AMA CPT® Assistant - 2008 Issue 2 (February)
Uterine Fibroid Embolization (February 2008)
February 2008 page 5 Coding Communication:Uterine Fibroid Embolization The following article was originally published in the Clinical Examples in Radiology newsletter (Winter 2007, Volume 3, Issue 1). For more information on the Clinical Examples in Radiology newsletter or to order, please contact the American Medical Association at 800 621-8335. Reason for Exam Uterine fibroids with refractory heavy menstrual bleeding Impression Enlarged uterine fibroid with dominant right uterine artery supply Successful embolization utilizing transcatheter technique and PVA particles, as described below Procedure Uterine fibroid embolization Consent Informed consent was obtained. Techniques The patient was marked, prepped, draped, in standard fashion...
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Article Overview
This premium article explains a uterine fibroid embolization case from a radiology coding perspective and places it in the context of CPT guidance published by the AMA. It is useful for coders, radiology billing staff, and compliance teams who need to understand how the procedure is documented and how the related coding framework is presented in the source material. The article also covers general background on embolization coding, sedation inclusion, and global period concepts discussed in the coding commentary.
Why This Topic Matters
Uterine fibroid embolization is a procedure with specific documentation and coding considerations, and this article shows how the case is described within a formal coding communication. It matters for accurate radiology coding, consistent charge capture, and understanding how the CPT framework addresses the service.
Article Sections
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February 2008 page 5
Opening publication information and source context for the coding communication.
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Coding Communication: Uterine Fibroid Embolization
Clinical case presentation, procedure narrative, findings, and the coding discussion tied to the radiology example.
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Reason for Exam
Brief clinical indication for the imaging and procedure report.
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Impression
Summary of the radiologic and procedural outcome described in the case.
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Procedure
Name of the intervention documented in the report.
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Consent
Statement regarding patient consent before the procedure.
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Techniques
Narrative description of access, catheter work, imaging, embolization workflow, and post-procedure steps.
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Acronyms and Their Corresponding Terms
List of abbreviations used in the case report and their expanded forms.
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Complications
Brief statement regarding whether complications occurred.
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Technical Summary
Concise procedural summary of catheterization and embolization activities.
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Findings
Imaging interpretation and vascular findings before and after the embolization process.
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Plan
Post-procedure monitoring and supportive care plan documented for the patient.
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Fluoro Time
Reported fluoroscopy duration for the procedure.
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Contrast
Contrast agent volume and type used during the case.
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How to Code
Coding reference section identifying the primary procedure code associated with this service.
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Discussion
Broader CPT commentary on embolization coding, inclusion of services, and related global period concepts.
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Coding Tips
General coding guidance about embolization reporting, sedation inclusion, and modifier discussion in the context of CPT.
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Note
General explanation of the global service concept and how it relates to surgical reporting.
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Endnotes
Source references and publication citation information.
What You Will Learn
- The clinical context of uterine fibroid embolization as presented in a radiology coding example.
- How the article frames the procedure within CPT-related coding communication.
- What general documentation and reporting topics are discussed for embolization services.
- How the source addresses related concepts such as sedation inclusion and global period context.
Who Should Read This
- Radiology coders
- Medical billers
- Compliance professionals
- Interventional radiology staff
- Physician documentation specialists
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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