AMA Clinical Examples in Radiology - 2018 Issue 3 (Summer)
Embolization of a Gastroduodenal Artery Fusiform Aneurysm
CLINICAL EXAMPLE 1 Embolization of a Gastroduodenal Artery Fusiform Aneurysm PROCEDURE Ultrasound-guided right common femoral artery access. Celiac axis selection and angiogram. Common hepatic artery selection and angiogram. Gastroduodenal artery (GDA) selection and angiogram. Coil and glue embolization of a fusiform aneurysm arising from the distal GDA. Right common femoral artery angiogram. Use of closure device to close right common femoral puncture site. CLINICAL DATA An 81-year-old male presents with a fusiform aneurysm arising from the gastroduodenal (gastroepiploic) artery identified on recent computed tomographic angiography. TECHNIQUE 99152 99153 X 6 An independent, trained observer provided local and moderate sedation...
Subscribe or sign in to view the full article.
Article Overview
This clinical coding example explains how a gastroduodenal artery aneurysm embolization encounter is documented and coded in a radiology setting. It is aimed at coders, radiology billing staff, and clinicians who need to understand the general categories of services addressed, including embolization, selective catheter placement, diagnostic angiography, moderate sedation, diagnosis coding, and fluoroscopy reporting requirements. The article also places the case in the context of CPT, ICD-10-CM, HCPCS Level II, and related guidance for reporting.
Why This Topic Matters
Accurate reporting for endovascular embolization cases often depends on distinguishing therapeutic work from diagnostic imaging, access, and sedation services. This article helps readers recognize which broad coding areas are discussed for a complex visceral artery intervention and why the documentation matters for reimbursement and quality reporting.
Article Sections
-
Clinical Example 1
Introduces the case context and the procedural setting for a visceral artery embolization example.
-
Procedure
Summarizes the interventional steps performed, including vascular access, catheter work, imaging, and embolization activity.
-
Clinical Data
Provides the patient context and the imaging findings that prompted the intervention.
-
Technique
Describes sedation-related documentation and procedural timing details relevant to reporting.
-
Findings
Presents the angiographic and procedural findings from the intervention and follow-up access documentation.
-
Impression
Summarizes the outcome of the intervention and the noted additional vascular finding.
-
How to Code
Discusses the coding categories referenced for the case, including procedural, diagnostic, diagnosis, sedation, and fluoroscopy-related reporting.
-
Discussion
Provides broader guidance on the coding framework, documentation considerations, and related reporting context for this type of procedure.
-
Sources
Lists the reference materials and publication sources cited by the article.
What You Will Learn
- How this type of endovascular embolization case is organized for coding review
- Which general service categories are discussed for reporting the encounter
- What documentation themes are emphasized for diagnostic imaging, catheter placement, sedation, and fluoroscopy-related reporting
- How the article frames the relationship between the case example and broader coding guidance
Who Should Read This
- Radiology coders
- Medical billing staff
- Interventional radiology practices
- Compliance professionals
- Clinicians involved in procedural documentation
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com