding coverage of vein treatment. Insurance companies may ask for diagnosis and treatment codes. The following are the common diagnosis and treatment codes relating to vein pathology and vein treatment.

Making the Insurance
Process Easy for Patients

Once you are determined to be eligible for treatment, our office will apply to your insurance company for prior authorization. After your insurance approves your treatment, you are ready to get your vein treatment.  At Premier Veins Michigan, our compassionate, expert staff will take care of you and help you through each step of the process.

You may note that if you have not met your deductibles, you may be liable for that portion of the payment. Otherwise, be assured that insurance companies will cover your vein treatment.

We work with a huge network of insurance companies.

List Of Companies

  • Aetna
  • Amerigroup
  • Anthem
  • Blue Cross
  • Blue SHield
  • Cigna
  • Tricare
  • Medicare
  • Medicaid
  • And many, many more

[Don’t see yours? Contact us to find out if you’re covered.]

You may call your insurance company and learn about their policies regarding coverage of vein treatment. Insurance companies may ask for relevant diagnosis and treatment codes. The following are the common diagnosis and treatment codes relating to vein pathology and vein treatment.

Diagnosis Codes:

ICD-10 Codes (International Classification of Diseases):

  • Venous insufficiency, Chronic, Peripheral- I87.2
  • Varicose veins- I83.90
  • Asymptomatic Varicose Veins of the right leg-I83.91
  • Asymptomatic Varicose Veins of the right leg-I83.92
  • Varicose veins of the right lower extremity with other complications- I83.891
  • Varicose veins of the left lower extremity with other complications- I83.892
  • Varicose veins of the both lower extremity with other complications- I83.893
  • Varicose veins of the unspecified lower extremity with ulcer of the ankle- I83.003
  • Spider veins (other disorders of veins) –I87.8

Treatment Codes:

CPT Codes (Current Procedural Terminology) :

  • Endovenous Radiofrequency Ablation 36475
  • Endovenous Laser Ablation 36478
  • Endovenous Ablation using Chemical Adhesive (Venaseal procedure)-36482
  • Stab Phlebectomies, 1-9, unlisted procedure: 37799
  • Stab Phlebectomies, 10-20 incisions: 37765
  • Stab Phlebectomies: >20 incisions 37766
  • Injection of sclerosing solution single vein 36470
  • Injection of sclerosing solution multiple veins same leg 36471