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...
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
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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.
Common vascular surgery billing challenges
Territory and hierarchy coding
Each vessel territory is coded by the most intensive treatment, with add-ons for additional vessels.
Vein ablation coverage
Payers require symptoms, duplex findings and failed compression therapy.
Included imaging and catheters
Catheter placement and imaging are bundled into many intervention codes.
Office-based lab billing
Non-facility place of service changes payment and requires accurate supply capture.
Non-invasive vascular studies
Duplex studies need medical necessity and correct professional/technical billing.
Dialysis access procedures
Creation and circuit interventions follow specific bundled codes.
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
Key codes in vascular surgery billing
| Code(s) | What it covers |
|---|---|
| 36475 / 36476 | Endovenous radiofrequency ablation, first vein and each subsequent vein. |
| 36478 / 36479 | Endovenous laser ablation, first vein and each subsequent vein. |
| 37224–37227 | Femoral/popliteal revascularization, angioplasty, stent, atherectomy combinations. |
| 37228–37235 | Tibial/peroneal revascularization, initial vessel and add-on vessels. |
| 93970 / 93971 | Duplex scan of extremity veins, complete bilateral / unilateral or limited. |
| 93925 / 93926 | Duplex scan of lower extremity arteries, complete bilateral / unilateral or limited. |
| 36901–36909 | Dialysis 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.
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Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.
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Top-rated medical billing companies
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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.
Most common. You pay only on money collected.
Predictable for high-volume, low-complexity claims.
Dedicated billers working inside your systems.
Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.
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.
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