Pediatric Radiology EHR and AI Medical Billing Software

Pediatric radiologists image children with the least radiation and stress possible. XEHR files reports and bills studies and sedation correctly.

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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

Limp and hip pain, age 6; ultrasound of hip.

M25.551 Pain in right hip

ReviewSign note

Diagnosis carried to the claimM25.551

THE HARD PARTS

What makes pediatric radiology billing hard

Some children need sedation

Young children may need sedation for MRI or CT, which is billed by time and requires an independent observer documented.

Ultrasound first, radiation last

Child-friendly protocols favor ultrasound and low-dose imaging, which changes which studies are ordered and billed.

Guardian and coverage on every study

The parent or guardian, the child’s plan and any approval must be right before the study.

WHERE THE WORK HAPPENS

How pediatric radiology care is delivered and billed

Pediatric radiologists work in children’s hospitals and pediatric imaging centers. Studies are billed as professional, technical or global; sedation is billed separately when provided. Medicaid and CHIP cover many patients.

What payers check on pediatric radiology claims

Moderate sedation is billed by time with an independent observer documented.
Professional and technical parts are billed by who read and who owned the equipment.
Advanced imaging for children often needs prior authorization.
The guarantor is the parent or guardian.
Injury codes need laterality and an encounter character.

Common pediatric radiology diagnoses ICD-10-CM

M25.551	Pain in right hip
K56.1	Intussusception
K35.80	Unspecified acute appendicitis
N13.70	Vesicoureteral-reflux, unspecified
Q65.89	Other specified congenital deformities of hip
S52.521A	Torus fracture of lower end of right radius, initial encounter for closed fracture

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 pediatric radiology visit, start to payment

1
Prepare the child and family

Coverage, guardian and sedation needs are confirmed.
2
Image

The study is performed with child-appropriate settings.
3
Read

The report is filed to the child’s chart.
4
Bill

The study and any sedation go out on a checked claim.

How XEHR helps

From the pediatric radiology visit to the payment

Sedation recordedDrugs, times, monitoring and the observer are documented.
Reports to the pediatricianReports are filed to the child’s chart for the ordering provider.
Coverage confirmedGuardian, guarantor and coverage are checked before the study.
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 pediatric radiology

AI medical billing for pediatric radiology practices

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

Before the claim leaves

The claim-check agent looks for

Moderate sedation is billed by time with an independent observer documented.
Professional and technical parts are billed by who read and who owned the equipment.
Advanced imaging for children often needs prior authorization.
The guarantor is the parent or guardian.

Around the visit

Agents run on their own

Coverage checked before each pediatric 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 pediatric radiology EHR

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

Ask us on a demo

Is sedation documented with time and observer?
Are coverage and guarantor confirmed before the study?
Is the right part billed for split work?
Do reports reach the pediatrician?
Are injury codes captured with laterality?

QUESTIONS

Pediatric Radiology practices ask us

Does XEHR support pediatric radiology?

Yes. Studies, sedation and reports are documented and billed.

Can sedation for imaging be billed?

Yes. Sedation is documented with time and observer.

Are reading-only studies supported?

Yes. The professional part is billed separately.

Does XEHR confirm the child’s coverage?

Yes. Coverage and guarantor are checked before the study.

Does XEHR support children’s imaging centers?

Yes. Studies, sedation and reports are documented and billed.

Can fluoroscopy studies be billed?

Yes. Studies are documented and billed.

Can ultrasound be performed and billed?

Yes. Studies are billed with the right part.

How much does XEHR cost for a pediatric 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 pediatric 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 pediatric radiology

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

Book a demo See pricing