CPT® Code 37735

Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of deep fascia

The procedure described by CPT® Code 37735 involves a comprehensive surgical intervention targeting the long or short saphenous veins, which are significant veins in the lower extremities. This procedure includes ligation, division, and complete stripping of these veins, which is essential for treating conditions such as venous insufficiency or varicose veins. The process begins with the identification and exposure of the saphenous vein, followed by the careful dissection and ligation of venous branches. The stripping technique is employed to remove the affected vein, which helps alleviate symptoms associated with venous disorders. In addition to the vein removal, this procedure encompasses the radical excision of any venous ulcers present, which are often a complication of chronic venous insufficiency. The excised area is then covered with a skin graft harvested from a separate donor site, ensuring proper healing and restoration of the skin integrity. Furthermore, the procedure may involve the interruption of communicating veins in the lower leg, which are smaller veins that connect the superficial venous system to the deep venous system, along with the excision of deep fascia surrounding these veins. This multifaceted approach aims to improve venous circulation, reduce the risk of ulcer recurrence, and enhance the overall health of the lower extremities.