Educational Resources

Sonogeeks invites you to view our collection of news articles, guidelines, case studies, insurance protocols, PDFs, drug reports, treatment recommendations, links, and images useful for your practice and continuing education. Like any science, phlebology has grown significantly in recent years. Various new techniques, medication, and equipment have become a part of the venous disease physician's everyday application…and need-to-know.
Here, for example, we provide information on the best treatments to consider when working with patient insurance…and, on how to avoid denial of claims.
The many association meetings and forums available will help you as a physician to improve your vein practice and increase patient satisfaction. On this page, you will find up-to-date information about new discoveries, improvements and "must know" topics. The ideas we share here are not just sensational announcements, but new approaches that we have already tested and/or implemented in actual vein treatment. This includes our professional technicians' experience with unique and complicated cases.
We also look forward to collaborating with physician practitioners on interesting research projects. Please send us any comments or information you would like to share.

Aetna Clinical policy Bulletin: Varicose Veins

Aetna Clinical policy Bulletin: Varicose Veins

These are some points that we think you should pay attention to. Please review a full article for more accurate information.

1. Incompetence of Saphenofemoral or Saphenopopliteal junction should be documented with reflux time >500 ms.
2. Size of the vein should be minimum of 4.5mm ( not a valve diameter at the junction).
3. Three month trial of conservative treatment ( analgesics and prescription gradient support compression stockings) is necessary prior to endovenous ablation procedures. This applies for initial treatment only.
4. Endovenous ablation procedures can be used for treatment of incompetent perforating veins with diameter of 3.5 mm and reflux time >500 ms, located underneath active of healed ulcers.
5.Liquid or foam sclerotherapy is considered medically necessary for treatment of symptomatic tributaries , accessory veins and perforators with minimum diameter of 2.5 mm for persons who met necessary criteria for varicose vein treatment…….
6. Two sessions of injections of sclerosing solution per leg is considered medically necessary.
7. Absolute contraindications to Endovenous laser ablation of saphenous veins are occlusive deep vein thrombosis and pregnancy. Relative contraindications are occlusive arterial disease, hypercoagulability, tortuous veins and inability to ambulate.
Please use the link below to view full article from Aetna webpage:

http://www.aetna.com/cpb/medical/data/1_99/0050.html