Position Statements

Healthcare Policy Committee: Position Statements for Coverage of Vein Procedures

Historically, treatment options for patients with venous insufficiency and varicose veins primarily consisted of high ligation and stripping of the great saphenous vein (GSV) in association with phlebectomy of individual varicosities. During the past decade, such painful interventions, which required general anesthesia often along with several days in the hospital and weeks of recuperation, have been supplanted by new outpatient office-based endovascular thermal, non-thermal, and implant techniques. To assist members with their authorizations, and to inform carriers, the AVLS’s Healthcare Policy Committee has prepared Position Statements on several of these venous procedures.

• Selecting Appropriate Compression for Lymphedema Patients
• Non-Compounded Foam Sclerotherapy
• Mechano-Chemical Ablation
• Cyanoacrylate-based Closure
• The Anterior Saphenous ‎Vein
• Physician-Compounded Foam Sclerotherapy (Coming Soon)