HAP Radiology Billing and Coding Blog

Current Coding and Documentation for y-90 Radioembolization Procedures on October 30, 2020

The treatment of liver tumors using yttrium-90 (y-90) radioembolization brings unusual challenges for interventional radiologists (IR). Documentation of treatment planning, radiation dosimetry calculations and placement of radioactive sources are not usually a familiar part of their lexicon. It is these unfamiliar disciplines, along with more comprehensive Evaluation and Management (E/M) visits, that set this procedure apart from the more routine IR cases.

Categories: interventional radiology, y-90, interventional radiology billing

Update on Billing for y-90 Radioembolization Procedures on November 7, 2017

Click here to read our October 2020
y-90 radioembolization article 

 

Our 2014 article "Interventional Radiology Meets Radiation Oncology – The y-90 Story” focused on the documentation requirements that will assist coders to maximize reimbursement for this complex procedure.  Those documentation tips are still valid today.  This update reviews the 2017 state-of-the-art in coding for y-90 procedures.

 

Categories: radiology reimbursement, radiology billing, radioembolization, interventional radiology, nuclear medicine, y-90, radiology

How to Document y-90 Radioembolization Cases to Maximize Reimbursement on October 17, 2014

Click here to read our October 2020
y-90 radioembolization article 

Interventional Radiology Meets Radiation Oncology – The y-90 Story

When a physician is performing an interventional procedure valued in the range of $4,000 – $6,000 for the professional component, attention to thorough and accurate documentation is a requirement for maximal reimbursement.  Each case presents its own individual set of circumstances and a well-constructed operative report will tell the story of the case step-by-step.  Each artery or branch into which a catheter is placed for diagnostic imaging or intervention is assigned a separate CPT code, and so the operative report must describe with specificity each catheter placement.  When these descriptions are in a logical, sequential order, certified coders say that this allows them to better understand every aspect of the case so they can then accurately identify and apply up to 45 CPT codes to maximize reimbursement for it.  A descriptive evaluation of each artery supports payment of the codes that are submitted for reimbursement.

Categories: radiology reimbursement, radiology billing, physician reimbursement, radioembolization, interventional radiology, nuclear medicine, y-90

Subscribe to our radiology billing and coding blog

Recent Posts

Testimonial

How a radiology practice recovered lost referrals