Billing code
G537A — Repeat Sclerotherapy, Unilateral
Repeat vein injection, one side
Bill G537 for a repeat sclerotherapy treatment on one side; the first treatment is G536.
Watch for: Insured only for veins over 5 mm causing physical symptoms, done personally by you; imaging guidance isn't billed separately.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $26.05 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- G537A
- Description
- Repeat Sclerotherapy, Unilateral
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Repeat sclerotherapy on one side, insured only for veins over 5 mm that cause physical symptoms. The first treatment is G536.
What it covers
G537 is a repeat sclerotherapy treatment, unilateral (J55). The first treatment is G536, which includes one post-injection visit (J55).
Sclerotherapy is insured only for veins greater than 5 mm in diameter that are associated with physical symptoms, and only when the physician does it personally (J55).
Billing rules
- Insured only for veins greater than 5 mm in diameter associated with physical symptomatology (J55).
- Insured only when rendered personally by the physician (J55).
- Includes multiple injections and any necessary compression bandages (J55).
- Professional and technical fees for obtaining or interpreting images for guidance are not payable in addition (J55).
- Assistant units are nil (J55).
- Not marked (+), so the G700 sole-visit premium does not apply (J3, J55).
Related codes: G536, R868, R869, R844
Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Injections or Infusions — Sclerotherapy, page J55
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