The first coding assistant built exclusively for IR — accurate CPT codes, correct bundling logic, and plain-language rationale applied to every case before it hits billing.
IR procedures involve dynamic catheter positioning, multiple imaging modalities, and complex component billing — none of which standard coding tools understand. The result is systematic revenue loss or audit exposure.
Undercoding
Coders miss add-on codes, miscount catheter-order upgrades, or drop imaging supervision fees. A single missed 36247 on a Y90 costs ~$700 per case.
Overcoding
Billing unbundled codes that should be included, or claiming guidance fees that CCI edits disallow. IR is a top Medicare audit target for exactly these errors.
truvur
Reads the procedure, applies bundling logic, flags compliance risks, and delivers a complete annotated code sheet — in under 10 seconds.
Typical uplift from correcting systematic undercoding in mid-volume IR practices.
Vascular, embolization, ablation, drainage, biopsy, venous, and access — with full CCI edit logic.
From procedure entry to annotated, billable CPT sheet — no back-and-forth, no lookup tables.
Procedure descriptions only. No patient identifiers required — compliant by architecture.
wRVU values from CMS MPFS CY 2026 Final Rule. Revenue estimates based on CY 2026 national conversion factor ($33.29). Individual results vary by payer mix, procedure volume, and prior coding accuracy.
Each step is deterministic — built on published CPT and CCI rule tables, not pattern-matched against training data. The model assists with parsing; the rules engine does the coding.
For a case still on the table, form mode collects only what the engine needs — procedure type, access, catheter order, imaging guidance, add-ons. For finished cases, paste the de-identified operative note.
A regex-and-NER pre-flight runs on every dictation before anything reaches the engine. Names, dates of birth, MRNs, and SSNs are flagged and blocked. The commitment: nothing identifying ever touches a language model.
Structured intent — vessels accessed, catheter order, imaging guidance, add-ons — is extracted, then walked through a deterministic decision graph built from CPT 2026, NCCI v32.0, and MUE tables. Every billed code traces back to a rule.
Output you can hand to a coder, billing team, or RVU report. Every line carries its CPT descriptor, NCCI status, wRVU value, and a single-sentence rationale. Bundled steps are listed separately so nothing is lost to silence.
Revenue
Catheter upgrades, imaging supervision fees, add-on modifiers — truvur finds every billable component based on what actually happened in the case.
Compliance
CCI edits, mutually exclusive code pairs, and Medicare audit patterns are applied automatically. Every output includes a compliance summary.
Efficiency
Eliminates manual code lookup and post-case billing lag. Physicians submit cleaner notes; coders spend less time on IR exceptions.
Rationale
Each code comes with a one-sentence justification — what it is, why it applies, and when it doesn't. Speeds payer appeals and supports coder education.
IR-specific
Selective, non-selective, 1st/2nd/3rd order — truvur applies the correct hierarchy, doesn't double-count, and handles bilateral access correctly.
Privacy
Procedure descriptions only. No patient names, DOBs, or identifiers are ever input or stored. Compliant with institutional data governance policies.
From routine biopsies to complex embolizations and Y90 radioembolization — truvur covers the breadth of interventional radiology practice with CY 2026 CPT codes and wRVU values.
Embolization
Y90 Radioembolization
Lobar and selective delivery, catheter hierarchy, sedation, 3D post-processing.
Embolization
Uterine Fibroid Embolization
Bilateral UAE with prior imaging flag, bilateral catheter logic, diagnostic angio decision.
Ablation
Microwave Ablation — Liver
CT- or CBCT-guided, single or multiple lesions, biopsy add-on, sedation billing.
Ablation
Cryoablation — Renal
US- or CT-guided percutaneous renal cryo with imaging supervision fees.
Biopsy
CT-Guided Liver Biopsy
Core needle vs. FNA decision, CT guidance fee, bundling with concurrent drainage.
Biopsy
US-Guided Soft Tissue Biopsy
Image-guided core needle biopsy with US supervision; site-specific code selection.
Drainage
Abscess / Fluid Drainage
Initial vs. subsequent, catheter vs. aspiration, imaging guidance bundling rules.
Vascular access
Tunneled Dialysis Catheter
Fluoroscopic guidance, venography, line placement distinction by vein and tip position.
Venous
IVC Filter Placement
Retrieval vs. permanent, inferior vena cavagram, access catheter billing.
+ Chemoembolization (TACE) · Portal vein embolization · TIPS · Venoplasty · Vertebroplasty · Nephrostomy · Biliary drainage · and more
Every code truvur produces includes a plain-language justification. When payers audit or question a claim, your billing team has the documentation to support it.
Catheter advanced to a 3rd-order vessel originating from the aorta. Upgrade from 36246 (2nd order) is appropriate when selective catheterization of a 3rd-order branch is documented and clinically necessary for procedure delivery. Code is not separately reportable if vessel is a direct continuation of a previously catheterized 2nd-order vessel.
Bundling flag
Moderate sedation (99152) is reportable only when the performing physician personally provides it. If a separate anesthesia provider administered sedation, the proceduralist should not report it — verify before submitting.
No one ever taught me how the procedure I just performed turns into a bill — no physician is. We learn the medicine; the coding is a separate language nobody translates for us. truvur is that translation — so the work you actually did is the work that gets paid.
Kevin Koo, MD · Founder, truvurEnter your email and we'll schedule a 20-minute walkthrough on a procedure from your practice — so you can see exactly what your team has been leaving on the table.