Nuclear Radiology EHR and AI Medical Billing Software

Nuclear radiologists interpret PET and nuclear studies that guide cancer and cardiac care. XEHR files reports and bills the study and the tracer correctly.

Book a nuclear radiology demo See pricing

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

Staging PET/CT for newly diagnosed lymphoma.

C83.30 Diffuse large B-cell lymphoma, unspecified site

ReviewSign note

Diagnosis carried to the claimC83.30

THE HARD PARTS

What makes nuclear radiology billing hard

PET coverage by cancer and stage

PET is covered for specific cancers and treatment stages. A scan outside those rules is often denied.

The tracer is its own claim line

Radiopharmaceuticals are billed separately from the study in their defined units.

Approvals before the scan

Most nuclear studies require prior authorization with the clinical reason attached.

WHERE THE WORK HAPPENS

How nuclear radiology care is delivered and billed

Nuclear radiologists work in hospital and outpatient imaging centers, interpreting PET, SPECT and other nuclear studies. Studies are billed with professional and technical parts plus the radiopharmaceutical.

What payers check on nuclear radiology claims

PET coverage depends on cancer type and treatment stage.
Radiopharmaceuticals are billed separately in their defined units.
Most nuclear studies require prior authorization.
Professional and technical parts are billed by who read and who owned the equipment.
The diagnosis comes from the order and report.

Common nuclear radiology diagnoses ICD-10-CM

C83.30	Diffuse large B-cell lymphoma, unspecified site
C34.90	Malignant neoplasm of unspecified part of unspecified bronchus or lung
C79.51	Secondary malignant neoplasm of bone
R94.39	Abnormal result of other cardiovascular function study
C73	Malignant neoplasm of thyroid gland
R93.89	Abnormal findings on diagnostic imaging of other specified body structures

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 radiology visit, start to payment

1
Confirm indication and approval

Cancer type, stage and approval are checked.
2
Scan

Tracer, dose and timing are recorded.
3
Interpret

The report is written and filed.
4
Bill

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

How XEHR helps

From the nuclear radiology visit to the payment

Indication recordedCancer type, stage and reason are recorded with the order.
Tracer on the claimTracer and dose are billed with the study.
Approval checkedApproval status is visible before the scan.
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 radiology

AI medical billing for nuclear radiology practices

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

Before the claim leaves

The claim-check agent looks for

PET coverage depends on cancer type and treatment stage.
Radiopharmaceuticals are billed separately in their defined units.
Most nuclear studies require prior authorization.
Professional and technical parts are billed by who read and who owned the equipment.

Around the visit

Agents run on their own

Coverage checked before each nuclear radiology 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 radiology EHR

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

Ask us on a demo

Is PET coverage checked by cancer type and stage?
Is the tracer billed separately?
Is approval status visible before the scan?
Is the right part billed for reading-only work?
Do reports reach the oncology chart?

QUESTIONS

Nuclear Radiology practices ask us

Does XEHR support PET billing?

Yes. Study, tracer and part are billed from the record.

Can XEHR check PET approvals?

Yes. Approval status is visible before the scan.

Are reading-only studies supported?

Yes. The professional part is billed separately.

Does XEHR record tracer doses?

Yes. Tracer and dose are recorded with the study.

Does XEHR support PET centers?

Yes. Studies and tracers are billed from the record.

Can comparison with earlier scans be documented?

Yes. Comparison is recorded in the report.

Can bone scans be billed?

Yes. Studies are documented and billed.

How much does XEHR cost for a nuclear radiology 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 radiology 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 radiology

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

Book a demo See pricing