CPT Code 76377 | Description, Procedure & Billing Guidelines (2022)
CPT 76377 can be billed if a provider interprets and reports image processing at a separate workstation under concurrent supervision.
1. What Is CPT Code 76377?
CPT 76377 covers a procedure where a provider reports and interprets;
- tomographic modality;
- ultrasound;
- magnetic resonance imaging; or
- other computed tomography.
It is performed with the added complexity of image postprocessing by 3D image rendering, under concurrent supervision, and on an independent workstation for diagnosing various disorders.
2. Description
The CPT book defines CPT code 76377 as follows: “3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation.”
3. Procedure
The 76377 code procedure covers reporting and interpreting of
- ultrasounds;
- magnetic resonance imaging (MRI)
- computed tomography (CT); or
- tomographic modality.
The provider reformats the work on an independent workstation and takes multiple shin-section images to build a 3D image.
Concurrent supervision of image postprocessing 3–D manipulations are required.
3D interpretation provides;
- quantitative analysis;
- 3D image segmentation;
- 3D image recovery; and
- different 3D complex renderings.
4. How To Use CPT Code 76377
Use the CPT 76377 if the provider performed image processing at a separate workstation.
You can use CPT code 76377 with CPT codes for base imaging procedures.
Use CPT 76376 instead of CPT 76377 if the procedure is performed without an independent workstation.
Do not bill this procedure with the following CPT codes: CPT 0713T, CPT 0712T, CPT 0711T, CPT 0710T, CPT 0638T, CPT 0637T, CPT 0636T, CPT 0635T, CPT 0634T, CPT 0633T, CPT 0626T, CPT 0625T, CPT 0624T, CPT 0623T, CPT 0562T, CPT 0561T, CPT 0560T, CPT 0559T, CPT 0523T, CPT 93355, CPT 93319, CPT 78012 until CPT 78999, CPT 77063, CPT 77062, CPT 77061, CPT 77049, CPT 77048, CPT 77047, CPT 77046, CPT 76376, CPT 75635, CPT 75574, CPT 75573, CPT 75572, CPT 75571, CPT 75565, CPT 75563, CPT 75561, CPT 75559, CPT 75557, CPT 74263, CPT 74262, CPT 74261, CPT 74185, CPT 74175, CPT 74174, CPT 73725, CPT 73706, CPT 73225, CPT 73206, CPT 72198, CPT 72191, CPT 72159, CPT 71555, CPT 71275, CPT 70549, CPT 70548, CPT 70547, CPT 70546, CPT 70545, CPT 70544, CPT 70498, CPT 70496, and CPT 34839.
4.1 Does CPT Code 76377 Need A Modifier?
If two providers perform this procedure (one interprets, and the other supervises), both providers should report CPT code 76377 with modifier 52, according to Medicare. They also need to add modifier 26 for billing the professional component only.
The 76377 CPT code procedure can only be reported with modifier 26 if you bill the professional component and modifier TC if you report the technical component.
5. Resources
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35408
