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sanjit please

SuperCoder Posted Wed 16th of February, 2011 17:25:56 PM

can we bill 76376 with all mri and 76377 with ct i just started with a company and the biller before me told the girls to bill 76376 with all mri codes is that correct? now one of the doctors is wanting to know why we are billing it out please help

SuperCoder Answered Wed 16th of February, 2011 19:20:22 PM

The AMA indicates the following CPT codes should be reported when 3D rendering is performed. These codes are to be reported in conjunction with the code(s) for the base imaging procedure(s).

CPT 76376: 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; not requiring image postprocessing on an independent workstation. (Do NOT report 76376 in conjunction with 70496, 70498, 70544-70549, 71275, 71555, 72159, 72191, 72198, 73206, 73225, 73706, 73725, 74175, 74185, 75635, 76377, 78000-78999, 74261-74263, 75571-75574)

CPT 76377: 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; requiring image postprocessing on an independent workstation. (Do NOT report 76377 in conjunction with 70496, 70498, 70544-70549, 71275, 71555, 72159, 72191, 72198, 73206, 73225, 73706, 73725, 74175, 74185,75635, 76376, 78000-78999, 74261-74263, 75571-75574)

SuperCoder Answered Wed 16th of February, 2011 19:22:07 PM

Codes for 3D rendering services differentiate between those studies in which reformatting is performed on the acquisition scanner (CPT 76376) and those performed on an independent workstation (CPT 76377). The American College Radiology (ACR) and AMA have provided documentation to clarify the codes, as follows:

Both of the 3D codes require concurrent physician supervision of image post-processing, 3D manipulation of volumetric data set and image rendering. For the 3D reconstructions not requiring image post-processing on an independent workstation, the physician will discuss with the technologist the need for 3D imaging and supervise the technologist in creating 3D images.

For studies performed on an independent workstation, the physician will supervise and/or create the 3D reconstructions and adjust the projection to optimize visualization of anatomy or pathology. The 3D rendering codes are intended to address complex renderings such as shaded surface rendering, volumetric rendering, maximum intensity projections (MIPs), fusion of images from other modalities, and quantitative analysis (segmental volumes and surgical planning).

SuperCoder Answered Wed 16th of February, 2011 19:23:49 PM

Final Answer to your query: Usage of 76376 and 76377 not based on CT vs. MRI

SuperCoder Posted Wed 16th of February, 2011 19:44:41 PM

thank you in plain english terms please

SuperCoder Posted Wed 16th of February, 2011 19:48:49 PM

by the way your great thanks so much

SuperCoder Answered Wed 16th of February, 2011 20:12:28 PM

When 3D studies performed on an acquisition scanner in the location where CT/MRI/US is performed and the physician discusses with the technologist of the details of imaging,supervising the technologist in creating 3D images for CT,MRI,or Ultrasound we should code 76376 in addition to respective CT/MRI/US.

When 3D studies performed on an Independent Workstation other than the location where the radiological (CT,MRI, or US)is performed, the physician will supervise and/or create the 3D reconstructions, we should code 76377 in addition to respective CT/MRI/US.

I have tried to explain in simpler manner above ....

SuperCoder Posted Thu 17th of February, 2011 13:08:08 PM

thank-you so much you are a geat help have a blessed day

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