Selective Internal Radiotherapy Yttrium-90

CLINICAL EXAMPLE 1 Selective Internal Radiotherapy Yttrium-90 CLINICAL HISTORY 50-year-old female with metastatic esophageal carcinoma to the liver. Recent Yttrium-90 (Y-90) shunt fraction of approximately 3%. Planned today for treatment of the left hepatic lobe. COMPARISON Diagnostic angiogram performed for planning purposes 7 days ago. OPERATOR Interventional radiology (IR) physician who is an authorized user (AU) PROCEDURE Selective internal radiotherapy Y-90 treatment, left hepatic lobe Ultrasound-guided micropuncture of the right common femoral artery. Selective catheterization and imaging of the celiac artery and hepatic trunk performed for roadmapping purposes. Selective catheterization of the lateral division of the left hepatic artery...

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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 premium article explains how a Y-90 selective internal radiotherapy case is documented and coded in an interventional radiology setting. It covers the procedural sequence, related imaging and access services, planning and dosimetry concepts, and the coordination of reporting across radiology, nuclear medicine, and radiation oncology. The discussion is aimed at coders, billers, radiology practices, and clinicians who need to understand how the encounter is described in official coding guidance and clinical examples.

Why This Topic Matters

Y-90 radioembolization cases often involve multiple disciplines and several reportable services in one encounter or across related encounters. Understanding the scope of the article helps users determine whether it addresses their documentation needs, coding workflow, and compliance considerations for this type of therapy.

Article Sections

  1. Clinical Example 1

    A sample Y-90 treatment encounter is presented, including the clinical context, procedural workflow, imaging, and post-procedure assessment.

  2. How to Code

    This section summarizes the coding framework associated with the example case and identifies the services discussed in the article.

  3. Discussion

    The discussion reviews broader reporting considerations for Y-90 radioembolization, including planning, dosimetry, access guidance, post-treatment imaging, and related program guidance.

  4. Sources

    Cited reference materials and organizational sources supporting the article are listed here.

What You Will Learn

  • The overall workflow for a Y-90 selective internal radiotherapy encounter
  • Which service categories are discussed in relation to the case example
  • How planning, imaging, dosimetry, and post-treatment follow-up are addressed in the article
  • Which organizations and guidance sources are referenced for this topic

Who Should Read This

  • Medical coders
  • Interventional radiology billing staff
  • Radiation oncology staff
  • Nuclear medicine staff
  • Compliance and revenue cycle professionals
  • Physicians documenting Y-90 procedures

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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