You are always responsible for handling various imaging procedures like X-rays, MRIs, CT scans, PET scans, and nuclear medicines when you are running an imaging center. You need to know that each imaging procedure has its unique code and rules that you should always follow along with proper billing formalities and documentation. You also must use modifiers because they add extra details for the insurance company, helping make sure you get paid the right amount for the work you do. This is where an imaging centers billing solution comes in handy to keep everything in order and ensure you are getting paid correctly. You could lose money in your imaging center billing if you do not use the right codes and modifiers. That is why it is smart to get help from imaging center billing companies. They know all about coding, modifiers, and the rules. With their help, you can make sure your claims are right, and you get paid correctly for your services.
You need to know the codes and modifiers used in your imaging center billing to make sure your coding is accurate, and you get paid on time. This helps you get the most money for your work!
Learn about the frequently used CPT codes in imaging centers billing services:
- 70010-76499: You need to use codes from this range for documenting diverse types of diagnostic imaging procedures.
- 76506-76999: You need to use this range of CPT codes for documenting imaging techniques where you use sound waves to look at the inside of your patient’s body.
- 77001-77022: Pertains to imaging service guidance, which refers to the use of imaging to help guide certain procedures.
- 77046-77067: Refers to breast mammography codes, which are used specifically for imaging the breast to check for cancer or other conditions.
- 77071-77022: You need to use this range of CPT codes when you have performed imaging procedures to get guidance for biopsies and catheter placements.
- 70551-73221: You must assign CPT codes from this range where you use magnetic fields and radio waves to create comprehensive images of your patient’s body.
- 74230-76000: You should use these fluoroscopy codes for documenting real-time X-ray images.
- 78316-78815: Includes nuclear medicine codes, which are used when imaging with radioactive materials to diagnose and treat various diseases.
Now, you need to know about the 2 important modifiers you should use often in your imaging center billing services. These modifiers help explain extra details about the procedure and make sure you get paid the maximized reimbursements for your work.
Know about the 2 critical modifiers in your imaging center billing services:
- You should know that some procedures have a professional and a technical part. If you’re only doing the professional part, like reading the images, you use Modifier 26. This happens when you are just reviewing images for places that own the equipment, like a hospital or doctor’s office. Your job is to look at the images and draft the report, and that’s when Modifier 26 helps.
- You handle the technical part when you use your own equipment, materials, and staff to do the procedure. If you are only billing for this part, you add the TC modifier to the CPT code. TC shows the charges for your imaging center facility.
You have noticed that managing imaging center billing is tough. There are so many codes and rules to remember, like the right codes for imaging services, how to use modifiers, and what the local carriers require. Your paperwork must match the services you provided too. If you outsource imaging center billing to a skilled company, it can help you get the codes right and make sure you are paid the right amount. This lowers the chances of claims being denied or money being taken back, making your revenue cycle run smoother.
So, no more waiting around—now you can hit the ground running with a perfect imaging center billing process by outsourcing it to a professional RCM company!
