CPT® Code 37766

Stab phlebectomy is a minimally invasive surgical procedure aimed at the removal of varicose veins from one extremity. This technique specifically targets incompetent veins located below the saphenofemoral and saphenopopliteal junctions, while intentionally excluding the proximal great and short saphenous veins. During the procedure, the physician creates multiple small incisions or needle punctures along the affected varicose vein. The process involves undermining and dissecting the vein using a specialized instrument known as a phlebotomy hook. Once the vein is adequately freed, it is grasped with the hook and extracted using mosquito forceps, allowing for a progressive removal of the vein from one incision to the next. To manage bleeding during the procedure, local compression is applied over the venous network. It is important to note that the CPT® code 37766 is specifically designated for cases where more than 20 stab incisions are utilized, while code 37765 is applicable for procedures involving 10 to 20 stab incisions.