advancing vein care Superficial Venous Disease PRACTICE GUIDELINES Practice Guidelines: Superficial Venous Disease rev102314 1 Background

The diagnosis and treatment of venous disease has advanced more in the last 10 years then in the previous 2 centuries combined. Ultrasound, endovenous ablation devices, foam sclerotherapy and tumescent anesthesia have greatly improved patient care and have moved treatment from the operating room to the office or radiology suite. This has created challenges for insurers. Medical necessity policy for the treatment of chronic venous disease (CVD) has become fragmented and inconsistent across the U.S. among private insurers and Medicare. As with any medical specialty, those who are most committed to that specialty generally provide the best care. Commitment includes some form of training, a practice focused in that area, and continuing education through attendance at meetings an