Add your company in 30 seconds Add Company
  1. Home
  2. Services
  3. Vascular Surgery
Vascular Surgery billing

Vascular Surgery Billing Services

Endovascular interventions are coded by vessel territory and the most intensive treatment performed. Specialist billers get every vessel, every access and every study right.

  • Lower-extremity revascularization coded by territory and hierarchy
  • Vein ablation with authorization and conservative-care documentation
  • Office-based lab, ASC and hospital claims coordinated

Get a free vascular surgery billing audit

We'll review your denials and A/R and match you with specialists. No obligation.

HIPAA-aware. We never share your details.

96%
Clean-claim rate target
25%
Fewer denials on vein procedures
< 35
Days in A/R goal
Overview

Why vascular billing is complex

Lower-extremity endovascular revascularization is coded by vessel territory, iliac, femoral/popliteal and tibial/peroneal, and by the most intensive service performed in each vessel: angioplasty, atherectomy, stenting or a combination. Additional vessels use add-on codes, and imaging and catheter placement are often included.

Venous procedures such as radiofrequency or laser ablation of varicose veins require prior authorization, documented symptoms, duplex ultrasound findings and a trial of compression therapy. Vascular surgeons also perform carotid procedures, aneurysm repair, dialysis access creation and maintenance, and non-invasive vascular studies.

Many vascular practices operate office-based labs or ASCs, which changes place of service and payment. A vascular billing partner codes from detailed procedure reports, manages authorizations, separates professional and technical billing for vascular studies and keeps documentation audit-ready.

Why it's hard

Common vascular surgery billing challenges

01

Territory and hierarchy coding

Each vessel territory is coded by the most intensive treatment, with add-ons for additional vessels.

02

Vein ablation coverage

Payers require symptoms, duplex findings and failed compression therapy.

03

Included imaging and catheters

Catheter placement and imaging are bundled into many intervention codes.

04

Office-based lab billing

Non-facility place of service changes payment and requires accurate supply capture.

05

Non-invasive vascular studies

Duplex studies need medical necessity and correct professional/technical billing.

06

Dialysis access procedures

Creation and circuit interventions follow specific bundled codes.

What's included

What a vascular surgery billing partner should handle

  • Prior authorization for vein and arterial procedures
  • Endovascular intervention coding by territory
  • Venous ablation and sclerotherapy billing
  • Aneurysm and carotid procedure coding
  • Dialysis access creation and intervention coding
  • Vascular lab professional and technical billing
  • Office-based lab and ASC billing
  • Denial management and appeals
  • Patient estimates and statements
  • Procedure and payer performance reports
Coding focus

Key codes in vascular surgery billing

Code(s)What it covers
36475 / 36476Endovenous radiofrequency ablation, first vein and each subsequent vein.
36478 / 36479Endovenous laser ablation, first vein and each subsequent vein.
37224–37227Femoral/popliteal revascularization, angioplasty, stent, atherectomy combinations.
37228–37235Tibial/peroneal revascularization, initial vessel and add-on vessels.
93970 / 93971Duplex scan of extremity veins, complete bilateral / unilateral or limited.
93925 / 93926Duplex scan of lower extremity arteries, complete bilateral / unilateral or limited.
36901–36909Dialysis circuit angiography and interventions.

Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.

Document medical necessity

For vein ablation, document symptoms, vein size and reflux on duplex ultrasound, and the duration of compression therapy. For arterial interventions, document the indication and vessel-by-vessel findings and treatments.

How it works

Find the right billing partner in four steps

1

Share your goals

Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.

2

Get a free audit

We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.

3

Compare vetted companies

Shortlist billers with proven vascular surgery experience, transparent pricing and verified client reviews.

4

Onboard with confidence

Sign a BAA, connect your EHR and clearinghouse, and track clean-claim rate, days in A/R and collections from month one.

Compare

Top-rated medical billing companies

Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their vascular surgery experience.

See all companies
5.0 5 reviews

Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...

Atlanta, Georgia
Founded 2015
Claims ProcessingDenial ManagementCredentialing (Payer & License)
No reviews yet

GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: •  Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. •  Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. •  Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. •  Financial Solutions - Data-driven insights and financial reporting to optimize practice...

Las Vegas, Nevada
Founded 2003
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...

Corona, California
Founded 1994
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...

Chandler, Arizona
Founded 2007
Claims ProcessingDenial ManagementRevenue Cycle Management
Pricing

How much does vascular surgery billing cost?

Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.

Percentage of collections
4% - 7%

Most common. You pay only on money collected.

Per claim
$4 - $10

Predictable for high-volume, low-complexity claims.

Hourly / FTE
$12 - $35/hr

Dedicated billers working inside your systems.

Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.

FAQ

Vascular Surgery billing FAQs

By vessel territory and the most intensive treatment in each vessel, using codes such as 37224–37235 with add-on codes for additional vessels.

Usually yes. Payers require documented symptoms, duplex ultrasound findings and a trial of compression stockings.

Imaging and catheter placement are included in many lower-extremity intervention codes, but some diagnostic imaging may be separately billable under specific conditions.

Yes, including non-facility place of service and supply capture.

Common reasons include missing authorizations, insufficient documentation of conservative care and coding the wrong hierarchy level.

Typically 4% to 7% of collections.

Related billing services

Stop leaving vascular surgery practices revenue on the table

Get a free audit and compare specialist billing companies, no obligation.

Get my free audit