A substantial proportion of work in radiology involves activities beyond the primary interpretation of imaging. In this review, we discuss the current state of consultative work in radiology and evaluate potential strategies for more equitable reimbursement of these activities. “Non-interpretive” or “consultative” activities may constitute 35-60% of workhours. These activities routinely impact patient care; for example, changes in management are seen with 3-9% of radiologist-protocoled exams, 8-…