#420: Varicose Vein Treatment with Saphenous Ablation: Outcome Survey

Quality ID


High Priority Measure




Measure Type



Interventional Radiology Vascular Surgery

Measure Description

Percentage of patients treated for varicose veins (CEAP C2-S) who are treated with saphenous ablation (with or without adjunctive tributary treatment) that report an improvement on a disease specific patient reported outcome survey instrument after treatment



This measure is to be submitted each time a saphenous ablation procedure is performed for the treatment of varicose veins during the performance period. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

Measure Submission:

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry-based submissions; however, these codes may be submitted for those registries that utilize claims data.



All patients who are treated for varicose veins with saphenous ablation and who receive an outcomes survey before and 3-6 months after treatment

Denominator Criteria (Eligible Cases):

All patients, regardless of age


Diagnosis for varicose veins (ICD-10-CM): I83.811, I83.812, I83.813, I83.819


Patient procedure during the performance period (CPT): 36473, 36475, 36478



Patients whose outcome survey score improved when assessed 3-6 months following treatment


Outcome Survey – A normalized and validated outcome survey developed for the patient reported outcomes for saphenous vein ablation. The disease specific standardized outcome survey utilized must be documented in the medical record. Examples of outcome surveys include, but are not limited to:
• Venous Insufficiency Epidemiological and Economic Study-Quality of Life (VEINES-QOL)
• Chronic Venous Insufficiency Questionnaire (CIVIQ)
• Aberdeen Varicose Veins Questionnaire (AVVQ)
• Specific Quality of Life and Outcome Response - Venous (SQOR-V)

Numerator Options:

Performance Met: Patient survey score improved from baseline following treatment (G9603)


Denominator Exception: Patient survey results not available (G9604)


Performance Not Met: Patient survey score did not improve from baseline following treatment (G9605)

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