CPT® Code 36465

Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)

The procedure described by CPT® Code 36465 involves the injection of a non-compounded foam sclerosant into a single incompetent extremity truncal vein, such as the great saphenous vein or accessory saphenous vein. This treatment is primarily aimed at addressing chronic venous insufficiency, a condition that can lead to various symptoms including pain, skin pigment changes, inflammation, induration, and ulcerations. The use of ultrasound guidance is a critical component of this procedure, as it allows for precise identification of the target vein and ensures accurate dispersion of the injectate. The sclerosant works by inducing vasospasm and damaging the venous endothelium, ultimately leading to the replacement of the affected vessel with fibrous connective tissue. This process helps to minimize the chances of vessel recanalization, thereby providing a therapeutic effect. The procedure concludes with the application of a compression bandage or garment to support the treated area and promote optimal healing.