AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 2; Ask the Editor

Radioembolization of Right Hepatic Lobe

A patient diagnosed with right lobe hepatocellular carcinoma and portal vein invasion, was admitted for low dose Yttrium-90 radioembolization of the right hepatic lobe. The right hepatic artery was selectively catheterized and a microcatheter was used to administer multiple small aliquots of Yttrium-90 microspheres into the right hepatic lobe via the hepatic artery, followed by sterile D5 water and contrast flushes. Imaging obtained following the radioembolization procedure demonstrated no extrahepatic uptake. What is the appropriate code assignment for Yttrium-90 radioembolization? Would two codes be required, one for the occlusion of the vessel and the other for introduction of radioactive material? ...

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