The duration - if any - that a compression stocking must be worn in order to apply for pre-certification for insurance coverage of EVLT depends upon the insurance carrier. When a compression stocking trial is required, it is often for 12 weeks.

Published on Jul 11, 2012

The usual recommendation for a trial of conservative treatment is 3 months of support hose, weight control, and exercise. Some insurance companies may require a longer time. However, we grade the severity of vein disease, and higher levels may not require long periods of conservative management. See a vein specialist for an evaluation.

Published on Jul 11, 2012

This varies from one insurance to another. It can be 6 weeks to 6 months of conservative therapy. In our specialty we know this will not change the underlying pathology and intervention will be needed anyway. It is good, however, to at least to try the hose for a short time. If there is some relief, then we know the procedure will help. Not all pain and discomfort is venous.

Published on Jul 11, 2012

It varies depending on what insurance but generally 6-8 weeks is sufficient. I recommend wearing stockings prior to your appointment that way your provider can document this in your chart/notes that they work or don't work and therefore EVLT/RFA would be indicated.

Published on Jul 11, 2012

It largely depends on the insurance company. Some do not require hose, others require 6 weeks, and some 3 months.

Published on Jul 11, 2012

Ideally, compression hose would need to be worn 6-12 months prior to the procedure.

Published on Jul 11, 2012

Most insurance companies recommend 3 months of treatment with stockings. AETNA is 6 months.

Having said that, the new guidelines from the American College of Phlebology state that "where treatment is available to treat venous insufficiency with endovenous technology, it is not necessary to trial stockings..."

However, most vein specialists will still follow insurance guidelines to have their patients wear stockings, try weight management (if obese), and introduce targeted leg exercises before endoveous ablation for superficial venous reflux disease.

Published on Jul 11, 2012