Landing Page Header Background

Elevate your practice

Practice Resources

From the impact of healthcare reform to patient relations, SIR provides tips and advice for real-world issues facing today's medical practices.

SIR provides educational resources to ensure accurate coding and represents members at national coding and reimbursement forums, such as the AMA Resource-based Relative Value Scale (RBRVS) Update Committee, or RUC. By using survey data collected from members, the SIR’s RUC advisory team presents coding recommendations.

Through frequent interactions with national payers, SIR is your voice offering comments and expert clinical evidence on new procedures and treatments.

Practice management

From coding and reimbursement to quality improvement, SIR offers a collection of resources designed to help physicians navigate challenges and opportunities in this new era of health care.

SIR asks medical boards to add IR/DR certificate to their licensing options

SIR sent letters to state medical boards requesting they add the new IR/DR certificate to their licensing options so interventional radiologists can appropriately designate IR as their primary practice area. The letters were prompted by SIR members, who let us know that many states have not updated their list of specialties.

As of May 15, the date the letters were sent California, the District of Columbia, Indiana, Kentucky, Louisiana, Maine, Mississippi, Montana, New Hampshire, New Jersey, South Dakota, Tennessee, Vermont, Virginia and Wyoming did not list IR as an option. Their boards received this version of the letter.

It was unclear from the websites of Alabama, Alaska, Colorado, Connecticut, Delaware, Georgia, Hawaii, Maryland, Massachusetts, Michigan, Missouri, Nebraska, New Mexico, New York, North Dakota, Ohio, Pennsylvania, Rhode Island, South Carolina, Texas, Utah, Washington and Wisconsin, whether they have updated their options. Those boards received this version of the letter.

Arizona, Arkansas, Florida, Idaho, Illinois, Iowa, Kansas, Minnesota, Nevada, North Carolina, Oklahoma, Oregon and West Virginia were the only states who have updated their licensing options. They received thank you notes from SIR.

Alabama, Indiana, Kentucy, Maryland and Virginia state medical boards have responded and have IR listed in their licensing options. 







Guideline graphic






SIR brings together physician insight and professional expertise to develop high quality, evidence based guidelines and recommendations. The end goal is always improvement of the standard of patient care.

Guidelines, Standards, Policies


 Practice management essentials


Annually, SIR provides billing and coding updates for educational and information purposes. Members can find coding for endovascular and interventional procedures and services in the SIR Interventional Radiology Coding Update.

Each edition includes expanded information critical to physicians, administrators and coders. It also provides a full review of new codes including: 

  • Percutaneous pulmonary cryoablation
  • Non-compounded foam sclerosant and endovenous ablation via chemical adhesive
  • Endovascular repair of abdominal aortic pathology and endograft services.  
  • 2018 Interventional Radiology Coding Charge Sheets. 

It also features common clinical scenarios and useful FAQs.

An adjunct to the American Medical Association (AMA) Current Procedural Terminology (CPT) codebook (CPT®2018/c2017), the update is not comprehensive and does not replace the CPT® codebook. SIR provides this as an additional resource to assist physicians, business managers and coders. Remember, a precise knowledge of the definitions of the CPT descriptors and the appropriate services associated with each code is mandatory for proper coding of physician service.

Imaging 3.0 logoThe American College of Radiology's Imaging 3.0™ provides concrete steps to allow all radiologists to take a leadership role in shaping America's future health care system.

In a series of case studies, ACR showcases interventional radiologists as pioneers in many areas, including the diagnosis and treatment of patients using the least invasive techniques available. In this new era of Imaging 3.0, IR specialists are finding innovative ways to minimize risks to and improve health outcomes for patients.



In a new ACR 3.0 Case Study, Interventional radiologists and surgeons at Cincinnati Children's Hospital Medical Center (CCHMC) collaborate to perform image-guided procedures, an approach they say improves efficiency and ensures patient safety. 

The Quality Payment Program: A new payment paradigm

The Quality Payment Program, established through the 2015 Medicare Access and CHIP Reauthorization Act (MACRA), is the Centers for Medicare and Medicaid Services' new medicare reimbursement program, replacing the sustainable growth rate (SGR) and a patchwork of programs focused on resources use, health information and quality with a this value-based program.

Learn more about the Quality Payment Program and what MACRA means for you on our MACRA Matters page.

IR or DR?

IR or DR?

Crack the healthcare provider code

The Healthcare Provider Taxonomy Code identifies specialties for service providers in insurance claims. Appropriate use of specialty codes reduces inappropriate suspensions, improves the quality of the utilization data and, in the case of IR, allows billing for evaluation and management codes. The SIR Economics Committee urges all IRs to verify with all of your insurance carriers that you are registered as code 94—interventional radiology.

Code properly for IR

Building IR awareness

SIR advocates on behalf of its members and interventional radiology before Congress, insurance carriers and other key decision-makers. The society also reaches around the world and out to partners across corporate, public and private sectors to ensure the story of interventional radiology is spread through a range of communication channels.

SIR resident in training member and chair of the SIR Resident Fellows and Student section, Ali Alikhani talks about attending the SIR Grassroots Leadership program. The society's Grassroots Leadership Program, which debuted in 2014, offers interested SIR members from across the country the opportunity to engage with their elected senators and representatives and key congressional staff about the policy issues that impact interventional radiologists.

Learn more

Guidelines and recommendations

SIR develops voluntary clinical practice guidelines to define practice principles that  assist in producing high quality medical care.

Find guidelines

Comparative Effectiveness Research (CER) Committee hosts first webinar

SIR Foundation CER Committee hosted a webinar on "Publicly Available Large Data Sets for Health Outcomes Research: Pearls, Pitfalls, Prices & more." The recorded webinar is posted on the CER Committee page.

Learn more

Health Policy, Economics and Coding

Find resources designed to help you better understand and meet the American Medical Association (AMA) Current Procedural Terminology (CPT) codebook rules and guidelines for IR.

Current coding

Strengthen your practice

SIR Toolkits lead the way

SIR has developed a series of toolkits to promote and advance the practice of interventional radiology and to assist members in strengthening practice or organizational performance.

Using SIR toolkits ensures that you are meeting requirements, learning best practices and delivering the best possible outcomes for patients.

See all toolkits