CPT® Code 36482

Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated

Endovenous ablation therapy of incompetent extremity vein(s) is a minimally invasive procedure designed to treat chronic venous insufficiency, a condition often characterized by symptoms such as pain, skin pigment changes, inflammation, induration, and ulcerations. This therapy utilizes a transcatheter delivery method to administer a chemical adhesive, such as cyanoacrylate, to the affected vein. The procedure is performed remote from the access site, ensuring that the treatment is both effective and precise. The chemical adhesive works by forming a polymer upon contact with blood, which leads to changes in the vascular intima and ultimately results in fibrosis of the targeted vessel. This process effectively closes off the incompetent vein, redirecting blood flow to healthier veins and alleviating the symptoms associated with venous insufficiency. Prior to the procedure, the affected vein(s) are meticulously mapped using venous duplex imaging, allowing for a tailored treatment plan. The procedure is conducted under local anesthesia and with the aid of ultrasound guidance, ensuring accurate access and treatment of the vein.