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Usually, yes, when your veins cause symptoms such as pain, swelling, cramping or skin changes. Insurers treat symptomatic vein disease as a medical condition, not a cosmetic one. Las Vegas Vein bills Medicare and most major plans for every treatment that is a covered benefit, and our vein coordinator handles the prior authorization your plan requires. Purely cosmetic spider vein treatment may not be covered.

You'll review your health history and symptoms, have a brief exam, and get a lower extremity ultrasound of your leg veins. The ultrasound is painless and noninvasive. If it shows venous reflux, Dr. Parisi explains your treatment options.

Endovenous catheter procedures typically take about 20 to 30 minutes and are done in our private procedure room through a single small IV site with local numbing. You walk out the same day. Published data for the procedure report recovery of about 3 to 7 days, and walking is encouraged.

Most patients describe it as mild. The leg is numbed before the catheter is placed, and sclerotherapy solution is not painful as it enters the vein. Some soreness or bruising for a few days is common.

Varicose veins are larger, bulging, rope-like veins, usually caused by leaking valves in deeper veins. Spider veins are small red, blue or purple veins near the skin surface. Spider veins can be treated with sclerotherapy or Nd:YAG laser, but they sometimes signal reflux underneath, which is why we check with ultrasound first.

All four close a leaking vein from the inside through one small IV site. The right choice depends on your vein anatomy, your health history and what your insurance approves. Dr. Parisi performs all of them, so the recommendation is based on what fits you.

Yes. Venous stasis ulcers, often near the inner ankle, are caused by high pressure from leaking leg veins. Dressings alone often aren't enough because the pressure keeps reopening the sore. Treating the vein reflux along with proper wound care gives the ulcer the best chance to heal and stay closed.

Many patients don't. Some plans, including certain HMO and Medicare Advantage plans, require a referral from your primary care doctor. Call us and we'll check what your plan needs before you book.

Yes. Las Vegas Vein is accredited by the Intersocietal Accreditation Commission (IAC) and is the only IAC-accredited vein center in Nevada. Accreditation means our vascular testing and vein care meet national quality standards, with a comprehensive review every three years.

Lymphedema is long-term swelling of an arm or leg caused by a lymphatic system that can't drain fluid properly. It can be inherited (primary) or caused by surgery, lymph node removal, trauma or infection (secondary). It is very manageable with compression pumps, wraps and a home care plan, which our team sets up and supplies.

Yes. For costs your plan doesn't cover, qualified patients can use CareCredit and pay over 12 to 18 months with no interest. CareCredit can also be coordinated with a Health Savings Account.

Las Vegas Vein is at 3525 E Harmon Ave, Las Vegas, NV 89121, in the same building as Personal Medical Care. Patients come from across the valley, including Henderson, Paradise, Spring Valley, Summerlin and North Las Vegas. Call (702) 898-9191.