Item

Current descriptor

New descriptor

32500

VARICOSE VEINS where varicosity measures 2.5mm or greater in diameter, multiple injections of sclerosant using continuous compression techniques, including associated consultation - 1 or both legs - not being a service associated with any other varicose vein operation on the same leg (excluding after-care) - to a maximum of 6 treatments in a 12 month period
Multiple Operation Rule
(Anaes.)

VARICOSE VEINS, multiple injections of sclerosant using continuous compression techniques, including associated consultation, where proximal reflux > 0.5 seconds has been excluded and the treatment is not for cosmetic purposes, 1 or both legs - not being a service associated with any other varicose vein operation or a service to which items 35200, 59970, 60000, 60003, 60006, 60009, 60012, 60015, 60018, 60021, 60024, 60027, 60030, 60033, 60036, 60039, 60042, 60045, 60048, 60051, 60054, 60057, 60060, 60063, 60066, 60069, 60072, 60075, 60078, 60500, 60503, 60506, 60509, or 61109 applies on the same leg, (excluding after-care) - to a maximum of 6 treatments in a 12-month period

Multiple Operation Rule
(Anaes.)

32504

VARICOSE VEINS, multiple excision of tributaries, with or without division of 1 or more perforating veins - 1 leg - not being a service associated with a service to which item 32507, 32508, 32511, 32514 or 32517 applies on the same leg
Multiple Operation Rule
(Anaes.)

No change

32507

VARICOSE VEINS, sub-fascial surgical exploration of one or more incompetent perforating veins - 1 leg - not being a service associated with a service to which item 32508, 32511, 32514 or 32517 applies on the same leg
Multiple Operation Rule
(Anaes.) (Assist.)

VARICOSE VEINS, sub-fascial ligation of one or more incompetent perforating veins - 1 leg, performed by open surgical technique, not including endoscopic ligation, in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort - not being a service associated with a service to which any other varicose vein operation or a service to which items 35200, 60072, 60075 or 60078 applies on the same leg, and not to be performed out-of-hospital
Multiple Operation Rule
(Anaes.) (Assist.)

32508

VARICOSE VEINS, complete dissection at the sapheno-femoral OR sapheno-popliteal junction - 1 leg - with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both
Multiple Operation Rule
(Anaes.) (Assist.)

VARICOSE VEINS, complete dissection at the sapheno-femoral OR sapheno-popliteal junction - 1 leg - with or without either ligation or stripping, or both, of the great or small saphenous veins, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both, in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort
Multiple Operation Rule
(Anaes.) (Assist.)

32511

VARICOSE VEINS, complete dissection at the sapheno-femoral AND sapheno-popliteal junction - 1 leg - with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both
Multiple Operation Rule
(Anaes.) (Assist.)

VARICOSE VEINS, complete dissection at the sapheno-femoral AND sapheno-popliteal junction - 1 leg - with or without either ligation or stripping, or both, of the great or small saphenous veins, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both, in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort
Multiple Operation Rule
(Anaes.) (Assist.)

32514

VARICOSE VEINS, ligation of the long or short saphenous vein on the same leg, with or without stripping, by re-operation for recurrent veins in the same territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both
Multiple Operation Rule
(Anaes.) (Assist.)

VARICOSE VEINS, ligation of the great or small saphenous vein on the same leg, with or without stripping, by re-operation for recurrent veins in the same territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both, in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort
Multiple Operation Rule
(Anaes.) (Assist.)

32517

VARICOSE VEINS, ligation of the long and short saphenous vein on the same leg, with or without stripping, by re-operation for recurrent veins in either territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both
Multiple Operation Rule
(Anaes.) (Assist.)

VARICOSE VEINS, ligation of the great and small saphenous vein on the same leg, with or without stripping, by re-operation for recurrent veins in either territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both, in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort
Multiple Operation Rule
(Anaes.) (Assist.)

32520

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate embolisation; and
(c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507
Multiple Operation Rule
(Anaes.)

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer, in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive and not being a service associated with a service to which items 32500, 32504, 32507, 35200, 59970, 60000, 60003, 60006, 60009, 60012, 60015, 60018, 60021, 60024, 60027, 60030, 60033, 60036, 60039, 60042, 60045, 60048, 60051, 60054, 60057, 60060, 60063, 60066, 60069, 60072, 60075, 60078, 60500, 60503, 60506, 60509, or 61109 applies on the same leg
Multiple Operation Rule
(Anaes.)

32522

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate embolisation, and not provided on the same occasion as a service described in any of items 32500, 32504 and 32507
Multiple Operation Rule
(Anaes.)

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer, in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive and not being a service associated with a service to which items 32500, 32504, 32507, 35200, 59970, 60000, 60003, 60006, 60009, 60012, 60015, 60018, 60021, 60024, 60027, 60030, 60033, 60036, 60039, 60042, 60045, 60048, 60051, 60054, 60057, 60060, 60063, 60066, 60069, 60072, 60075, 60078, 60500, 60503, 60506, 60509, or 61109 applies on the same leg
Multiple Operation Rule
(Anaes.)

32523

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including endovenous laser therapy or cyanoacrylate embolisation; and
(c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507
Multiple Operation Rule
(Anaes.)

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including endovenous laser therapy or cyanoacrylate adhesive and not being a service associated with a service to which items 32500, 32504, 32507, 35200, 59970, 60000, 60003, 60006, 60009, 60012, 60015, 60018, 60021, 60024, 60027, 60030, 60033, 60036, 60039, 60042, 60045, 60048, 60051, 60054, 60057, 60060, 60063, 60066, 60069, 60072, 60075, 60078, 60500, 60503, 60506, 60509, or 61109 applies on the same leg
Multiple Operation Rule
(Anaes.)

32526

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including endovenous laser therapy or cyanoacrylate embolisation; and
(c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507
Multiple Operation Rule
(Anaes.)

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including endovenous laser therapy or cyanoacrylate adhesive and not being a service associated with a service to which items 32500, 32504, 32507, 35200, 59970, 60000, 60003, 60006, 60009, 60012, 60015, 60018, 60021, 60024, 60027, 60030, 60033, 60036, 60039, 60042, 60045, 60048, 60051, 60054, 60057, 60060, 60063, 60066, 60069, 60072, 60075, 60078, 60500, 60503, 60506, 60509, and 61109 applies on the same leg
Multiple Operation Rule
(Anaes.)

32528

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; and
(c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507
Multiple Operation Rule
(Anaes.)

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy and not being a service associated with a service to which items 32500, 32504, 32507, 35200, 59970, 60000, 60003, 60006, 60009, 60012, 60015, 60018, 60021, 60024, 60027, 60030, 60033, 60036, 60039, 60042, 60045, 60048, 60051, 60054, 60057, 60060, 60063, 60066, 60069, 60072, 60075, 60078, 60500, 60503, 60506, 60509, or 61109 applies on the same leg
Multiple Operation Rule
(Anaes.)

32529

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; and
(c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507
Multiple Operation Rule
(Anaes.)

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer in a patient who has significant symptoms arising from venous reflux, such as limb swelling, discolouration or discomfort:
(a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and
(b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy and not being a service associated with a service to which items 32500, 32504, 32507, 35200, 59970, 60000, 60003, 60006, 60009, 60012, 60015, 60018, 60021, 60024, 60027, 60030, 60033, 60036, 60039, 60042, 60045, 60048, 60051, 60054, 60057, 60060, 60063, 60066, 60069, 60072, 60075, 60078, 60500, 60503, 60506, 60509, or 61109 applies on the same leg
Multiple Operation Rule
(Anaes.)