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Radiology Billing Services for Imaging Centers & Radiology Groups in the USA header image
99%

Radiology Billing Services for Imaging Centers & Radiology Groups in the USA

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

Radiology Billing Services for CT, MRI & Interventional Radiology Coding

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.

Professional & Technical Component Billing

Accurate modifier -26 and -TC application across all radiology modalities, ensuring correct professional component billing when radiologists interpret studies performed at external facilities or hospital-owned equipment.

CT, MRI & Advanced Imaging Billing

Precise coding for all advanced imaging studies including CT (70450-74178), MRI (70336-73723), PET (78814-78816), and nuclear medicine with correct contrast distinction, bilateral modifier application, and LCD compliance.

Mammography & Breast Imaging Billing

Accurate coding for screening and diagnostic mammography (77055-77067, G0202, G0204, G0206), breast ultrasound (76641-76642), MRI breast (77046-77049), and biopsy guidance with correct screening vs. diagnostic designation.

Interventional Radiology Billing

Expert coding for IR procedures combining diagnostic imaging and intervention — angiography, embolization (37241-37244), drainage catheter placement, and vertebroplasty — with correct component coding and imaging guidance billing.

Challenges

Radiology Billing Challenges That Reduce Imaging Revenue

Radiology billing is modifier-intensive and LCD-dependent. These are the most common billing errors our team eliminates for radiology practices and imaging centers.

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

How Our Radiology Billing Process Works From Image to Payment

Our radiology billing workflow manages every modality, every component distinction, and every LCD requirement that defines accurate medical imaging claim submission.

Diagnostic X-Ray Billing (70010-76499)

Accurate coding for all diagnostic X-rays from skull and spine series to extremity films, with correct view count documentation, -26/-TC modifier application, and radiologist interpretation billing.

Ultrasound Coding (76506-76999)

Expertise in ultrasound coding for all body regions including abdominal, pelvic, obstetric, vascular, and musculoskeletal ultrasound with correct complete vs. limited designation and Doppler add-on codes.

CT & MRI Advanced Imaging (70450-74178 / 70336-73723)

Management of CT and MRI coding with contrast distinction (without, with, without and with), correct bilateral code selection, imaging series documentation, and facility vs. professional component billing.

Mammography & Breast Imaging (77055-77067)

Coding for screening and diagnostic mammography, breast ultrasound (76641-76642), MRI breast (77046-77049), and biopsy guidance procedures with correct G-code use for Medicare screening mammography.

Interventional Radiology Billing (75894-37239)

Support for IR procedure coding combining diagnostic and therapeutic components — angiography, embolization, catheter placement, drainage, and vertebroplasty — with correct imaging guidance billing and bundling analysis.

Coding

Radiology Billing Modifiers & Coding Errors That Trigger Claim Denials

From TC/26 modifier application to contrast distinction coding for CT and MRI, these are the precision areas where radiology billing accuracy most directly determines your reimbursement.

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

Radiology CPT & ICD-10 Codes for Accurate Imaging Billing

Our radiology billing team is trained across the complete diagnostic and interventional radiology CPT and ICD-10 code sets for X-ray, ultrasound, CT, MRI, nuclear medicine, and mammography.

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

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