S351

PDF page 390 / E6

Embolization Procedures
# S350 Image-guided transcatheter embolization for active
           gastrointestinal bleeding..................................................... 1500.00 6
# S351 Uterine artery, prostate artery or thoracic duct embolization ..                    700.00 6
      Payment rules:
      1.S350 and S351 are only eligible for payment when performed within an interventional
        radiology suite.
       2.S350 and S351 include all components of the service including, but not limited to:
          a.vascular access
          b.selective catheterization of one or more vessels
          c.embolic agent delivery and embolization
          d.fluoroscopy and all other intraprocedural imaging
       3.S350 and S351 are not eligible for payment in additional to any other angiography services
       4.Obtaining and interpreting any images in conjunction with S350 and S351 are not eligible for
         payment to any physician.

Master, record 5443. Record Layout PDF, page 1.

S35120260401999999990000700000000000000000000000000000000095760000000957600

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.