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Advocating for your practice

Reimbursement and appeals

SIR and its members are dedicated to improving public health through pioneering advances in minimally invasive, image-guided therapies, to include procedures for Y-90, lower extremity revascularization and mechanochemical endovenous ablation (MOCA).






Comment letters advocating for coverage

SIR often submits comment letters to federal agencies, CMS and insurance carriers that specifically address interventional radiology treatments. 

View these SIR comment letters: 

Treatment with Yttrium-90 Microspheres

PAD patients with critical limb ischemia

Coverage and reimbursement for mechano-chemical venous ablation

Treatment of varicose veins of the lower extremity

Insurance letters archive

SIR works with members to draft “Comment Letters” to educate insurers about interventional radiology and the disease states that can be treated using interventional radiology in order to advocate for the needs of patients.

Recent letters to insurance companies will be available here.

Agency for HealthCare Research and Quality (AHRQ)

SIR comments to AHRQ on venous disease as part of multi-speciality coalition

MIPS, APM and MACRA Coding

SIR is engaged with CMS as they develop codes for provider participation under the Merit Based Incentive Payments System (MIPS) and advanced Alternative Payment Models (APMs) Follow MACRA coding issues.

Patient relationship codes

Episode groups

Coverage letters templates

SIR has found that sometimes carriers deny reimbursement to the physician or the patient for specific interventional radiology treatments. The society has developed several examples  of common coverage request letters. Learn more and download templates.





Interventional radiology procedures can be complex, the Society of Interventional Radiology gratefully acknowledge the time and expertise that our physician and clinical associate members volunteer.

Understanding Global Periods

Medicare established a national definition of a global surgical package to ensure that Medicare Administrative Contractors (MACs) make payments for the same services consistently across all jurisdictions. SIR has prepared references to assist physicians and administrators with common global periods for codes frequently reported by interventional radiologists. 

Learn more