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Specialty Billing

Radiology Medical Billing Services

Radiology practices lose revenue to three predictable failure points: professional versus technical component errors with modifiers 26 and TC, missing prior authorizations for MRI, CT, and PET studies, and LCD medical-necessity denials. MedTaskly's AAPC-certified radiology billing team fixes all three, so you get paid faster with fewer denials.

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Quick Answer

What makes radiology medical billing more complicated than other specialties?

Radiology billing is different because nearly every study in the CPT 70010-79999 range can be split into a professional component (modifier 26) and a technical component (modifier TC), and payers deny claims when the split does not match who owned the equipment and who read the study. Add prior authorization for MRI, CT, and PET plus Medicare LCD medical-necessity rules, and radiology demands coders who work these edits daily.

Why It Matters

Where Radiology Practices Lose Revenue, and How to Stop the Leak

Component billing errors and auth denials quietly drain imaging revenue every month.

Radiology billing lives and dies on component billing. Every study in the CPT 70010-79999 range can be billed globally or split into a professional component with modifier 26 and a technical component with modifier TC, and the split has to match who owns the equipment and who reads the study. Get it wrong and the claim denies or underpays. Add Medicare LCD medical-necessity rules that reject scans when the diagnosis code does not support the exam, and revenue leaks on both ends of the claim.

Advanced imaging brings its own trap: MRI, CT, and PET studies performed without prior authorization are routinely denied with little chance of appeal, and interventional radiology adds layered component coding where a single missed catheter placement or guidance code leaves money on the table. MedTaskly's AAPC-certified coders handle all of it, from auth to appeal, delivering a 98% clean-claim rate so your imaging center or radiology group gets paid faster with fewer denials.

What We Handle

End-to-end radiology billing revenue cycle

Radiology CPT Coding
AAPC-certified coders assign accurate codes across the 70010-79999 range, including contrast studies, 3D rendering, and multi-view exams.
Modifier 26 and TC Billing
Correct professional and technical component splits for every read and facility arrangement, so global, 26, and TC claims pay right the first time.
Prior Authorization for Imaging
We secure payer approvals for MRI, CT, and PET before the scan, cutting auth-related denials and patient reschedules.
Eligibility and Benefits Verification
Real-time coverage checks before imaging appointments, confirming plan rules, referral requirements, and patient responsibility upfront.
Denial Management and Appeals
We work medical-necessity, LCD, and bundling denials with documented appeals, recovering revenue most billing teams write off.
Interventional Radiology Coding
Component coding for IR procedures, catheter placements, and imaging guidance, capturing every billable element without unbundling errors.
FAQ

Radiology Medical Billing Services — questions answered

What CPT codes are used for radiology billing?
Radiology services are billed with CPT codes 70010 through 79999, organized by modality: diagnostic radiology, ultrasound, radiologic guidance, mammography, bone studies, nuclear medicine, and radiation oncology. Most codes can be billed globally or split with modifier 26 for the professional component and modifier TC for the technical component, depending on who owns the equipment and who interprets the study.
Why do radiology claims get denied so often?
The top causes are missing prior authorization for advanced imaging like MRI, CT, and PET, diagnosis codes that fail Medicare LCD medical-necessity rules, and incorrect modifier 26 or TC usage. A scan performed without payer approval is usually denied outright, and many auth denials cannot be appealed, which makes front-end verification the single biggest fix.
What is the difference between modifier 26 and TC in radiology billing?
Modifier 26 bills the professional component, the radiologist's interpretation and report. Modifier TC bills the technical component, covering the equipment, technologist, and supplies. When one entity owns the equipment and interprets the study, the code is billed globally with no modifier. Billing the wrong component, or billing globally when only one part was performed, triggers denials and overpayment risk.
Should radiology practices outsource medical billing?
Outsourcing makes sense when denials, prior-auth workload, or component-billing errors are eating margin. A specialized radiology billing partner manages authorizations for advanced imaging, applies modifiers 26 and TC correctly, and screens claims against LCD medical-necessity rules before submission. MedTaskly supports 1,500+ providers across 75+ specialties with a 98% clean-claim rate.

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