Summary & Overview
HCPCS G9962: Embolization Endpoints and Ovarian Artery Angiography
HCPCS Level II code G9962 captures documentation that embolization endpoints are specified for each embolized vessel and that ovarian artery angiography or embolization was performed in the presence of variant uterine artery anatomy. The code applies to targeted pelvic or uterine embolization procedures typically performed in hospital outpatient interventional radiology suites or ambulatory surgical centers. Nationally, clear documentation of vessel-specific endpoints and management of variant uterine arterial anatomy is important for clinical communication, coding accuracy, and claims adjudication in vascular and gynecologic interventional services. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the code’s clinical intent, expected service setting, commonly reported modifiers, and where available, payer coverage considerations and coding practice notes. The publication outlines how G9962 is used alongside procedural embolization reports to indicate additional angiographic or embolization work directed at ovarian arteries when uterine arterial variants are encountered. Data not available in the input is noted where applicable, including associated taxonomies, ICD-10 diagnoses, and related codes. This summary provides clinicians, coders, and policy analysts a concise reference for understanding the clinical context and administrative use of HCPCS Level II code G9962 at a national level.
Billing Code Overview
HCPCS Level II code G9962 documents that embolization endpoints are recorded separately for each embolized vessel and that ovarian artery angiography or embolization is performed when variant uterine artery anatomy is present. This code describes services tied to targeted embolization during pelvic/uterine vascular interventions.
Service Type: Angiographic embolization and vessel-specific documentation
Typical Site of Service: Hospital outpatient interventional radiology suites or ambulatory surgical centers performing pelvic/uterine embolization procedures
Clinical & Coding Specifications
Clinical Context
A 38-year-old woman with symptomatic uterine fibroids presents with heavy menstrual bleeding and pelvic pressure despite medical therapy. The interventional radiology team schedules uterine artery embolization (UAE). During the procedure, angiography demonstrates variant uterine arterial anatomy with collateral supply from the ovarian artery. Embolization is performed selectively on both uterine arteries and the ipsilateral ovarian artery. Embolization endpoints are documented separately for each embolized vessel, including vessel occlusion level, flow stasis, and presence of collateral flow. Typical workflow includes pre-procedure consent and imaging review, arterial access (typically common femoral or radial), selective catheterization and angiography of the uterine arteries and ovarian artery when variant anatomy is present, delivery of embolic material, attainment and documentation of embolization endpoints for each vessel, hemostasis and recovery. Typical site of service is an outpatient interventional radiology suite, ambulatory surgery center, or hospital outpatient department depending on patient comorbidities and payer requirements.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when work required is substantially greater than usual (e.g., complex anatomy requiring prolonged embolization and additional vessels such as ovarian artery). |