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R869
R869 – Stripping of short saphenous vein with popliteal dissection
OHIP Cardiovascular Surgical Procedures Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Stripping of short saphenous vein with popliteal dissection. Surgical services (ligation/stripping) for the treatment of varicose veins involving the long saphenous and/or short saphenous vein(s) are only insured when all of the following conditions 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 the conditions described in either a. or b. below:
a. One or more of the following signs of chronic venous insufficiency:
i. Eczema;
ii. Pigmentation;
iii. Lipodermatosclerosis;
iv. Ulceration
b. Varicosities that result in one or more of the following:
i. Ulceration secondary to venous stasis;
ii. One or more significant hemorrhages from a ruptured superficial varicosity;
iii. Two or more episodes of minor hemorrhage from a ruptured superficial varicosity;
iv. Recurrent superficial thrombophlebitis;
v. Stasis dermatitis;
vi. Varicose eczema;
vii. Lipodermosclerosis;
viii. Unremitting edema or intractable pain interfering with activities of daily living and requiring chronic analgesic medication.
Note:
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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