Specialized billing for radiology practices and imaging centers — diagnostic imaging coding, interventional procedures, and TC/PC billing. Serving practices nationwide across the United States.
Get Free Practice Audit Contact UsComprehensive billing coverage for your specialty
Accurate coding for X-rays, CT scans, MRI, ultrasound, PET scans, mammography, and all diagnostic imaging modalities.
Billing for IR procedures including biopsies, drain placements, embolizations, angioplasty, and image-guided procedures.
Proper splitting of technical component and professional component billing for radiologist and facility claims.
Radiology denials for medical necessity and duplicate studies are appealed quickly with clinical justification.
Radiology practices generate hundreds of claims daily. Our systems process high volumes accurately and quickly.
Modality-level financial reporting showing collections, denial rates, and payer performance for your imaging center.
Radiology is billing at industrial scale: hundreds of studies a day, each a small claim, with profitability decided by capture rates and denial percentages rather than any single case. The structural quirk is the professional/technical split — who owns the equipment versus who reads the study — and the operational reality is that radiology denials are overwhelmingly data problems, not clinical ones.
Every imaging study has a technical component (the equipment, the tech, the images — modifier TC) and a professional component (the interpretation — modifier 26). Bill global only when your entity owns both. Hospital-based radiologists bill 26 on everything; imaging centers bill global; mixed arrangements vary by site and contract. Misconfigured component billing either double-bills (audit risk) or half-bills (silent revenue loss), and it's the first structural audit we run for radiology clients.
Radiology claims die on referring data: missing or invalid ordering provider NPIs, orders that don't support the study performed, and Medicare's requirement that the ordering provider be enrolled. These surface as CO-16 denials at volumes that overwhelm manual rework. We scrub ordering data against the PECOS enrollment file before submission — one edit that removes an entire denial category.
MRI, CT, PET, and nuclear studies sit behind prior authorization at nearly every commercial payer, and behind local coverage determinations at Medicare — where the diagnosis on the order must support the study. The imaging center often eats the denial for an auth the ordering office was supposed to obtain: verifying auth at scheduling, not discovery at denial, is the fix. Our CO-197 playbook covers recovery when it happens anyway.
With-and-without contrast studies, contrast material billing, 3D rendering add-ons, and multiple-procedure payment reductions across same-session studies all demand coding from the actual report — not the order. A CT ordered without contrast but performed with it bills what was performed and documented. At radiology volume, small systematic coding gaps compound: one missed add-on code across 40 daily studies is a serious annual number.
IR bills like surgery — procedure codes with bundled imaging guidance, supervision-and-interpretation rules, and NCCI edits dense enough to need specialist coders. Vascular access, embolizations, ablations, and drainages each carry their own bundling logic. Groups mixing diagnostic and interventional work need both competencies in their billing operation, because IR coded by diagnostic habits underbills dramatically.
The referring specialties behind most imaging volume, where professional and technical splits have to line up.
Diagnostic imaging and radiation oncology attach to every cancer episode, each coded separately.
Musculoskeletal imaging is high volume, and in-office equipment changes who owns the technical component.
Nuclear cardiology and cardiac CT need clean professional/technical splitting to avoid duplicate denials.
Neuroimaging carries the heaviest prior-authorization burden of any imaging category.
Obstetric ultrasound has its own coding family, frequency limits and documentation standards.
We bill all of these in house. If your group spans several of them, multi-specialty billing keeps one team across every line — or see the full list of services.
Get a free billing audit and see how much more your imaging center can collect.
Get Free Practice AuditFree resources: Denial Code Lookup | RVU Calculator | AR Days Calculator | Modifier 76 — repeat imaging, same day