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Venous Insufficiency: A conundrum

By Kelly Byrnes, FSVU, RVT, BS posted Tue May 02, 2017 08:24:00 AM


One of the most frequent questions I get is about reimbursement for chronic venous insufficiency (CVI) exams. Everyone agrees they require more technical expertise and time to complete, right? Then, why don't we get paid more for them? Since I am not an expert on the subject, I turned to two people who are- Joe Zygmunt, RVT, RPhS and William (Bill) Schroedter, RVT, RPhS, FSVU. In an article originally published in the Spring 2016 issue of VEIN Magazine, they discuss this topic in "Venous Duplex: Two Sides of the Coin". In the first part of the article, Joe compares the protocols for venous duplex exams performed to 1) rule out deep vein thrombosis (DVT) and 2) identify CVI. The second part of the article is a question and answer session focusing on venous duplex CPT codes and their valuation. Why don't we have a separate CPT code for venous insufficiency? Is it time for a two-code system? Read on, and let me know what you think!


Note: Special thanks to VEIN Magazine for their permission to reprint this article. This article initially appeared in Vein Magazine, (Spring 2016; Referenced with permission of publisher.