Imaging Center
Billing Services
Modality-specific billing for diagnostic imaging centers and radiology practices. From routine X-rays to complex interventional procedures — TC/PC expertise, prior auth management, and RBM navigation across all 50 states.
First-Pass Rate
Industry avg ~85%
Revenue Growth
Avg across imaging clients
A/R Improvement
Within first 90 days
Centers Served
Freestanding & hospital-based
First-Pass Rate
Revenue Growth
Avg A/R Improvement
Centers Served
Radiology Billing for Every Imaging Modality
Our certified radiology coders understand the CPT code families, modifier rules, and medical necessity requirements specific to each modality your center performs.
MRI
Brain, spine, joint, cardiac, and contrast-enhanced MRI studies
CPT 70553, 72148, 73721CT Scan
Head, chest, abdomen, pelvis, and CT angiography
CPT 70450, 71250, 74177X-Ray
Diagnostic radiography across all anatomical regions
CPT 71046, 73030, 73610Ultrasound
OB/GYN, vascular, abdominal, and musculoskeletal ultrasound
CPT 76700, 76805, 93971Mammography
Screening, diagnostic, 3D tomosynthesis, and breast MRI
CPT 77067, 77065, 77063Nuclear Medicine
PET/CT, bone scans, thyroid uptake, and cardiac stress tests
CPT 78815, 78300, 78452Fluoroscopy
Upper GI, barium studies, arthrography, and guided procedures
CPT 74246, 74270, 27648Interventional
Biopsies, drains, injections, and vascular interventions
CPT 19083, 49405, 36247
Modality-Specific CPT Coding That Gets Paid
Imaging billing demands specialized knowledge of CPT code families across every modality. Our certified radiology coders apply proper modifier usage — TC, 26, 59, 76, 77, LT, RT — and validate complete documentation to maximize reimbursement on every scan. Per DrCare MSO's analysis of 180,000+ imaging claims processed in 2024, modifier errors account for 31% of imaging-specific denials.
Conquer Prior Auth and RBM Challenges
Prior authorization requirements from AIM Specialty Health, eviCore, and Carelon continue to expand for imaging studies. Our team manages the full prior auth process — from initial request to peer-to-peer review — so your studies are approved before the patient arrives. Eliminating auth-related denials recovers an average of $18,000 per month for a mid-sized imaging center, per DrCare MSO's analysis of center billing data from 2024.
Common Imaging CPT Codes, Modifiers & Denial Patterns
Understanding denial root causes by CPT code is the first step to preventing them. Hover any row for detail.
| Modality / Study | CPT Code | Typical Modifier | Medicare Rate Range | Top Denial Cause |
|---|---|---|---|---|
| MRI Brain w/ Contrast | 70553 | TC or 26 | $380–$520 | Medical necessity (missing diagnosis) |
| CT Chest w/o Contrast | 71250 | TC or 26 | $180–$260 | Prior auth not obtained |
| Ultrasound Abdomen Complete | 76700 | TC or 26 | $120–$190 | Duplicate claim (TC/PC confusion) |
| Screening Mammography 3D | 77067 + 77063 | Global | $160–$240 | Age or frequency limit |
| PET/CT Whole Body | 78816 | TC or 26 | $1,200–$1,800 | RBM authorization missing |
| Interventional Biopsy | 19083 | 59 or XU | $400–$680 | Bundling edit (unbundle required) |
Why Imaging Centers Choose DrCare MSO
Purpose-built for diagnostic imaging revenue cycle management — not adapted from a general billing platform
Modality-Specific Coding
Expert CPT coding for MRI, CT, X-ray, ultrasound, mammography, nuclear medicine, and interventional procedures with correct modifier assignment.
Technical & Professional Billing
Accurate TC (modifier TC), Professional Component (modifier 26), and Global billing with duplicate edit validation before every submission.
Prior Auth Management
Complete prior authorization lifecycle management with AIM, eviCore, and Carelon to stop denials before the patient arrives.
Contract Optimization
Fee schedule analysis benchmarked against Medicare and regional commercial rates, with gap reporting by CPT code and payer.
Utilization Management
Navigate radiology benefit manager requirements and appeal inappropriate medical necessity denials with clinical support documentation.
Modality Analytics
Performance reporting segmented by modality, payer, referring physician, and time period — updated monthly with actionable recommendations.
TC/PC Split Billing: Getting It Right Every Time
Technical Component and Professional Component billing is the single most common source of imaging-specific claim errors. A missed modifier TC on a freestanding center claim results in underpayment. A duplicate global claim where TC and 26 were already billed separately creates overpayment liability. DrCare MSO's billing engine validates the correct billing structure for every claim before submission.
Technical Component (TC)
Equipment, facility overhead, and non-physician staff. Billed by the imaging center when the reading is done separately.
Professional Component (modifier 26)
Radiologist interpretation and report. Billed by the reading group or radiologist's professional entity.
Global Billing (no modifier)
Both TC and 26 billed together. Applies when the same entity owns the equipment and employs the reading radiologist.
Before DrCare MSO vs. After
Based on DrCare MSO's analysis of imaging center clients transitioned in 2023–2024. Individual results vary by center size and payer mix.
Built for Regulatory Scrutiny
HIPAA Compliant
BAA executed with every client. SOC 2 security protocols for all data handling.
AAPC-Certified Coders
CRC and CPC credentialed coders with radiology-specific training and annual continuing education.
OIG Compliance Framework
Internal billing reviews aligned with OIG Work Plan priorities for imaging and radiology.
Named Account Manager
Every imaging center gets a dedicated account manager — not a rotating support queue.
Frequently Asked Questions
Common questions from imaging center administrators, radiology practice managers, and CFOs evaluating billing outsourcing.
"DrCareMSO understands the unique challenges of imaging center billing. Our collections improved by 28% and denials dropped dramatically. Their modality-specific expertise is exceptional."
Dr. Patricia Williams
Medical Director, Advanced Imaging Associates
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