Radiology Business January 15, 2025
Marty Stempniak

New research highlights what experts believe is inherent “unfairness” in the system used to calculate radiologist payments.

Work relative value units (RVUs) measure a physician’s clinical productivity including the period it takes to perform a service. In musculoskeletal imaging, this time correlates directly with the number of images produced per X-ray, researchers wrote Tuesday in Current Problems in Diagnostic Radiology. However, certain Current Procedural Terminology (CPT) billing code descriptions tied to RVUs leave ambiguity as to the number of image views involved in an exam.

This can lead to radiologists being paid the same amount, regardless of whether referring clinicians ask them to examine two images or several extra as part of a procedure. For instance, “X-ray of...

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