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The CPT® Code 36479 refers to the procedure of endovenous ablation therapy specifically targeting incompetent veins in an extremity. This minimally invasive technique utilizes laser energy to treat veins that are not functioning properly, often due to conditions such as chronic venous insufficiency. The procedure is performed percutaneously, meaning it is done through the skin, and includes comprehensive imaging guidance and monitoring throughout the process. The treatment is designed to address multiple veins within a single extremity, provided that each vein is accessed through separate entry points. This code is used in conjunction with the primary procedure code, which is 36478, for the first vein treated. The use of imaging guidance is critical as it allows the physician to accurately locate and assess the targeted vein, ensuring effective treatment while minimizing potential complications. The procedure is performed under local anesthesia, allowing for patient comfort while maintaining a high level of precision in the treatment of the affected veins.
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