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Radiology header art
99%
Radiology

Diagnostic imaging and radiology billing for all modalities.

Specialty highlight

99%

Built around payer rules, documentation requirements, and coding nuances.

Imaging Coding Accuracy

99%

Clean Claim Rate

97%

Overview

Billing in Radiology

A practical view of what makes this specialty unique.

Radiology billing involves the separate coding and billing of the professional (physician interpretation) and technical (facility/equipment) components of diagnostic and interventional imaging studies. Our radiology billing service is designed to handle this distinction with precision. We ensure accurate coding for all modalities, from X-rays and ultrasounds to CT, MRI, and PET, and expertly manage the complex rules for billing the professional and technical components together or separately, maximizing your revenue and ensuring compliance.

Accurate coding for all diagnostic X-rays (70010-76499).

Standardized into our workflow to reduce rework and protect revenue.

Expertise in ultrasound coding (76506-76999) for all body regions.

Standardized into our workflow to reduce rework and protect revenue.

Management of CT (70450-70498, 71250-71275) and MRI (70336, 70540-70559) coding.

Standardized into our workflow to reduce rework and protect revenue.

Coding for mammography (77055-77067) and breast imaging.

Standardized into our workflow to reduce rework and protect revenue.

Challenges

What slows reimbursement

The common friction points that trigger delays, denials, and rework.

Key challenges
  • Accurately distinguishing and billing for the professional and technical components of imaging studies.
  • Managing the complex rules for billing global, professional-only, and technical-only claims.
  • Ensuring proper coding for a wide range of modalities (X-ray, US, CT, MRI, PET, Interventional).
  • Navigating payer-specific requirements for medical necessity (LCDs/NCDs).
  • Applying the appropriate modifiers for bilateral studies, reduced services, etc.
Our solutions
  • Certified radiology coders with deep expertise in all imaging modalities.
  • Precise coding for professional (26) and technical (TC) components.
  • Expertise in billing for all imaging studies, including plain film, ultrasound, CT, MRI, mammography, nuclear medicine, and interventional radiology.
  • Meticulous application of modifiers for bilateral procedures (-50), reduced services (-52), and professional components (-26).
  • Proactive compliance with local and national coverage determinations (LCDs/NCDs) for imaging.
  • Detailed support for coding interventional radiology procedures, which often combine imaging and surgery.
Features

Operational features that keep claims clean

Repeatable checks, payer alignment, and tight charge capture.

Accurate coding for all diagnostic X-rays (70010-76499).

Included to improve first-pass acceptance and reduce downstream edits.

Expertise in ultrasound coding (76506-76999) for all body regions.

Included to improve first-pass acceptance and reduce downstream edits.

Management of CT (70450-70498, 71250-71275) and MRI (70336, 70540-70559) coding.

Included to improve first-pass acceptance and reduce downstream edits.

Coding for mammography (77055-77067) and breast imaging.

Included to improve first-pass acceptance and reduce downstream edits.

Support for interventional radiology coding (e.g., 75894, 75898, 37220-37239).

Included to improve first-pass acceptance and reduce downstream edits.

Coding

Coding complexities we watch closely

Modifier usage, documentation rules, and specialty-specific payer edits.

Complexity checklist
  • Applying modifier -26 (Professional Component) when billing only the interpretation.
  • Applying modifier -TC (Technical Component) when billing only the facility/equipment portion.
  • Coding for a global service (both PC and TC) when you own the equipment and provide the interpretation.
  • Correct use of modifiers for contrast studies (e.g., with and without contrast).
Denial triggers

Missing or incorrect use of modifier -26 or -TC.

Billing for a service without meeting medical necessity criteria (LCD).

Incorrect coding for the anatomic region or view.

Billing for a bilateral study without modifier -50.

Coding for an interventional procedure without coding the imaging guidance.

Codes

Common codes (examples)

Reference-only examples to illustrate the typical coding landscape.

CPT

71045 (Chest X-ray), 74177 (CT Abdomen/Pelvis w/ contrast), 73721 (MRI Knee), 76641 (Breast Ultrasound), G0202 (Screening Mammo)

ICD-10

J18.9 (Pneumonia), R10.9 (Abdominal Pain), S83.2 (Meniscus Tear), R92.8 (Abnormal Mammogram), I70.209 (PAD)

FAQ

Frequently Asked Questions

Got questions? We've got answers

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