AMA Clinical Examples in Radiology - 2015 Issue 2 (Spring)
Percutaneous Cryoablation of Right Iliac Bone Metastasis
CLINICAL EXAMPLE 1 Percutaneous Cryoablation of Right Iliac Bone Metastasis CLINICAL HISTORY 76-year-old male with metastatic head and neck cancer and diffuse osseous metastasis, including large symptomatic metastatic lesion in the right iliac bone. PROCEDURE Percutaneous cryoablation of right iliac bone metastasis. MEDICATIONS 4 mg midazolam and 200 mcg fentanyl were administered intravenously. Sedation was monitored by a nurse. Moderate sedation time was 60 minutes. COMPLICATIONS None. TECHNIQUE 20983 The patient was placed in the prone position in the computed tomography (CT) scanner. Using a sterile technique and local anesthesia, a 2.4-mm cryoprobe was inserted under CT guidance...
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Article Overview
This article reviews a radiology coding example involving percutaneous cryoablation of a right iliac bone metastasis and explains the related CPT guidance. It is useful for coders, radiology practices, and compliance staff who need to understand the procedure context, the applicable CPT code family, and how associated services are addressed in the article’s discussion.
Why This Topic Matters
The article helps readers identify the correct coding framework for a percutaneous bone tumor ablation scenario and understand how the procedure is discussed within CPT guidance and historical updates. It also clarifies the general scope of related bundled services and the organizations and publications tied to the example.
Article Sections
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Clinical Example 1
A radiology case example describing the clinical context, procedure setting, and imaging-based technique used for a metastatic bone lesion.
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Discussion
General CPT-focused discussion of the procedure category, historical context, and related reporting considerations referenced by the article.
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Sources
Citations to AMA and ACR reference materials and CPT publications used for the article’s educational background.
What You Will Learn
- The general clinical scenario described in the article
- How the article frames the CPT coding context for percutaneous bone tumor ablation
- What broad types of bundled services and related reporting topics are discussed
- Which publications and organizations are cited as source material
Who Should Read This
- Medical coders
- Radiology coding specialists
- Compliance teams
- Revenue cycle professionals
- Interventional radiology staff
Codes Discussed
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