Specialized Radiology Billing Services

Our team has deep expertise in the 26/TC split billing model. We correctly apply modifier 26 for the professional component (interpretation) and ensure the TC (technical component) is properly billed when you own the equipment. For global billing scenarios, we handle bundled claims correctly and navigate payer-specific rules about when global billing is permitted versus required to be split.

Studies performed both without and with contrast require precise coding using the combined codes (e.g., 74178 for CT abdomen/pelvis with and without). We ensure documentation clearly supports the medical necessity of both phases. We also properly bill contrast material using HCPCS Q-codes and verify payer-specific bundling rules for contrast administration.

We stay current on CMS's AUC program requirements and ensure your practice has proper systems for consulting qualified Clinical Decision Support Mechanisms (CDSMs). Our coding team verifies that AUC consultation information is properly documented and included in claims to avoid payment reductions for advanced imaging services ordered by referring physicians.

Interventional radiology coding requires understanding of hierarchical coding based on surgical access and the primary procedure. Our coders are trained in the unique IR coding conventions including proper use of radiology supervision and interpretation codes, surgical codes for IR procedures, and appropriate modifier application for multiple procedures performed during a single session.

Yes. AR cleanup and denial management are core services. We analyze your existing AR, categorize denials by cause and financial impact, and develop a targeted recovery strategy. Our team has recovered revenue from previously denied radiology claims including medical necessity appeals, modifier correction resubmissions, and unbundling disputes.