BackTable Articles

Quick insights to level up your endovascular practice.

Ascites management can involve paracentesis

Portal Hypertension and Ascites Management

We invited hepatologist Dr. Parvez Mantry to share his insights on different methods of ascites management and potential treatment modifications.

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Physician on her computer reviewing E&M 2021 changes

E&M 2021 Changes

Evaluation and management (E&M) coding guidelines changed on January 1, 2021. Interventional radiologist Dr. Ryan Trojan discusses some of the billing and coding changes for outpatient work, requirements for complete and comprehensive documentation, as well as some E&M tools and resources. E&M outpatient billing and coding guidelines changed in 2021.

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Physician's E&M coding sheet with stethescope

E&M Coding for Interventional Radiologists: An Overview

Evaluation and management (E&M) coding requires documentation to capture physician-patient encounters so that physicians are reimbursed appropriately based on the level of clinical care they deliver. Interventional radiologist Dr. Ryan Trojan provides an E&M coding overview, describing reasons why IRs should be taking advantage of it and how the medical decision making component of E&M works.

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Fistula with arterial and venous directed sheaths for declot procedure

How to Declot AV Fistulas & Grafts Part 2: Finishing Touches & Follow-Up Care

Arteriovenous fistulas and grafts are dialysis access sites that can thrombose. To restore blood flow in the dialysis circuit, a declot procedure is performed to remove clots and treat any associated stenoses which may be flow-limiting. In part 2 of this article, interventional nephrologist Dr. Neghae Mawla walks through the remaining steps of the declot procedure including arterial sheath placement (inflow), polish, closure, and follow-up.

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Nephrostomy tube placement in a case of mild hydronephrosis

Percutaneous Nephrostomy for a Non-Dilated Collecting System

Non-distended collecting system nephrostomy tube placement can often be challenging, requiring more advanced techniques. Interventional radiologist Dr. David Field discusses common indications, procedural steps using the Philips XperGuide CT software (and without it).

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Ascites assesment may require liver biopsy

Ascites Assesment and Diagnostic Workup for Liver Diseases

Ascites assessment involves various physical, serological, and imaging steps to help guide towards the final diagnosis.

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Physician on his computer reviewing E&M codes

E&M Codes Every Interventional Radiologist Should Know

Different evaluation and management (E&M) codes are used depending on the type of work done and where it takes place, whether in the ER, ICU, or the outpatient setting. Interventional radiologist Dr. Ryan Trojan demystifies some aspects of E&M coding including global billing periods, modifier 25, and the scenarios in which these apply. He also describes some common inpatient billing codes.

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Right thigh loop graft with stented segments at the venous anastomosis and graft

Tips & Tricks for AV Fistula & Graft Declots

Arteriovenous fistulas and grafts are dialysis access sites that can thrombose. To restore blood flow in the dialysis circuit, a declot procedure is performed to remove clots and treat any associated stenoses which may be flow-limiting. Interventional nephrologist Dr. Neghae Mawla provides tips and tricks for reducing procedure time, working with two sheaths, performing angioplasty, and using stents vs. drug coated balloons.

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Loop graft with arterial and venous directed sheaths for declot procedure

How to Declot AV Fistulas & Grafts Part 1: Patient Prep, Access, Outflow

Initial steps of arteriovenous fistula and graft declot procedure including pre-op workup, obtaining access, and treating outflow lesions.

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Nephrostomy tube placement on X-ray

Percutaneous Nephrostomy for a Dilated Collecting System

Prep & technique for a basic perc neph in a dilated collecting system, working through challenges, preventing complications & post-op care.

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