AMA Clinical Examples in Radiology - 2008 Issue 1 (Winter)
Bilateral Uterine Artery Embolization
Bilateral Uterine Artery Embolization Patient status post C-section earlier today with postpartum atony and uncontrollable uterine bleeding Procedure Emergency pelvic angiography with uterine arterial embolization Technique Because of her clinical status and hemodynamic instability, informed consent was obtained from the patient's husband. Both groins were prepped and draped in sterile fashion. Subcutaneous soft tissues over the puncture site were infiltrated with 2% lidocaine solution. Utilizing a 19 gauge single wall needle, access was gained into the right common femoral artery. A short 5-French sheath was placed. Selective catheterization of the left common iliac and then left internal iliac artery...
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Article Overview
This article explains how a postpartum bleeding case involving bilateral uterine artery embolization is documented and coded in interventional radiology. It is useful for coders, radiology billing staff, and clinicians who need to distinguish the reported services, understand the overall structure of the procedure note, and compare this scenario with other uterine artery embolization contexts discussed in coding guidance.
Why This Topic Matters
Postpartum hemorrhage embolization cases can involve multiple imaging and catheterization services that are easy to underreport or misclassify. This article helps readers recognize the service categories involved and understand how the case is presented within coding guidance.
Article Sections
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Procedure
Summarizes the emergent pelvic angiography and bilateral uterine artery embolization performed in the case.
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Technique
Describes the procedural workflow, access approach, catheter movement, embolization, and completion imaging in narrative form.
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Findings
Presents the angiographic observations and post-procedure status documented during the case.
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Impression
Provides the final clinical summary of the postpartum vascular findings and treatment outcome.
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How to Code
Lists the reported service categories for the case and frames how the procedure is represented for coding purposes.
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Discussion
Explains the coding context for postpartum uterine artery embolization and contrasts it with related uterine embolization scenarios.
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Coding Tips
Offers general guidance on reporting the components of the procedure and the related imaging services.
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References
Cites the source publications associated with the coding guidance.
What You Will Learn
- The procedural components typically documented in a postpartum uterine embolization case
- How the article frames the imaging and catheter-based portions of the service
- The kinds of coding guidance discussed for embolization-related reporting
- How the article distinguishes this scenario from other uterine embolization contexts
- Which reference sources are cited for the coding discussion
Who Should Read This
- Radiology coders
- Interventional radiology billing staff
- Health information management professionals
- Clinical documentation specialists
- Interventional radiologists
Codes Discussed
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