For radiology groups.
Within the United States, lung nodule characterization is a reimbursable service under CPT 0721T and 0722T. It is billed separately from the CT interpretation. For a group reading chest CT at volume, that is a meaningful revenue line.
The two questions we get first.
“Does it work on every nodule type?” Our indication does not restrict by morphology. RevealAI-Lung is validated on solid, part-solid and pure ground-glass lung nodules, and where several are present, each is assessed independently — there is no cap on the number.
“Does it work on our acquisitions?” Validation spans low-dose CT, non-contrast and IV contrast-enhanced studies, across more than 19 convolution kernels and all four major CT manufacturers.
Indicated for incidentally-detected lung nodules 6–15 mm in patients 18 and over. Validated at slice spacing of 5 mm or less.
Why small lung nodules are different →What you collect depends on the setting you bill in.
| Setting | What you bill | What comes to the group |
|---|---|---|
| POS 11 — freestanding imaging center, non-facility | The global rate | Technical and professional components together, plus the professional fee for the interpretation |
| POS 22 — reading on hospital-owned equipment | Professional component only | The interpretation alone. The technical component goes to the facility. |
Because 0721T and 0722T are carrier-priced, there is no national rate for either setting — payment is set by your MAC and varies by locality. The gap between global and professional-only is substantial in every jurisdiction we have confirmed. We will give you the current position for your own locality rather than a national average. Reimbursement information above applies to product usage within the United States.
Two ways to bill.
0722T is used when characterization is performed together with a CT ordered at the same encounter. It is an add-on to that study. 0721T is used when the CT was acquired earlier and no new scan is ordered — the characterization is performed on the existing images and billed on its own.
| Consideration | Detail |
|---|---|
| Codes | 0721T and 0722T. Both are carrier-priced Category III codes — rates vary by MAC, locality and place of service. |
| Billing frequency | Once per patient, regardless of how many nodules are analyzed in that encounter. |
| Documentation | The structured report is generated automatically per scan and serves as the billing documentation. |
| Denials | Appeal templates and peer-reviewed citations provided. |
| Commercial terms | Scoped per site. No capital purchase. |
Rates differ by MAC and by place of service, so there is no single national figure to quote. Tell us your jurisdiction and we will look up the published rate that applies to you, and work through the billing with your team. Reimbursement information above applies to product usage within the United States.
Billable, standardized, one click.
Billable
Characterization is reimbursed separately from the CT interpretation, once per patient per encounter and regardless of how many lung nodules are analyzed. Before these codes existed, assessing a lung nodule added additional unbillable work to the read. Every incidental 6–15 mm lung nodule on a chest CT is now a billable service.
Billing detailStandardized
The mSI™ is computed from the image data, so the same lung nodule returns consistent scores whichever radiologist opens the study. Pixel values, resolution and slice depth are generalized before the features are measured, which holds the score steady across 19+ convolution kernels and all four major CT manufacturers.
EvidenceOne click, or none
Inside your PACS viewer the radiologist marks the lung nodule and the mSI™ returns in seconds — no second application, no separate login. Where a detection tool is already running, the lung nodules it flags are characterized automatically and the results are pushed back to PACS with no click at all.
Deployment detailStart with the qualifying question.
Tell us your MAC jurisdiction and whether you bill for your own equipment, and we will come back with the specific rate position for your locality.