CPT® Code 36468

Telangiectasia, commonly known as spider veins, are small, dilated blood vessels that appear as red, blue, or purple lines on the skin, often resembling a spider's web. These veins are typically found on the legs or trunk and can be a cosmetic concern for many individuals. The condition arises from various factors, including genetics, hormonal changes, and prolonged standing or sitting. The procedure associated with CPT® Code 36468 involves the injection of a sclerosant, a solution that irritates the lining of the blood vessels. This irritation causes the vein walls to stick together and eventually close off, leading to a reduction in the visibility of the spider veins over time as the body reabsorbs the treated tissue. The procedure is generally performed in an outpatient setting, and the physician may document the extent of the condition through photographs prior to treatment. Proper skin preparation, including cleansing with an antiseptic, is essential to minimize the risk of infection during the injection process. The physician typically administers multiple injections, ranging from 5 to 40, in a single session to effectively treat the affected areas.