Radiology Billing Services
Radiology billing splits every procedure into two components: the technical component for running the equipment and the professional component for reading the images. Get the split wrong and you either double-bill (triggering an audit) or under-bill (losing half the reimbursement). This TC/26 distinction is the foundation of radiology billing, and most general billers get it wrong.
We work with independent radiology groups, hospital-based radiologists, and imaging centers. We understand the difference between diagnostic and interventional radiology coding, how to handle contrast vs. non-contrast studies, and when a radiologist’s read qualifies as a separate billable service.
Radiology billing at a glance
Common radiology procedures we bill daily.
Diagnostic Imaging
Interventional Radiology
Nuclear Medicine
Radiology billing challenges we solve every day.
Radiology is one of the most complex specialties to bill. High-value procedures, strict documentation requirements, and frequent payer policy changes mean even experienced in-house billers miss revenue. For coding standards, see the American College of Radiology.
TC/26 split billing
Every radiology procedure has a technical component (TC) and professional component (26). Independent radiology groups typically bill the professional component only. Imaging centers bill the technical component. Practices that own their equipment bill the global service. Applying the wrong modifier means getting paid for half the work or triggering a duplicate claim rejection.
Bundling with surgical procedures
Intraoperative imaging is frequently bundled with the surgical procedure by CCI edits. Fluoroscopy during orthopedic surgery, CT guidance during biopsies, and ultrasound during vascular access all have specific bundling rules. We know which imaging services are separately reportable and when modifier 59 or XE/XS applies.
Contrast administration coding
Studies performed with and without contrast have different CPT codes than those with contrast alone or without contrast. Selecting the wrong code based on the contrast protocol directly affects reimbursement. We verify the contrast administration against the radiology report before coding.
Multiple procedure reductions
Medicare applies a Multiple Procedure Payment Reduction (MPPR) to the professional component of certain imaging studies when multiple procedures are performed in the same session. The reduction applies to the second and subsequent studies. We sequence claims to minimize the financial impact.
Full-service radiology billing across your revenue cycle.
Simple, transparent radiology billing pricing.
We also bill for these specialties.
Ready to fix your radiology billing?
Schedule a free consultation. We’ll review your current billing performance, identify where you’re losing revenue, and build a plan to get your radiology practice paid faster.
