Gastroduodenal Artery and Superior Mesenteric Artery Branch Embolization

Gastroduodenal Artery and Superior Mesenteric Artery Branch Embolization Clinical History 47-year-old male patient with upper gastrointestinal bleeding from a duodenal ulcer. Failed endoscopic management. Hypotensive and hemodynamically unstable. On vasopressors. Morbid obesity. Procedure Visceral arteriography Embolization of the gastroduodenal artery and superior mesenteric artery (SMA) branch Vessels Catheterized: Abdominal aorta via left low brachial approach Celiac artery Gastroduodenal artery Gastroepiploic artery Superior mesenteric artery branch Anesthesia: Local with 1% lidocaine Sedation: Fentanyl and midazolam Contrast: 48 ml Estimated blood loss: 20 ml Technique 76937 75894 75898 Because the patient was morbidly obese, a brachial-arterial approach was used. Using complete...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a radiology coding example focused on a visceral arterial embolization case for upper gastrointestinal bleeding. It explains the clinical scenario, the imaging and interventional services involved, and how the report is evaluated under CPT guidance for dates of service beginning in 2014. The article is aimed at coders and revenue cycle professionals who need to understand how diagnostic angiography, selective catheter placement, ultrasound-guided access, and embolization services are represented in coding guidance.

Why This Topic Matters

Understanding this example helps coders recognize how bundled interventional radiology services are organized in CPT guidance and how a complex bleeding case is described for coding purposes.

Article Sections

  1. Clinical History

    Summarizes the patient presentation and the context for the interventional radiology procedure.

  2. Procedure

    Outlines the access approach, imaging, catheterization, and embolization steps documented in the case.

  3. Impression

    Provides the post-procedure clinical summary of the bleeding source and treatment outcome.

  4. How to Code

    Presents the coding guidance discussion for the case under CPT guidance beginning in 2014, including the procedural categories addressed.

  5. References

    Lists source publications cited by the article.

What You Will Learn

  • The clinical context of a visceral arterial embolization case involving gastrointestinal bleeding.
  • The general categories of CPT services discussed in relation to angiography and embolization.
  • How the article organizes the coding discussion for interventional radiology reporting.
  • The role of 2014 CPT guidance changes in the article’s coding framework.

Who Should Read This

  • Medical coders
  • Interventional radiology coders
  • Revenue cycle staff
  • Clinical documentation specialists
  • Radiology billing professionals

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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