Interventional Radiology Billing & Coding: Lower Extremity Interventions (2025–2026)

Lower extremity vascular interventions are among the most complex and highly audited areas in interventional radiology billing and coding. With the major CPT structural changes implemented in 2026, coders and revenue cycle professionals must now apply a more advanced, logic-based framework that incorporates lesion complexity, procedural hierarchy, and territory-based coding.

This webinar provides a clear, structured approach to understanding and applying these changes. Participants will learn how to confidently distinguish between diagnostic and interventional services, apply bundling rules correctly, and navigate the transition from the 2025 vessel-based model to the expanded 2026 lesion- and territory-based coding system.

Through real-world scenarios and practical examples, attendees will gain insight into how interventional radiologists perform lower extremity procedures and how documentation directly impacts code selection, compliance, and reimbursement. Special focus will be placed on high-risk audit areas such as diagnostic angiography, catheter placement, IVUS, and multi-territory interventions.

By the end of the session, participants will have a repeatable decision-making framework that simplifies complex cases and supports accurate, defensible coding in this evolving specialty.

Webinar Objectives 

Participants will be able to:

• Differentiate between diagnostic and interventional imaging and determine when services are separately reportable versus bundled 
• Apply the 2026 CPT coding framework using territory, lesion complexity, and procedural hierarchy 
• Identify stenosis vs chronic total occlusion (CTO) and understand documentation requirements for compliant coding 
• Accurately assign codes for iliac, femoral/popliteal, and tibial/peroneal interventions using add-on logic 
• Understand bundling rules for catheter placement, imaging, IVUS, and thrombectomy 
• Recognize common audit risk areas and apply best practices to improve coding accuracy and reimbursement outcomes

Webinar Highlights

• Overview of lower extremity interventional radiology procedures and clinical workflow 
• Key differences between 2025 and 2026 CPT coding structures 
• Step-by-step coding decision framework for arterial interventions 
• Territory-based coding and add-on logic explained with examples 
• Diagnostic vs procedural imaging and bundling compliance 
• IVUS, thrombectomy, and additional services: what is and isn’t billable 
• Venous interventions and varicose vein treatment coding overview 
• Real-world case study with multi-territory intervention coding challenge

Who Should Attend

• Interventional radiology coders and auditors 
• Revenue cycle and billing professionals 
• Compliance officers and audit specialists 
• Practice administrators and managers 
• Physicians and clinical staff involved in documentation 
• Anyone responsible for coding, billing, or reimbursement of IR procedures