The workaround is to override the background image of the button:
CSS:
<style>
.RadButton.RadButton_Default.rbLinkButton .rbPrimaryIcon {
background-image: url("images/Groups (16x16).png");
}
</style>
ASPX:
<telerik:RadButton ID="RadButton1" runat="server" ButtonType="LinkButton" Text="Click" Skin="Default">
<Icon PrimaryIconUrl="images/myImage (16x16).png" PrimaryIconTop="2" PrimaryIconLeft="2" />
</telerik:RadButton>