Radiology Question for the Week of June 5, 2017

Question:

How do I code for additional volume quantification following MRI? Is CPT® code 76377 the appropriate code to use?

Answer:

If it meets the CPT require­ments, it is appropriate to report the following CPT code:

76377 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

However, it is not appropriate to report this code if MRI data is loaded onto a vendor’s computer system at an off-site location for post-processing and a summary report is generated that is then used by the physician treating the patient as part of an evaluation and management service.

In this scenario, the additional volume quantification following MRI does not involve separate identifiable physician work and is included in the base MRI code. The 3D rendering code 76377 is not separately reportable because there is no concurrent physician supervision. (ACR Coding Source, May/June 2015)

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