Nuclear Medicine Billing and Practice Software

Nuclear medicine studies combine an imaging service with a radiopharmaceutical, each documented and billed. XEHR keeps both on one record.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Stress study ordered for chest pain.

R07.9 Chest pain, unspecified

ReviewSign note

Diagnosis carried to the claimR07.9

THE HARD PARTS

What makes nuclear medicine billing hard

The radiopharmaceutical line

The agent is billed separately from the study, with exact dose documentation.

Approval before the study

Many studies need prior authorization.

Split professional and technical billing

Reading and performing are often billed by different parties.

WHERE THE WORK HAPPENS

How nuclear medicine care is delivered and billed

Nuclear medicine physicians perform and interpret scans that use radioactive tracers, and treat some thyroid and cancer conditions with radioactive drugs. Studies are billed with professional and technical parts plus the radiopharmaceutical itself, in hospitals, imaging centers and cardiology practices. Most studies need prior authorization, and PET coverage follows national rules by cancer type.

What payers check on nuclear medicine claims

Radiopharmaceuticals are billed separately from the study, in the units defined for each drug.
PET coverage depends on the cancer type and whether the scan is for initial or later treatment strategy.
Cardiac nuclear studies usually require prior authorization with documented symptoms or risk.
Studies are billed as professional, technical or global depending on who owned the equipment and who read.
Radioactive iodine treatment requires documented dose and patient instructions.

Common nuclear medicine diagnoses ICD-10-CM

R94.39	Abnormal result of other cardiovascular function study
E05.00	Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm
C73	Malignant neoplasm of thyroid gland
I25.10	Atherosclerotic heart disease of native coronary artery without angina pectoris
C79.51	Secondary malignant neoplasm of bone
C34.90	Malignant neoplasm of unspecified part of unspecified bronchus or lung

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A nuclear medicine visit, start to payment

1
Approve the study

Studies that need prior authorization are flagged when ordered, with the reason attached.
2
Dose and scan

The radiopharmaceutical, dose and timing are recorded with the study.
3
Interpret

The report records findings and impression and is filed to the patient.
4
Bill study and drug

The study part and the radiopharmaceutical go out on one checked claim.

How XEHR helps

From the nuclear medicine visit to the payment

Agent and dose documentedAdministration details carry onto the claim.
Authorizations from the orderRequests are prepared and tracked.
Split billing kept straightClaims show which part you performed.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for nuclear medicine

AI medical billing for nuclear medicine practices

XEHR is an agentic EHR: AI agents do the administrative work around every nuclear medicine visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Radiopharmaceuticals are billed separately from the study, in the units defined for each drug.
PET coverage depends on the cancer type and whether the scan is for initial or later treatment strategy.
Cardiac nuclear studies usually require prior authorization with documented symptoms or risk.
Studies are billed as professional, technical or global depending on who owned the equipment and who read.

Around the visit

Agents run on their own

Coverage checked before each nuclear medicine visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a nuclear medicine EHR

Ask every vendor, including us. The answers show whether a system was built for nuclear medicine work or only adapted to it.

Ask us on a demo

Is the radiopharmaceutical billed separately from the study?
Is PET coverage checked by cancer type and treatment stage?
Are cardiac nuclear studies flagged for approval?
Is the right part billed for reading-only studies?
Are radioactive iodine doses and instructions documented?

QUESTIONS

Nuclear Medicine practices ask us

Can XEHR bill radiopharmaceuticals?

Yes. The agent and dose documented with the study carry onto the claim.

Does XEHR track nuclear medicine authorizations?

Yes. Requests are prepared from the order and tracked.

Does XEHR bill radiopharmaceuticals?

Yes. The drug is recorded with the study and billed in its defined units.

Can XEHR prepare approvals for nuclear studies?

Yes. Studies that need approval are flagged and the request is prepared from the order.

Does XEHR support cardiology nuclear labs?

Yes. Studies and tracers are billed from the record.

Can XEHR record thyroid uptake studies?

Yes. Studies are documented and billed.

How much does XEHR cost for a nuclear medicine practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a nuclear medicine practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for nuclear medicine

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing