Clinical Practice

Invisible risks, visible solutions

Advancing radiation safety in IR

New Category III codes for July 2026

Coding for histotripsy of malignant pancreatic tissue and surface mesh representations and applications.

High-impact IR program building

Dr. Abhishek Kumar's Y-90 program has become the highest-volume radioembolization program in New Jersey. Here's how he did it.

Coding Q&A: Using a pressure-directed catheter for radioembolization of a hepatic tumor

Q: When an interventional radiologist uses a pressure-directed catheter for radioembolization of a hepatic tumor in the hospital outpatient setting, does this change the coding reported by the physician, i.e., does the physician report HCPCS (Healthcare Common Procedure Coding System) codes C1982 and C9797?

E/M coding

Optimizing and capturing the full scope of IR

Coding Q&A: New and revised codes for 2026

Key additions and revisions to the 2026 AMA CPT® Professional include restructuring of the lower extremity endovascular revascularization codes, new Category I codes for hepatic and prostate irreversible electroporation (IRE), updated codes for sacroiliac joint arthrodesis and endovascular repair of the thoracic aorta, and expansion of prostate biopsy coding.

What kind of guideline should you use?

Luke Wilkins, MD, FSIR, the councilor of the Guidelines and Statements division, discusses the various document types, how they’re developed and how they can best inform IR therapies and practices.

The trouble with triage

Establishing a standardized triage protocol

Building a pAVF program

SIR’s Renal and Genitourinary Clinical Specialty Council has established a society-based consensus recommendations for the creation and maturation of pAVFs for hemodialysis access.

Coding Q&A: Coding for radioembolization of hepatic tumors

Radioembolization of a hepatic tumor and percutaneous endoscopic gallstone removal

The benefits of IR code simulation

Interventional radiology team members at the University of Rochester Medical Center in Rochester, NY, have implemented a cardiac arrest model and code simulation to improve timing, accuracy and staff comfort.

Practice planning

Considerations for setting up a new IR practice

Dialing in

Utilizing telehealth to expand the reach of small or rural IR practices

Genicular artery embolization

The future standard of care for inflammatory conditions

Building bridges

A collaborative friendship between interventional radiology, vascular surgery and ultrasound technicians is opening new doors to what is possible in the area of limb salvage.

A coalition of the willing

Akhilesh K. Sista, MD, FSIR, and James Horowitz, MD, are members of the NYU Langone pulmonary embolism response team (PERT), a model that brings interventional radiology, pulmonology and cardiac surgery together to improve outcomes for patients with pulmonary embolisms

Working for a vascular surgery group

How one IR built a unique practice model

Coding Q&A: GAE and diagnostic angiography

GAE and diagnostic angiography

Coding Q&A: Split-visit evaluation and management billing

Split-visit evaluation and management billing

The future of maternal care

Like with any other equivalent trauma, when a patient begins to hemorrhage, there should be a built-in response team that can offer the patient the best care for her specific situation.

Opportunities and challenges in pediatrics

An interview with Richard B. Towbin, MD, FSIR, and James S. Donaldson, MD

"TIME" for combination trials?

TACE and immunotherapy for intermediate-stage HCC

Solved on SIR Connect: Feedback on lymphangiogram and thoracic duct embolization

Does anyone have a suggestion for performing a lymphangiogram/thoracic duct embolization when there are no (or just tiny 2–3 mm) lymph nodes present in the pelvis and upper legs?

Coding Q&A: How do I code for biliary endoscopy (Spyglass)?

How do I code for biliary endoscopy (Spyglass)?

Coding Q&A: CPT coding changes for 2022

CPT coding changes for 2022

Bariatric embolization

An emerging minimally invasive therapy for patients with obesity

Patient frailty and IR

With an increasing number of geriatric patients seeking IR services, identification of patients at higher risk for complications will allow for improved pre-procedural counseling and patient selection, as well as targeted application of resources to improve the perioperative risk profile for select patients.

Coding Q&A: How to code neurovascular interventions

How to code neurovascular interventions

Solved on SIR Connect: Feedback on uterine artery embolization for placenta accreta

Feedback on uterine artery embolization for placenta accreta