Reimbursement pathways, payment limitations, and financial considerations for VIR practices
By Elina Sabilova, Billing Department, WCH
Every interventional radiology group has had some version of the same conversation. A vendor demonstrates an AI tool, the images look impressive, and someone eventually asks the question that matters to the practice: Who pays for it?
The answer depends on what the technology does, where it is used, how the service is coded, and whether a specific payment pathway applies. An AI tool may support image interpretation, quantify anatomy, assist with procedural planning, or generate a clinical recommendation. Those functions do not automatically create a separately billable service.
For vascular and interventional radiology (VIR) practices, the challenge is to distinguish clinical utility from reimbursable work. Understanding that distinction before purchasing or deploying a tool can help practices avoid unsupported claims, unexpected costs, and compliance risk.
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