Radiology Medical Billing Services

Radiology billing is one of the most complex areas of medical billing because it involves both specialized technology and physician expertise. Claims must account for the technical component (use of imaging equipment and staff) and the professional component (the radiologist’s interpretation), making accuracy critical. With constant changes to CPT®, ICD-10 codes, prior authorization rules, and payer policies, even small mistakes can result in denials and lost revenue.

At MZ Medical Billing, we help radiology practices manage these challenges with expert coding, modifier accuracy, denial prevention, and compliance-focused billing solutions designed to maximize reimbursements and protect revenue.

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Radiology Billing Services to Maximize Your Revenue

Radiology billing is uniquely complex because it involves both advanced technology and specialized physician expertise.

Payments are influenced by Medicare and commercial payer rules, compliance requirements, and frequent coding updates. Radiology claims are divided into the technical component (use of imaging equipment, supplies, and staff) and the professional component (the radiologist’s interpretation and report). Proper use of modifiers 26 and TC is critical to secure accurate reimbursement.

In addition, radiology practices face prior authorization requirements for advanced imaging, strict documentation rules, and constant updates to CPT®, ICD-10, and HCPCS codes.

Interventional radiology adds another layer of complexity with bundling rules, multiple CPT codes per procedure, and highly detailed coding guidelines. Errors, such as failing to separate technical and professional billing, missing laterality or contrast documentation, or improper modifier use, can lead to claim denials, compliance risks, and lost revenue.

With Medicare fee schedule cuts, rising practice costs, and value-based care reporting requirements (such as MIPS), the financial pressures on radiology groups are greater than ever.

That’s where MZ Medical Billing helps radiology practices stay profitable. Our team of certified billers and coders specializes in radiology billing and understands the unique requirements of both diagnostic and interventional radiology. We handle everything from:

Accurate coding with current CPT®, ICD-10, and HCPCS updates
Modifier management for professional and technical components
Prior authorization and payer-specific requirements
Denial management and appeals for imaging services
Compliance with Medicare, Medicaid, and commercial payer rules
Revenue cycle optimization to reduce days in A/R and increase reimbursements

MZ Medical Billing works as a true partner to radiology practices, helping them improve collections, reduce compliance risks, and protect revenue streams in an increasingly complex healthcare environment.

Applying Best Practices for Radiology Billing

Our team of certified billers and coders understands the unique requirements of radiology billing. We focus on creating a clean-claim process that reduces denials, improves reimbursements, and keeps your practice compliant.

Radiology relies on advanced technology, which makes accurate coding and compliance essential. We apply the correct CPT® and ICD-10-CM codes, use modifiers 26 (professional component) and TC (technical component) where required, and manage prior authorization requirements for advanced imaging services. Our specialists also account for NCCI edits (to avoid unallowable code combinations) and MPPR rules (which affect payment when multiple imaging services are performed). Even when handling claims with only a rule-out diagnosis, our team ensures they are billed properly for quicker reimbursement.

Our expertise in Radiology Billing covers:

Diagnostic Radiology – X-ray, Fluoroscopy, Mammography, Ultrasound, CT, MRI, MRA, PET
Therapeutic Radiology – Radiation Oncology and Nuclear Medicine
Interventional Radiology – Complex vascular and non-vascular procedures with multi-code requirements

By combining deep knowledge of radiology coding with payer compliance expertise, we help practices maximize reimbursements while minimizing denials.

Our Radiology Billing Services

MZ Billing’s Radiology Billing Services help radiologists manage billing and collections with accuracy and ease. With 24/7 access to financial reporting, electronic claim submission, and compliance-focused support, we simplify revenue management while keeping your practice profitable.

Medical Billing Services

We manage the full billing cycle for radiology practices, submitting accurate, timely claims to secure prompt reimbursements.

Medical Coding Services

Our certified coders apply the correct CPT® and ICD-10-CM codes for radiology services and use modifiers 26 (professional) and TC (technical) where required to prevent denials.

Provider Credentialing Services

We handle payer credentialing so radiologists can expand their insurance networks and reach more patients.

Practice Audit Services

Our audits detect billing errors, ensure compliance with Medicare and payer rules (NCCI edits, MPPR), and strengthen your revenue process.

Revenue Cycle Management (RCM)

We oversee the revenue cycle end-to-end, improving collections, reducing A/R days, and ensuring steady cash flow.

Insurance Verification Services

We confirm patient eligibility and benefits upfront, preventing delays and unexpected claim denials.

Prior Authorization Services

We manage prior authorizations for advanced imaging (MRI, CT, PET, nuclear medicine), reducing delays and payer pushback.

Denial Management

Our specialists track, correct, and resubmit denied claims to recover revenue efficiently.

Payment Posting

We record payments with precision, ensuring accurate reconciliation and financial transparency.

Accounts Receivable (AR) Recovery

Our AR recovery team pursues unpaid claims to improve collections and strengthen your practice’s financial health.

Telehealth Billing

We manage compliant billing for radiology consultations delivered via telehealth, ensuring accurate reimbursement.

Healthcare Digital Marketing & SEO

Beyond billing, we help radiology practices build visibility online with targeted SEO and digital marketing to attract more patients.

Radiology Medical Billing Step by Step

Pre-Authorization and Insurance Eligibility Verification

MZ Medical Billing verifies patient insurance coverage and obtains pre-authorizations for advanced imaging procedures such as MRI, CT, PET, and nuclear medicine. Our team ensures medical necessity documentation is in place and confirms patient benefits, deductibles, and co-pays upfront to avoid claim denials and unexpected balances.

Rendering Services and Capturing Charges

When radiologists perform procedures, we guide providers on the required clinical documentation, including contrast use, body part imaged, and clinical justification. This allows our billing team to capture every charge accurately, especially for interventional radiology, where multiple CPT® codes and bundling rules apply.

Claims Submission

Our certified coders apply the correct CPT® and ICD-10-CM codes, along with modifiers 26 (professional component) and TC (technical component) where required. We also ensure claims comply with Medicare NCCI edits and MPPR (Multiple Procedure Payment Reduction) rules. Claims are submitted promptly to meet payer deadlines and prevent loss of coverage.

Payment Posting and Patient Billing

We track payments from insurance carriers, post them accurately to your accounts, and generate clear patient statements for any remaining balances. Our team follows up on patient responsibility to keep cash flow steady and collections efficient.

Denial Management and Appeals

If a claim is denied or underpaid, MZ Medical Billing investigates the reason, corrects errors, and resubmits or appeals as needed. Since many denials in radiology stem from authorization gaps, incomplete documentation, or modifier errors, our proactive approach minimizes revenue leakage.

Data Reporting and Compliance

We provide detailed reporting on claims, payments, denials, and payer trends. This not only helps radiology practices track financial performance but also ensures compliance with Medicare and commercial payer regulations, keeping your practice audit-ready.

Radiology CPT® Code Ranges

Radiology billing depends on precise use of CPT® codes to classify imaging and treatment procedures. The American Medical Association (AMA) assigns codes in the 70010–79999 range specifically for radiology, covering everything from diagnostic X-rays and ultrasounds to radiation oncology and nuclear medicine. Below is a breakdown of the major CPT® code sections used in radiology billing.

Code Range	Category
70010 – 79999	Radiology Procedures
70010 – 76499	Diagnostic Radiology (Diagnostic Imaging)
76506 – 76999	Diagnostic Radiology (Ultrasound)
77001 – 77092	Radiologic Guidance & Breast/Bone Studies
77046 – 77067	Breast Imaging & Mammography
77261 – 77799	Radiation Oncology Treatment
78012 – 79999	Nuclear Medicine Procedures

Common Radiology Modifiers

Modifiers provide additional details about radiology procedures, such as whether a service was professional or technical, repeated, or performed on a specific side of the body. Correct use of modifiers is critical in radiology billing to ensure compliance, prevent denials, and capture the full reimbursement for both the physician’s interpretation and the technical component of imaging services.

Modifier	Description
Modifier –26	Professional Component (only the physician’s interpretation/report)
Modifier –TC	Technical Component (equipment, supplies, staff, etc.)
Modifier –50	Bilateral Procedure
Modifier –76	Repeat Procedure by Same Physician
Modifier –77	Repeat Procedure by Another Physician
Modifier –52	Reduced Services
Modifier –53	Discontinued Procedure
Modifier –53	Discontinued Procedure
Modifier –59	Distinct Procedural Service
Modifier –RT	Right Side
Modifier –22	Increased Procedural Services

Why Outsource Your Radiology Billing Services to MZ Medical Billing

At MZ Medical Billing, we specialize in radiology revenue cycle management, combining compliance, technology, and expertise to maximize reimbursements while minimizing administrative burdens.

90%+ clean claim rate and faster reimbursements with payer-specific coding expertise
24/7 radiology billing services with certified CPB & CPC coders trained in CPT® 70010–79999 and modifiers (–26, –TC, –59, etc.)
50% reduction in overhead costs and improved operational efficiency
Serving radiology practices in all 50 U.S. states
Processing 75,000+ claims daily with real-time denial tracking and trend analysis
Pre-authorization and eligibility verification support for CT, MRI, PET, and other high-value procedures
Qualified Clinical Data Registry (QCDR) for MIPS/MACRA reporting to optimize performance scores and incentives
Audit support & compliance with No Surprise Act, ACR, CMS, HIPAA, OIG, ACA, and AMA guidelines
Custom financial and operational reporting (Days in A/R, Net Revenue, Denial Rates)
Integration with PACS, RIS, and Radiology EMR/EHR/PMS systems
Automated billing + AI-powered charge capture for greater accuracy
Patient-friendly services including online bill pay, secure portals, and multilingual support

Radiology Billing & RCM Services for Providers Across All 50 States

MZ Medical Billing provides comprehensive Radiology billing and Revenue Cycle Management (RCM) services to practices, imaging centers, and hospital-based radiology groups across all 50 states. Our certified radiology billers and coders manage accurate CPT®/ICD-10 coding, modifier application, prior authorizations, insurance verification, and clean claim submissions. With a focus on compliance and payer-specific rules, we help radiology providers increase reimbursements, minimize denials, and accelerate payment cycles. Our team acts as an extension of your staff, delivering dedicated billing support so your practice can focus on diagnostic imaging and patient care instead of administrative challenges.

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Medical Billing Services for Radiology and Other Specialties

Our certified radiology billers deliver accurate, compliant, and efficient billing solutions for radiology as well as a wide range of other healthcare specialties. We specialize in radiology-specific coding, modifier application, and clean claim submission for diagnostic, interventional, nuclear medicine, and radiation oncology services. In addition to radiology, our team provides specialty-specific billing and revenue cycle management for speech therapy, occupational therapy, physical therapy, mental health, family medicine, cardiology, dermatology, orthopedics, and many more.

Applied Behavior Analysis

Behavioural Health

Pediatric

Mental Health

Physical Therapy

Occupational Therapy

Speech Therapy

Anesthesiology

Scan Your Revenue, Not Just Patients – Optimize Radiology Billing!

Radiology billing shouldn’t be a guessing game. Our expert billing services ensure every scan and procedure is accurately coded and reimbursed on time. Say goodbye to denied claims and revenue leaks—schedule a consultation today and keep your cash flow healthy!

FAQS

Frequently Asked Questions.

Why is radiology billing more complex than other specialties?

Radiology billing is complex because every claim often has two parts: the technical component (equipment, staff, supplies) and the professional component (radiologist’s interpretation). Correct coding, modifier use (–26, –TC), and payer-specific rules are essential to prevent denials.

What CPT® codes are used in radiology billing?

Radiology procedures are billed under CPT® codes 70010–79999, which cover diagnostic imaging (X-ray, MRI, CT, ultrasound), interventional radiology, nuclear medicine, and radiation oncology. Correct code selection and modifier application ensure accurate reimbursement.

How do modifiers impact radiology billing?

Modifiers such as –26 (Professional Component) and –TC (Technical Component) are critical in radiology billing because they differentiate between the radiologist’s interpretation and the use of imaging equipment. Using incorrect modifiers can result in underpayments or claim denials.

What is the difference between diagnostic and interventional radiology billing?

Diagnostic radiology (X-ray, CT, MRI, ultrasound) focuses on identifying medical conditions.
Interventional radiology involves minimally invasive, image-guided procedures, often requiring multiple CPT® codes, bundling rules, and precise documentation. Errors here can lead to significant compliance and revenue risks.

Why is prior authorization important in radiology billing?

Insurance payers often require prior authorization for advanced imaging (CT, MRI, PET, nuclear medicine). Missing or incorrect authorizations are among the top causes of radiology claim denials.

What are common reasons for radiology claim denials?

The most frequent denial causes include:

Missing or incorrect prior authorizations
Improper modifier use (–26, –TC, –59, etc.)
Rule-out diagnoses without supporting documentation
Failure to comply with NCCI edits or MPPR rules
Late claim submission

How does MZ Medical Billing help reduce radiology denials?

Our certified coders and billers specialize in radiology billing, ensuring:

Correct CPT®, ICD-10-CM, and HCPCS coding
Proper modifier application (–26, –TC, –RT, –LT, etc.)
Pre-authorization and insurance verification support
Compliance with Medicare, Medicaid, and commercial payer guidelines
Active denial management and appeals

Does MZ Medical Billing work with radiology practices nationwide?

Yes. We provide radiology billing and RCM services across all 50 U.S. states, serving private radiology groups, imaging centers, and hospital-based practices.

How does outsourcing radiology billing save money?

By outsourcing, practices reduce overhead costs by up to 50%, minimize claim denials, accelerate reimbursements, and gain access to compliance expertise, all without hiring an in-house billing team.

Is MZ Medical Billing compliant with industry regulations?

Absolutely. We ensure compliance with the No Surprise Act, ACR, CMS, HIPAA, OIG, ACA, and AMA guidelines while supporting MIPS/MACRA reporting through a Qualified Clinical Data Registry (QCDR).

We Serve All 50 States