CPT® Code 37765

Stab phlebectomy is a surgical procedure specifically designed for the removal of varicose veins from one extremity. This technique targets incompetent veins located below the saphenofemoral and saphenopopliteal junctions, while intentionally excluding the proximal great and short saphenous veins. The procedure involves the creation of multiple small skin incisions or needle punctures along the affected varicose vein. By utilizing a phlebotomy hook, the physician carefully undermines and dissects the vein along its course. Once the vein is adequately freed, it is grasped with the hook and extracted using mosquito forceps. The extraction process is performed progressively, moving from one incision to the next, ensuring thorough removal of the varicose vein. To manage any potential bleeding during the procedure, local compression is applied over the venous network. This method is particularly effective for patients with varicose veins, providing a minimally invasive option for treatment. The CPT® code 37765 is designated for stab phlebectomy procedures that involve 10 to 20 stab incisions, while 37766 is used when more than 20 stab incisions are necessary.