Eligibility & Verification
Coverage checks before every visit.
Specialty Billing
Radiology Medical Billing
Radiology billing requires correct professional/technical component splitting at high volume, plus authorization for advanced imaging. We keep your imaging claims accurate and your prior auths in order.
The Challenge
Radiology billing, solved
We understand the billing complexities unique to radiology and build them into every claim.
- Professional vs. technical components
- High claim volume
- Prior auth for advanced imaging
What we focus on
- Modifier 26 / TC billing
- Imaging procedure coding
- Authorization management
Coding Focus
Radiology code sets we work in
The CPT/HCPCS procedure families and ICD-10 diagnosis groups our certified coders handle for this specialty every day.
Common CPT / procedure codes
- 70450–70498CT imaging of the head and neck
- 72141–72158MRI of the spinal regions
- 74176–74178Combined CT of abdomen and pelvis
- 76700–76776Diagnostic ultrasound of abdominal structures
ICD-10 diagnosis focus
- Symptom-based indications prompting imaging (R00–R99)
- Screening and preventive encounters (Z12 and related)
- Trauma and injury from external causes (S and T families)
- Suspected or confirmed neoplasms (C and D families)
Code references are shown as general identifiers for illustration. Actual code selection always follows current payer rules and your provider's documentation.
Clean Claims
Modifiers, denials & billing rules we manage
How our team keeps radiology claims compliant — the modifiers that matter, the denials we prevent, and the guidelines we follow.
Key modifiers
- 26
Bills only the radiologist's interpretation when the facility owns the equipment.
- TC
Bills only the technical component covering equipment, supplies, and staff.
- RT/LT
Identifies the imaged side on paired or extremity studies.
- 76
Reports a repeat study by the same physician on the same day.
Common denials & fixes
Advanced imaging performed without required prior authorization.
Verify and secure authorization for CT, MRI, and PET before the exam and store the reference number.
Professional and technical split billed incorrectly as a global service.
Apply the 26 or TC modifier based on setting and equipment ownership to match the actual work performed.
Ordering diagnosis does not support medical necessity for the study.
Confirm the referring order carries a specific, covered indication before the claim is submitted.
Duplicate billing when both facility and reading physician submit.
Coordinate global versus split billing so each party reports only its component once.
Billing guidelines
- Match the modifier 26 or TC choice to the place of service and equipment ownership.
- Capture and retain authorization numbers for all advanced imaging.
- Ensure the interpreting report supports the exact CPT reported.
- Link each study to a specific indication rather than a generic symptom.
End-to-End
What we handle for Radiology
A complete revenue cycle service tailored to your specialty.
Specialty Coding
Certified, specialty-trained coders.
Charge Entry & Claims
Clean, accurate claim submission.
Payment Posting
ERA/EOB posting and reconciliation.
Denial & AR Management
Appeals and aggressive AR recovery.
Reporting & Analytics
Real-time KPIs and insights.
98%
Clean claim rate
30%
Average revenue lift
24/7
Operations coverage
HIPAA
Compliant processes
FAQ
Radiology billing — FAQs
Yes — our certified coders are trained on specialty-specific rules, code sets, and payer policies, and we assign coders with experience in your specialty.
We work in your current practice management system and EHR, so your workflows and reporting stay intact while we handle the billing.
Through accurate specialty coding, front-end eligibility checks, clean claim submission, and relentless denial and AR follow-up — typically lifting first-pass acceptance and net collections.
Always. We use strict access controls, encryption, signed BAAs, and audit trails to protect patient data.
More Specialties
Other specialties we bill for
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