Radiology Billing That Pays What You Earn
Radiology billing requires precise professional vs. technical component splits, correct view-count coding for X-rays, and careful prior auth management for high-cost imaging. Radiologists billing only the professional component (interpretation) must append modifier -26 correctly or lose the entire claim. Meanwhile, imaging centers managing both components face bundling risks that cost practices daily. 360Solutions provides radiology billing specialists who handle professional, technical, and global billing across all modalities.
Where Radiology Practices Lose Revenue
These are the coding and billing pitfalls that cost radiology practices the most — and where our specialised billers add the most value.
Professional vs. Technical Split
Radiologists at hospital or independent imaging centers typically bill only the professional component (modifier -26). Billing globally when only the interpretation was performed — or missing -26 — results in claim rejection or overpayment audit.
X-Ray View Count Coding
Plain film X-ray codes (71045–71048 for chest; 73000–73140 for extremities) vary by view count. The number of views in the radiology report must match the billed code exactly. Over- or undercoding by even one view creates audit risk.
Prior Auth for Advanced Imaging
MRI, CT, PET, and nuclear medicine studies require prior auth from nearly all commercial payers. Failed auth is the top denial cause for radiology. We manage auth requests and track approvals for every scheduled study.
Contrast & Modality Coding
CT and MRI codes change based on whether contrast was administered (without, with, or with and without). Selecting the wrong contrast variation — or failing to match it to the radiology report — is among the top radiology coding errors.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Radiology.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
Modifier -26 omitted on professional-only interpretation claim
X-ray view count in claim does not match views documented in report
CT billed with contrast when report documents without-contrast protocol
Prior auth not obtained before scheduled MRI or PET scan
Duplicate claim submitted for both global and professional component
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Radiology Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in radiology coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Radiology Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified radiology billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.