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E653
E653 – Varicose vein stripping (add-on)
OHIP Cardiovascular Surgical Procedures Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
An add-on surgical procedure for venous stripping, billed in conjunction with a primary varicose vein surgery (e.g., R842). Payment for this service is insured only when all of the following conditions, as detailed on :, are met:
1. There is incompetence (i.e. reflux) at the saphenofemoral junction or saphenopopliteal junction that is documented by Doppler or duplex ultrasound scanning;
2. The patient has failed a trial of conservative management of at least three months duration; and
3. The patient has at least one of several specified signs of chronic venous insufficiency or complications from varicosities.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Documentation of incompetence (i.e. reflux) at the saphenofemoral junction or saphenopopliteal junction by Doppler or duplex ultrasound scanning.
Documentation of a failed trial of conservative management of at least three months duration.
Documentation of at least one of the qualifying signs of chronic venous insufficiency or complications from varicosities.
1. Conservative management includes analgesics and prescription gradient support compression stockings.
2. Significant hemorrhage refers to a hemorrhage related to varicose veins that requires iron therapy or transfusion.
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