Fees and Insurance
Insurance companies commonly cover the cost of treating symptomatic spider and varicose veins. At the time of your consultation, our office team will go over what you should expect for treatment costs and provide you with details concerning the insurance provisions of your individual plan. We will file the paperwork for you as an added convenience. We participate in most insurance plans.
Office Billing Policy
All asymptomatic patients are required to pay personally to this office, unless they have insurance that covers cosmetic therapy.
All symptomatic patients are billed to the insurance company. Symptoms include one or more of the following: Pain, Cramping, Itching, Burning, Swelling, Restless Legs, and Bleeding, Ulcerations, and Skin Discoloration. Patients may also have conditions such as Blood Clots, Superficial Thrombophlebitis, Eczema, and great saphenous vein incompetency.
For HMO patients, referrals are required from the primary care physician before the patients are seen in the office. Prior to starting any treatment, a referral from the primary care physician and approval is obtained from the insurance company. Any required information requested by the insurance company is immediately faxed or mailed to them. Upon the approval from the insurance company the patient is notified and the necessary treatments are started.
Treatment is only started after the authorization is obtained from the insurance company and is noted in the patient’s chart. In the case of a denial, an appeal process is started. The treatment only starts after the approval. If the insurance company continues to deny the treatment, the patient is then notified and if he/she requests we will start the treatment. However, the patient is fully responsible for the cost, which is discussed before any treatment is done in detail.
One or more of the following ICD 9 codes are assigned to the symptomatic patients with varicose veins and venous Telangiectasias (which include acquired spider veins & venous or capillary hemangiomas):(Formulated after consulting ICD-9 Book and consultation with D’Souza & Associates)
- Varicose Veins (large, intermediate, small) 454.8
- Reticular Veins 454.8
- Telangiectasias (less dense, spider veins) 448.1
- Venous or Capillary Hemangiomas (Very dense) 228.01
- Venous Insufficiency 459.81
- Leg Pain 729.5
- Bleeding, Varicose Veins 454.9
- Ulcer 454.2
- Edema 729.81
Patients are required to have complete pictures taken of all of the aspects of the legs and lesions. As a courtesy, we will take the photos and store them in our computer.
Your complete information is entered into our secure EMR system. Your photo, driver’s license, and social security number are needed to complete your records. This information is private and only you can authorize it to be released to any entity with a written request signed by you.