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This webinar provides a comprehensive, clinically grounded overview of complex vascular embolization procedures, with a primary focus on selecting the appropriate CPT® codes based on clinical indication, embolic technique, and procedural intent. Attendees will review the full spectrum of embolization indications—including hemorrhage, tumor and organ ischemia, venous and arterial abnormalities, lymphatic leaks, and non-target vessel occlusion—and learn how these scenarios map to CPT® and HCPCS codes 37241–37244, C9797, 61624, and 61626. The presentation will also examine commonly used embolic materials and delivery methods, linking procedural technique to correct code selection across complex embolization procedures such as pelvic congestion syndrome embolization, genicular artery embolization, uterine fibroid embolization, thoracic duct embolization for chylous leak, and liver tumor embolization.

In addition, the webinar will address advanced coding considerations for embolization procedures performed with pressure-enabled drug delivery (PEDD) catheters, including practical guidance on when HCPCS code C9797 applies versus CPT®-level reporting, using devices such as the TriNav® Infusion System as an example. Attendees will gain insight into facility and physician reimbursement mechanics across hospital outpatient, ASC, professional, and OBL settings, along with common bundling rules and payment differentials. The session will emphasize the critical role of prior authorization for embolization services—particularly for emerging and non-traditional indications—and will conclude with mini case vignettes designed to reinforce correct coding, reimbursement, and compliance decision-making in real-world scenarios.

Learning Objectives/Agenda:

• How to identify what vascular embolization code to use for a variety of different clinical indications
• Specific coding guidelines to remember for complex vascular embolization procedures such as pelvic congestion syndrome, uterine fibroid embolization, genicular artery embolization, thoracic = duct embolization, and Y-90 liver tumor embolization
• Advanced coding considerations for ensuring appropriate coding and revenue capture for embolization procedures that use a pressure enabled drug delivery device (PEDD), such as the TriNav Infusion System Catheter by TriSalus.
• Review of reimbursement estimates for both the Facility (HOPD, ASC) and Physician (Professional component and Global/OBL)
• A review of the critical steps in prior authorization process to ensure accurate understanding of procedure coverage

Why is this topic timely/important?

Vascular embolization procedures represent some of the most complex coding scenarios in interventional radiology. These cases often involve multiple potential CPT® and HCPCS pathways, overlapping indications, and strict hierarchical rule sets that must be carefully evaluated to arrive at the correct final code selection. When advanced embolic techniques and highly specialized medical devices are involved, even small coding missteps can materially impact reimbursement—placing significant pressure on a facility’s ability to maintain an appropriate operating margin for these resource-intensive procedures. At the same time, embolization represents a rapidly evolving area of cutting-edge medical innovation, with new technologies expanding treatment options for patients who previously had limited or no alternatives. Accurate documentation, compliant coding, and appropriate reimbursement are essential to supporting the continued adoption and development of these life-saving advancements.

Who would benefit from this webinar?

• Cath lab administrative staff: Clinical and Service Line Directors
• CFOs
• Revenue Integrity Professionals
• HIM Coding Staff, both facility and physician
• Physicians
• Cath lab staff (RNs and RTRs) involved in charge entry processes