Your Path to Precision IR Coding and Maximized Reimbursement
Unlock precise IR coding and optimal reimbursement through a deeper grasp of how IR procedures are performed. Our resource, Essentials of Interventional Radiology Coding, demystifies the complexities of IR coding by honing your understanding of procedural intricacies and deciphering physician documentation nuances.
IR coding isn’t straightforward. Bundled codes were meant to simplify coding, but they introduced new hurdles in interpretation and code selection due to the idiosyncrasies of physician documentation. Every doctor documents IR procedures differently, exacerbating the gray areas that hinder distinguishing between subtle procedural differences and similar codes.
Our fully updated guide provides profound insights into the “why” behind accurate CPT®/HCPCS code assignments and offers invaluable guidance on interpreting diverse physician documentation. Whether you’re a seasoned coder or a non-clinical staff member looking to expand your IR coding knowledge, this resource caters to your needs and is a gateway for radiology education.
Key Features and Benefits
- Step-by-step navigation 2024 IR code changes
- Comprehensive descriptions of IR procedures, including diagnostic exams, therapeutic interventions, vascular angiography, and their distinctive reporting criteria
- Detailed CPT®/HCPCS code descriptions and guidelines, addressing both hospital and physician entities
- Clarity on add-on codes, radiological S&I, and imaging guidance codes
- Critical elements in physician documentation for precise code assignments
- Expert guidance on IR coding concepts and guidelines
- Must-know topics: diagnostic vs. therapeutic procedures, physician vs. hospital coding, Medicare guidelines, CPT coding basics, and more
- Stay updated on evolving IR coding guidelines
- Billing tips and insights into common problem areas
- Real-world case examples for practical learning
Structured for Success: Maximize Your IR Coding Proficiency
Designed to lead you on a path to expertise, the Essentials of Interventional Radiology Coding is meticulously organized. It’s categorized by nonvascular and vascular IR, then further divided by body system and procedure type. You’ll find anatomical illustrations and critical key phrases highlighted to expedite code assignment, ensuring you reach the pinnacle of IR coding proficiency with full proof radiology education.
Looking for more valuable coding education and news? Check out our new Interventional Radiology All-Access Pass and/or our Comprehensive Radiology All-Access Pass for a full range of comprehensive educational resources that reinforce reimbursement and your bottom line.
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Introduction
Abbreviations
Modifiers
A Note About COVID-19
- Additional Supplies During the Public Health Emergency
The Basics
- Diagnostic vs. Therapeutic
- Global, Technical, and Professional
- Hospital vs. Physician Coding
- Physician / Other Qualified Healthcare Provider
- Guidance
- Moderate (Conscious) Sedation
- Coverage
- Evaluation and Management for Interventional Radiology
- Global Surgical Period
- 3D Printing
Part 1: NON-VASCULAR INTERVENTIONAL RADIOLOGY
Biopsy
Guidance
Aspiration Biopsy
Non-Aspiration Needle Biopsy
Breast Biopsy
Breast Localization Without Biopsy
Post-Procedure Mammogram
Specimen Radiograph
Soft Tissue Marker
Sample Cases: Biopsy
- Case 1: Ultrasound-Guided Fine Needle Aspiration Right Neck Lymph Node
- Case 2: Ultrasound Breast Biopsy Left
Drainage
Cyst Aspiration
Joint Aspiration
Catheter-Assisted Drainage
Pleural Aspiration / Drainage
Abdominal Aspiration / Drainage
- Paracentesis
- Tunneled Intraperitoneal Catheter
- Cholecystostomy Tube Placement
Drainage Catheter Check and Change
Sclerosis
Other Aspiration / Drainage
Sample Cases: Drainage
- Case 1: Fluoroscopic and Ultrasound-Guided Placement of a Suprapubic Catheter (14-French Pigtail)
- Case 2: Thoracentesis
- Case 3: CT-Guided Pelvic Abscess Drainage
- Case 4: Ultrasound-Guided Right Thoracentesis, Ultrasound and Fluoroscopic-Guided Right Perinephric Drain Placement
Ablation / Destruction
Tumor Ablation
Ablation — Electroporation
Ablation Guidance Codes
Nerve Destruction
Cyst Ablation
Sample Cases: Ablation
- Case 1: Pulmonary RFA
- Case 2: Renal Cyst Aspiration and Sclerosis
Pain Management Injections
Spinal Injections
- Epidural Injections
- Facet Joint Injections
- Thoracic Paravertebral Block
- Sacroiliac Joint Injection
- Blood Patch
Other Pain Management Injections
Sample Cases: Pain Management
- Case 1: Ultrasound-Guided Injection of the Posterior Knee
- Case 2: Synovial Cyst Aspiration and Facet Injection
Spinal Procedures
Lumbar Puncture
Myelography
Discography
Vertebroplasty, Vertebral Augmentation, and Sacroplasty
Lumbar Spine Allogeneic Injection
Sample Cases: Spinal Procedures
- Case 1: Diagnostic Lumbar Puncture and Intrathecal Methotrexate Injection
- Case 2: Vertebroplasty
Joint Procedures
Arthrography
- Shoulder
- Elbow
- Wrist
- Hip
- Knee
- Ankle
- Sacroiliac Joint
- CT/MR Arthrography
Aspiration, Arthrocentesis, Injection
Sample Cases: Joint Procedures
- Case 1: Shoulder MRI Arthrogram
- Case 2: Wrist Injection
- Case 3: Joint Injection and Aspiration
Digestive System, Biliary System and General Abdominal Procedures
Salivary Glands
Esophagus
Stomach
Colon and Rectum
Liver
Biliary Tract
Pancreas
General Abdomen / Peritoneum
- Drainage
- Biopsy
- Fiducial Markers
- Peritoneal Cavity Evaluation and Catheters
- Gastrostomy, Duodenostomy, Jejunostomy, Cecostomy and Other Colonic Tubes
Sample Cases: Digestive System, Biliary System, and General Abdominal Procedures
- Case 1: Cholangiogram, Biopsy, and Biliary Drainage
- Case 2: Cholangiogram with Stone Removal
- Case 3: Tunneled Peritoneal Catheter
Urinary System
Diagnostic Studies
Therapeutic Procedures
Sample Cases: Urinary System
- Case 1: Loopogram
- Case 2: Exchange of Nephroureteral Stent
- Case 3: Brush Biopsy and Ureteral Stent Placement
Part 2: VASCULAR INTERVENTIONAL RADIOLOGY
Vascular Interventional Radiology
Venous Access
Venipuncture
Central Venous Access
Placement
- Centrally Inserted
- Peripherally Inserted
- Repair
- Replacement
- Removal
- Guidance
- Other CVA Catheter/Device Procedures
Miscellaneous Venous Catheterization Procedures
Sample Cases: Venous Access
- Case 1: Temporary Dialysis Catheter Placement
- Case 2: Tunneled Catheter and PICC Line
- Case 3: Tunneled Dialysis Catheter (TDC) Removal
Treatment of Lower Extremity Incompetent Veins
Sample Case: Incompetent Veins
Diagnostic Angiography
Vascular Angiography Basics
Component Codes – Vascular Angiography
Catheterization
- Venous Non-selective Codes
- Venous Selective Codes
- Arterial Non-selective Codes
- Arterial Selective Codes
Diagnostic Imaging
- Venous S&I Codes
- Arterial S&I Codes
- Pulmonary S&I Codes
- Guidance
Sample Cases: Component Coding
- Case 1: Abdominal Aortogram with Bilateral Lower Extremities
- Case 2: Right Upper Extremity Angiogram
Complete Diagnostic Angiography
- Renal Angiography
- Carotid and Vertebral Diagnostic Angiography
- Arch, Carotid, and Vertebral Angiography
Sample Cases: Complete Angiography
- Case 1: Carotid/Vertebral Angiogram
- Case 2: Bilateral and Accessory Renal Artery Angiograms
Vascular Interventions
Angioplasty
Stent Placement
Atherectomy
Thrombolysis
Mechanical Thrombectomy
Embolization
Lower Extremity Revascularization
- Intravascular Lithotripsy
- Endovenous Femoral-Popliteal Arterial Revascularization
- Endovascular Venous Arterialization
Sample Cases: Vascular Interventions
- Case 1: Right Subclavian Angiogram and Stent
- Case 2: Aortic and Bilateral Iliac Artery Stenting
- Case 3: Popliteal Artery Stent
- Case 4: Visceral Embolization
Carotid / Vertebral Interventions
- Angioplasty and Stent Placement
- Intracranial Mechanical Thrombectomy / Thrombolysis
- Non-Thrombolytic Agent Administration
- Occlusion / Embolization
Sample Cases: Vascular Interventions
- Case 1: Carotid Arteriogram and Intervention
- Case 2: Carotid Embolization
Thoracic, Abdominal, and Iliac Stent Grafts
- EVAR—Abdominal Aortic Aneurysm (AAA) Stent-Grafts (Non-fenestrated)
- FEVAR—Fenestrated Endovascular Repair of the Visceral and Infrarenal Aorta
- TEVAR—Thoracic Endovascular Aneursym Repair
Sample Case: Endovascular Stent Graft
Arteriovenous Dialysis Graft Angiography and Intervention
- Percutaneous Creation of Arterivenous Fistula
Sample Case: Arteriovenous Grafts
Miscellaneous Vascular Interventions
- Vena Cava Filter
- Intravascular Foreign Body Removal
- Transcatheter Biopsy
- Transvenous Intrahepatic Portosystemic Shunts (TIPS)
- Thrombin Injection
- Transcatheter Ultrasound Ablation of Pulmonary Artery Nerves
- Y-90 Radioembolization
- Intravascular Ultrasound (IVUS)
Sample Cases: Miscellaneous
- Case 1: Transjugular Biopsy
- Case 2: IVC Filter Placement
