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.

Cigna Medical Coverage Policy

Cigna Medical Coverage Policy

1. Vein diameter of more than 3 mm with reflux/incompetence should be documented.
2. Compression therapy should be used for at least 3 consecutive months prior to request for treatment.
3. Mechanochemical treatment by ClariVein and many other procedures (see article) are not covered and are considered experimental.
4. Cigna does not approve a sole treatment of accessory, reticular or varicose tributary without associated occlusion of saphenopopliteal or saphenofemoral junction.
5. For endovenous thermal ablation or sclerotherapy of truncal veins, reflux at saphenofemoral or saphenopopliteal junction should be documented.
6. Three sessions of sclerotherapy per leg are covered by Cigna if patient meets criteria for treatment of varicose veins. However, additional sessions can be covered with submission of additional documentation.
7. Perforating veins with outward flow duration of >500ms and diameter of> 3.5 mm are considered pathological.

For more complete and accurate information please review Cigna Medical Coverage Policy provided on Cigna website by following link below:

https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0234_coveragepositioncriteria_varicose_vein_treatments.pdf