3D Reconstruction Clarification

In CPT 2013, new verbiage has been added to both 3D reconstruction codes, providing clarification that image post-processing must be done under concurrent supervision. This eliminates some of the confusion that has been associated with these codes since their inception in 2006:

76376: 3D rendering with interpretation and reporting of computed tomography,magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation

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

In this case, concurrent means active participation in and monitoring of the reconstruction process that includes: design of the anatomic region that is to be reconstructed; determination of the tissue types and actual structures to be displayed (eg, bone, organs, and vessels); determination of the images or cine loops that are to be archived; and monitoring and adjustment of the 3D work product.

Break Away from the Static

Although it is not required to document physician involvement, the ACR recommends documenting the physician’s supervision or participation in the 3D reconstruction of images. This provides the clearest documentation in case of an audit, and it helps distinguish from those cases where the physician is not involved.

Best regards,
Kirk Reinitz, CPA
President/CEO