Radiology Billing Services That Keep Up With the Speed of Your Practice
Radiology generates some of the highest claim volumes in any medical specialty, and the margin for billing error is thin. Between technical and professional component splits, constantly evolving payer rules, and rising prior authorization demands, accurate radiology billing requires people who know the specialty inside out. That is what Theiatrics brings to your practice every day.
TC/PC Split Billing Mastery
We apply the correct modifiers for technical and professional components based on your practice setting and payer contracts.
Interventional Radiology Coding
From catheter placements to image-guided biopsies, our coders understand the full range of interventional procedure codes and global period rules.
High-Volume Claim Processing
Our workflow is built for the pace of radiology. Claims are entered and submitted within 24 hours, keeping your cash flow consistent.
Prior Authorization Management
We proactively handle authorizations for MRI, CT, PET, and other studies that require payer approval before the study is performed.
Other Service
Optimize Operations for Maximum Efficiency
Contact us to explore how our consulting can position your business as a frontrunner.
Why Radiology Billing Demands a Specialist
Radiology practices process a larger volume of claims per day than most other specialties. A busy group might bill hundreds of imaging studies in a single shift, each with its own CPT code, ICD-10 linkage, modifier, and payer-specific rule. At that volume, even a small error rate compounds quickly into significant revenue loss.
What makes radiology billing particularly demanding is the technical and professional component distinction. Depending on whether your group owns the imaging equipment, reads remotely, or works within a hospital system, the billing model changes entirely. Getting the TC/PC split wrong, or missing the global billing opportunity when it applies, directly hits your bottom line.
Interventional radiology adds another layer of complexity, with procedure-specific coding, surgical global periods, and documentation requirements that differ significantly from diagnostic imaging. Theiatrics has dedicated radiology billing teams that handle all of this accurately, at scale, and on time so your group gets paid for everything it does.
Radiology Billing Across Every Modality
MRI Billing
Brain, spine, extremity, cardiac, and whole-body MRI studies, with and without contrast, billed using the correct CPT from the 70000 and 73000 series with proper TC/PC handling.
CT Scan Billing
Head, chest, abdomen, pelvis, and CTA studies coded from the 70000-74000 series. We handle contrast variant selection and bundling rules that frequently cause denials.
X-Ray and Fluoroscopy
Plain film radiographs, fluoroscopic procedures, and contrast studies including barium studies and IVP coded accurately from the 70000-76000 range.
Ultrasound Billing
Abdominal, pelvic, obstetric, vascular, and musculoskeletal ultrasound, including Doppler studies. We apply the correct codes from the 76000-76999 series and manage laterality modifiers.
Nuclear Medicine and PET
PET and PET-CT scans, bone scans, thyroid scans, and SPECT studies coded from the 78000 series with appropriate radiopharmaceutical billing where applicable.
Interventional Radiology
Catheter placements, angiography, embolization, biopsies, drainages, and ablations billed with full surgical coding, global period management, and facility versus professional fee distinction.
Billing Challenges Radiology Groups Face Every Day
TC/PC Component Errors
Applying the wrong modifier for the technical or professional component is one of the most common and costly radiology billing mistakes. It can result in double payment requests, claim rejections, or significant underpayments depending on how your group is structured and where studies are performed.
Prior Authorization Denials
Payers increasingly require prior authorization for advanced imaging like MRI and PET scans. Studies performed without valid authorization are denied outright and rarely reversed on appeal. Managing this proactively is essential to protecting revenue in a high-volume radiology practice.
Medical Necessity Documentation Gaps
Payers deny radiology claims when the ordering physician’s documentation does not clearly support the medical necessity for the study. Without a process to identify and request better documentation before submission, these denials pile up and slow down collections significantly.
Rapid Code Updates and Bundling Edits
CMS updates radiology CPT codes frequently, and payer bundling rules through the National Correct Coding Initiative (NCCI) change regularly. Practices without a dedicated billing partner often find themselves submitting under-outdated code combinations that trigger automatic rejections.
High Volume Leading to Backlogs
Radiology generates more claims per day than almost any other specialty. When an in-house billing team cannot keep pace, a backlog builds quickly. Aged claims have lower collection rates, and some payers enforce timely filing limits that make certain claims uncollectable after a set period.
Hospital vs. Independent Billing Complexity
Radiologists working within hospital systems often have different billing arrangements than those in independent outpatient groups. Managing professional fee billing separately from facility billing, while staying aligned with hospital contracts, requires careful coordination that many billing teams are not equipped to handle.
Our Radiology Billing Services, Start to Finish
Diagnostic Radiology CPT Coding
Our certified radiology coders review every imaging report and apply the correct CPT code, ICD-10 diagnosis linkage, and modifier. We handle all modalities from plain film X-rays to complex multi-phase CT studies, applying payer-specific rules that affect how each study must be coded.
Technical and Professional Component Billing
We determine the correct billing model for each study based on your group's ownership structure, practice setting, and payer contracts. Whether it is global billing, TC-only, or PC-only with modifier 26, we apply the right approach consistently so claims are never rejected for modifier errors.
Prior Authorization and Eligibility Verification
We verify patient insurance coverage and proactively obtain prior authorizations for imaging studies that payers require approval for. Our team tracks authorization statuses, follows up on pending requests, and alerts your scheduling team when a study cannot proceed without approval in place.
Interventional Radiology Billing
Interventional radiology procedures require surgical-level coding knowledge combined with radiology expertise. We handle catheter placement hierarchies, imaging guidance codes, add-on codes, global period management, and the facility versus professional billing distinction for every IR procedure your group performs.
Claim Submission and Scrubbing
Every claim passes through a multi-point review before it reaches the payer. We check for coding accuracy, modifier placement, diagnosis-to-procedure linkage, and payer-specific formatting requirements. Claims are submitted electronically within 24 hours of charge entry, keeping your revenue cycle moving at the pace your volume demands.
Denial Management and Appeals
Radiology denials often involve medical necessity disputes, authorization failures, or coding disagreements. Our team investigates each denial, prepares appeals with supporting clinical documentation from the ordering provider's record, and resubmits with the information payers need to reverse their decisions. We track every appeal to resolution.
AR Follow-Up and Collections
Our accounts receivable team works aging claims on a structured timeline, following up with payers and escalating when necessary. High-dollar claims for interventional procedures and advanced imaging receive priority attention so they do not sit unpaid in the AR queue while your team focuses elsewhere.
Radiology Provider Credentialing
New radiologists and teleradiology providers need to be credentialed with payers before they can bill independently. Theiatrics manages the complete credentialing and re-credentialing process, keeping providers on schedule and ensuring there are no gaps in billing coverage when staff changes occur.
What Makes Our Radiology Billing Services Different
Radiology-Dedicated Billing Team
Your account is assigned to billers and coders who work exclusively on radiology accounts, not shared generalist staff who rotate between specialties.
Built for High Volume
Our workflow is structured to handle the rapid daily claim volume typical in radiology groups without creating backlogs or processing delays.
Seamless EHR and RIS Integration
We integrate with your existing radiology information system and practice management software so there is no workflow disruption during onboarding.
NCCI and Payer Policy Compliance
We stay current on NCCI bundling edits and payer policy updates so your claims are always submitted with correct code combinations and modifier logic.
Transparent Performance Reporting
Monthly reporting gives you a clear view of collection rates, denial trends by payer and modality, and outstanding AR so you are never guessing about your financial performance.
Performance Benchmarks
“Our group was losing revenue on TC/PC errors we did not even know we were making. Theiatrics identified the problem in the first audit and fixed it within the first billing cycle. The difference in our monthly collections was immediate.”
Dr. Patricia Lim, Radiologist, Houston, TXCommon Radiology CPT Codes We Manage
| CPT Code |
Description | Modality | Billing Notes |
|---|---|---|---|
| 70553 | MRI brain with and without contrast | MRI | Prior auth required by most commercial payers. TC and PC billed separately in outpatient settings; global in most hospital-owned systems. |
| 71046 | Radiologic exam, chest, 2 views | X-RAY | Frequently billed globally in outpatient settings. Modifier 26 required for radiologist interpretation only when equipment is hospital-owned. |
| 74177 | CT abdomen and pelvis with contrast | CT | 74177 replaces separately coded 74160 and 72193. Bundled billing rules apply. Contrast administration coded separately when applicable. |
| 76700 | Ultrasound, abdominal, complete | ULTRASOUND | Must document organs surveyed to support complete vs. limited (76705). Doppler studies billed separately with 93975/93976 if performed. |
| 77067 | Screening mammography, bilateral | MAMMOGRAPHY | Preventive code; different from diagnostic mammography (77065/77066). Payer coverage and patient cost-sharing rules vary significantly. |
| 78816 | PET/CT imaging, skull base to mid-thigh | NUCLEAR MEDICINE | Prior auth almost universally required. Radiopharmaceutical agent billed separately using appropriate HCPCS code. Oncology ICD-10 linkage critical. |
| 36247 | Selective catheter placement, arterial, third order | INTERVENTIONAL | 90-day global period. Imaging guidance (75710 or similar) billed separately. Hierarchy of catheter placement codes must be understood to avoid undercoding. |
| 75571 | CT heart, without contrast, coronary calcium scoring | CARDIAC CT | Often self-pay or limited insurance coverage. Payer coverage varies widely; eligibility verification before the study prevents billing surprises. |
| 19081 | Biopsy of breast, with imaging guidance (stereotactic) | BREAST IMAGING | Guidance and biopsy included in one code. Pathology billed separately by lab. Prior auth increasingly required by commercial payers for breast biopsies. |
| 77080 | Dual-energy X-ray absorptiometry (DEXA), bone density, axial | DEXA | Coverage criteria for frequency and clinical indication are strict. Documentation of osteoporosis risk or established diagnosis must be present in the order. |
Ready to Strengthen Your Radiology Revenue Cycle?
Start with a free audit of your current billing performance. We will show you exactly where your radiology group is losing revenue and what we can do to fix it.
Schedule My Free Audit →Answers to What Radiology Billing Providers Ask Us Most
The questions radiology practice administrators and group managers ask us most often before deciding to work with Theiatrics.
Find Lost Revenue Before Claims Are Filed
We review recent encounters, identify missed or undercoded charges, and show exact revenue impact — before you commit to anything.
90 days of encounters reviewed
Codes matched with documentation
Exact dollar value identified
From certified specialists
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