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.

Local Coverage Determination by Medicare

Local Coverage Determination by Medicare

Medicare local coverage determination (LCD) for treatment of varicose veins is specific for each geographic region. The summary below emphasizes the main elements for Southern California (LCD for Southern California).
For more accurate and detailed information please access the Medicare Coverage Database (MAC) to view LCDs for your region. Our intention is to highlight some points only that you should pay attention to when reading the article.

1. 6-8 weeks conservative therapy (i.e. compression stockings, weight reduction, leg elevation, exercise) is necessary prior to treatment of varicose veins. It should be included in your documentation.
2. Sclerotherapy is considered medically necessary for the treatment of small and medium veins (less then 4mm). Sclerotherapy should not be used for treatment of veins with diameter of more than 5mm and for treatment of saphenous vein at its junction with the deep system.
3. Medicare covers stab microphlebectomy on the same leg performed the same day with endovenous laser or RF ablation if criteria for necessary services are met and documented properly.
4. Sclerotherapy, stripping, ligation, and endovenous ablation are not covered for pregnant women, patients on anticoagulation therapy, with severe occlusive arterial disease, obliteration of deep venous system, allergies, or in hypercoagulable state.
5. No more than 3 sclerotherapy sessions per leg are covered.
6. Post procedural ultrasound is covered when performed within 1 week (preferably within 72 hours) after vein treatment.

You can find LCDs for different geographic regions following the link below (choose your geographic region, type varicose veins in the search box, for outpatient coverage use MAC Part B):