Imaging billing needs accurate global, professional and technical splits, plus laterality and authorization.
Examples of frequently billed services, with billing notes from our coders.
| CPT code | Service | Billing note |
|---|---|---|
| 71046 | Chest X-ray, 2 views | Single view uses a different code |
| 70450 | CT head or brain without contrast | Contrast changes the code |
| 72148 | MRI lumbar spine without contrast | Usually needs prior authorization |
| 74177 | CT abdomen and pelvis with contrast | Contrast documentation required |
| 77067 | Screening mammogram, both breasts | Screening vs diagnostic coverage differs |
| 76856 | Pelvic ultrasound, complete | Check payer-specific limits |
| 73721 | MRI of a lower-extremity joint without contrast | Laterality modifier required |
Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.
Modifiers tell the payer how and why a service was performed. Missing or wrong ones are a leading cause of denials.
Eligibility, benefits and prior authorization verified before the visit.
Code, modifier and documentation review before claims are submitted.
Denials corrected and appealed, aging claims worked until resolved.
Diagnostic testing, procedures and E/M claims coded correctly for each payer.
View billing detailsBiopsy, lesion removal and Mohs billing, with medical and cosmetic claims kept separate.
View billing detailsColonoscopy, endoscopy and screening claims coded for the right site and payer.
View billing detailsTalk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.