2027 Radiology and IR Coding Updates

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Are you ready for the 2027 Radiology & IR coding changes? Stay ahead of new coding rules, documentation requirements, and reimbursement updates that can impact accuracy and revenue.

New Imaging Codes, MRA Guidance, AI Services and Documentation Risk

Radiology and interventional radiology remain among the most technically demanding areas of CPT® coding. Code selection may depend on modality, anatomy, imaging guidance, supervision and interpretation, number of treated sites, procedural approach and whether individual components are bundled.

For 2027, the CPT® code set includes new and revised radiology codes and a new table for head and neck magnetic resonance angiography. The code set also expands its treatment of AI-related healthcare services, adding 10 AI-related CPT® codes across affected areas of medicine.

These developments create important questions for imaging providers: Which services have new reporting options? When does a revised descriptor change code selection? How should coders use the new MRA guidance? Which AI-related services may be reportable, and which remain included in an underlying imaging service?

Session Agenda

  • High-impact new and revised radiology codes for 2027
  • New head and neck MRA guidance and the code-selection table
  • Documentation elements needed to distinguish imaging services
  • Updates involving current prostate-biopsy techniques, where applicable
  • Emerging imaging technology and related Category III considerations
  • AI-related services relevant to radiology and imaging workflows
  • Difference between AI-assisted performance and a separately reportable service
  • Professional and technical component considerations
  • Supervision, interpretation and imaging-guidance documentation
  • Bundled versus separately reportable procedural components
  • Facility and nonfacility reporting considerations
  • Common denial risks during the 2027 transition

Session Objectives

At the conclusion of this webinar, participants will be able to:

  • Identify significant 2027 CPT® changes affecting radiology and interventional radiology.
  • Distinguish new and revised radiology codes and understand their reporting implications.
  • Apply the new head and neck MRA guidance and code-selection table.
  • Identify documentation elements necessary to support appropriate imaging-code selection.
  • Recognize applicable coding considerations for current prostate-biopsy techniques.
  • Understand how emerging imaging technologies may be addressed through Category III codes.
  • Explain the impact of new AI-related CPT® services on imaging workflows.
  • Distinguish AI-assisted performance from an AI service that may be separately reportable.
  • Apply professional and technical component reporting concepts appropriately.
  • Understand supervision, interpretation and imaging-guidance requirements.
  • Determine when procedural components are bundled versus potentially separately reportable.
  • Recognize facility and nonfacility reporting considerations.
  • Identify documentation deficiencies that can lead to coding errors or denials.
  • Prepare radiology and IR coding workflows for the 2027 changes.

Session Highlights

  • 2027 radiology and IR coding updates
  • New and revised radiology CPT® codes
  • New head and neck MRA guidance
  • Using the new MRA code-selection table
  • Documentation requirements for accurate imaging-code selection
  • Current prostate-biopsy technique coding considerations
  • Emerging imaging technology and Category III considerations
  • AI-related CPT® codes and their impact on imaging
  • AI-assisted performance vs. separately reportable services
  • Professional vs. technical component reporting
  • Supervision and interpretation requirements
  • Imaging-guidance documentation
  • Bundled vs. separately reportable components
  • Facility vs. nonfacility reporting considerations
  • Documentation risks and common coding errors
  • 2027 denial risks and transition challenges

Who Should Attend

This boot camp is recommended for:

  • Certified professional coders
  • Specialty coders and coding managers
  • Medical billers and reimbursement professionals
  • Revenue-cycle directors and managers
  • Physicians and nonphysician practitioners
  • OB-GYN and maternity-care practices
  • Radiology and interventional-radiology groups
  • General surgeons and surgical practices
  • Pathology groups and clinical laboratories
  • Hospital outpatient departments
  • Ambulatory surgery centers
  • Clinical documentation improvement professionals
  • Compliance officers and internal auditors
  • Practice managers and administrators
  • Charge-capture and charge-master teams
  • EHR, coding-system and workflow implementation teams
  • Consultants and provider educators
  • 2027 radiology and IR coding updates
  • New and revised radiology CPT® codes
  • New head and neck MRA guidance
  • Using the new MRA code-selection table
  • Documentation requirements for accurate imaging-code selection
  • Current prostate-biopsy technique coding considerations
  • Emerging imaging technology and Category III considerations
  • AI-related CPT® codes and their impact on imaging
  • AI-assisted performance vs. separately reportable services
  • Professional vs. technical component reporting
  • Supervision and interpretation requirements
  • Imaging-guidance documentation
  • Bundled vs. separately reportable components
  • Facility vs. nonfacility reporting considerations
  • Documentation risks and common coding errors
  • 2027 denial risks and transition challenges
  • High-impact new and revised radiology codes for 2027
  • New head and neck MRA guidance and the code-selection table
  • Documentation elements needed to distinguish imaging services
  • Updates involving current prostate-biopsy techniques, where applicable
  • Emerging imaging technology and related Category III considerations
  • AI-related services relevant to radiology and imaging workflows
  • Difference between AI-assisted performance and a separately reportable service
  • Professional and technical component considerations
  • Supervision, interpretation and imaging-guidance documentation
  • Bundled versus separately reportable procedural components
  • Facility and nonfacility reporting considerations
  • Common denial risks during the 2027 transition

At the conclusion of this webinar, participants will be able to:

  • Identify significant 2027 CPT® changes affecting radiology and interventional radiology.
  • Distinguish new and revised radiology codes and understand their reporting implications.
  • Apply the new head and neck MRA guidance and code-selection table.
  • Identify documentation elements necessary to support appropriate imaging-code selection.
  • Recognize applicable coding considerations for current prostate-biopsy techniques.
  • Understand how emerging imaging technologies may be addressed through Category III codes.
  • Explain the impact of new AI-related CPT® services on imaging workflows.
  • Distinguish AI-assisted performance from an AI service that may be separately reportable.
  • Apply professional and technical component reporting concepts appropriately.
  • Understand supervision, interpretation and imaging-guidance requirements.
  • Determine when procedural components are bundled versus potentially separately reportable.
  • Recognize facility and nonfacility reporting considerations.
  • Identify documentation deficiencies that can lead to coding errors or denials.
  • Prepare radiology and IR coding workflows for the 2027 changes.
User

Presenter

Chandrika Chandrashekar, CPC, CAIMC, CPMB, FIMC-HCC

CPC, CAIMC, CPMB, FIMC-HCC

Chandrika, CPC, is a Certified Professional Coder with Several years of experience in Evaluation and Management (E/M) coding across outpatient and urgent care settings. Her expertise includes E/M auditing, medical decision-making validation, documentation gap analysis, denial trend review, and revenue integrity improvement. She has extensive experience reviewing E/M documentation to ensure accurate level selection, medical necessity support, and compliance with current coding guidelines.  She has presented educational sessions and E/M-focused webinars for multiple Local chapters and has been actively involved in provider education initiatives focused on improving E/M documentation and reducing coding-related audit risks. Chandrika is passionate about simplifying complex E/M concepts and translating guidelines into practical, real-world strategies that help coders and providers confidently support appropriate E/M levels while maintaining compliance and protecting practice revenue.

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