+1 888 701 6090

Radiology Billing Services

Radiology billing involves high-volume with complex technical/professional component splits, contrast rules, and interventional radiology coding that requires precision.

AAPC Certified
HIPAA Compliant
All 50 States
Starting at 2.49%
Get Your Free QuoteCall 888-701-6090
HIPAA Compliant
AAPC Certified
4.9/5 Rating
300+ Practices
71046Chest X-ray
74177CT Abdomen
70553Brain MRI
76700Abdominal US

Why Radiology Billing Requires Specialty Expertise

Radiology coding requires understanding of professional (mod 26) vs technical (mod TC) component billing, contrast administration rules (with/without/both), and the complex coding for interventional radiology procedures.

Common Radiology CPT Codes

Our coders handle these radiology codes daily. This is not an exhaustive list.

Code
Description
71046
Chest X-ray
74177
CT Abdomen
70553
Brain MRI
76700
Abdominal US

Radiology Billing Challenges We Solve

Common billing problems in radiology and how our team handles them.

Component Billing

26/TC splits must match the service your practice actually provides.

Contrast Rules

With contrast, without contrast, and with+without have different codes and rates.

Interventional Radiology

IR procedures combine surgical and imaging codes with specific supervision requirements.

Prior Auth Volume

Advanced imaging (MRI, CT, PET) requires authorization from most payers.

Common Radiology Denial Reasons

We prevent these before submission and appeal aggressively when they occur.

!
26/TC splits must match the service your practice actually provides
!
With contrast, without contrast, and with+without have different codes and rates
!
IR procedures combine surgical and imaging codes with specific supervision requirements
!
Advanced imaging (MRI, CT, PET) requires authorization from most payers

Revenue Opportunities Most Radiology Practices Miss

Radiology practices lose revenue primarily through incorrect component billing and missed contrast variants. The professional (26) vs technical (TC) vs global split must match the actual service provided. Billing the global code when only providing the professional component triggers recoupment. Conversely, billing only mod 26 when you provide both components leaves the TC revenue on the table. Contrast coding errors are the second major revenue leak. A CT abdomen without contrast (74150) reimburses less than with contrast (74160), which reimburses less than without-then-with (74178). When the study includes contrast, ensure the correct variant is coded. This difference can be $100 to $200 per study.

Payer-Specific Radiology Billing Tips

Advanced imaging (MRI, CT, PET) requires prior authorization from virtually all commercial payers. Most payers route authorization through radiology benefit managers (RBMs): EviCore, AIM Specialty Health, or NIA Magellan. Each RBM has its own clinical criteria and portal. We submit to the correct RBM for each payer. Medicare does not require prior auth for most imaging but has Appropriate Use Criteria (AUC) requirements for advanced imaging ordered by referring physicians. The ordering physician must consult a qualified clinical decision support mechanism (CDSM) before ordering. Non-compliance may affect payment in future years.

Radiology Billing Best Practices

Practical tips from our coding team to maximize reimbursement and minimize denials.

1
Apply modifier 26 (professional component) when your radiologist reads but doesn't own the equipment. Apply TC (technical component) when you own the equipment but an outside radiologist reads. Bill the global code when you provide both.
2
For studies with contrast, verify the correct code variant: without contrast, with contrast, and without-then-with contrast each have separate CPT codes with different reimbursement.
3
MRI and CT prior authorization should be submitted with clinical indication, relevant prior imaging results, and documented conservative treatment (for MSK imaging) to maximize approval rates.
4
Interventional radiology procedures require both the imaging guidance code and the surgical procedure code — ensure both are captured for every IR case.

Get Expert Radiology Billing Support

Free billing assessment for your radiology practice. See where revenue is leaking.

98%+ clean claim rate
2.49% starting rate
Results in 30 days

Fill in your details and we'll call you back

Or call directly:888-701-6090

What We Handle for Radiology Practices

Diagnostic radiology coding (X-ray, CT, MRI, US)
Professional/technical component billing
Interventional radiology coding
Contrast protocol coding
Prior authorization for advanced imaging
Multi-modality practice billing

Why Choose Go Medical Billing for Radiology

Our radiology coders handle the full spectrum from plain films to interventional procedures, with correct component billing and contrast coding.

We serve radiology practices in all 50 states, starting at 2.49% of collections. Our credentialing team handles payer enrollment, and our A/R specialists recover aging claims.

Radiology Billing by State

We handle radiology billing in all 50 states. Select your state for location-specific payer details, Medicaid rules, and Medicare MAC policies.

CaliforniaTexasFloridaNew YorkPennsylvaniaIllinoisOhioGeorgiaNorth CarolinaMichiganNew JerseyVirginiaMassachusettsArizonaTennesseeMarylandIndianaMissouriWisconsinColorado
View all 50 states

Related Resources

Medical Billing & Coding ServicesA/R Recovery ServicesCredentialing & ContractingCase Studies & ResultsPricing

Frequently Asked Questions

We apply mod 26 or TC correctly based on your practice's service model, whether you read in-house, outsource reads, or operate a technical-only facility.
Yes. We handle authorization for CT, MRI, PET, and other advanced imaging across all payers.

Get Expert Radiology Billing Support

Stop losing revenue to radiology coding errors and preventable denials. Call 888-701-6090 for a free billing assessment.

Schedule a Free ConsultationCall 888-701-6090