3D rendering for CT or MRI

What needs to be done in order to code 76376 or 76377 on MRI or CT?

re: 3D rendering for CT or MRI

Both codes 76376 and 76377 require concurrent physician supervision of image postprocessing 3D manipulation of volumetric data set and image rendering. The key to correct code selection is determining the method of obtaining reformatted images.

For those providers paid under Medicare Physician Fee Schedule (MPFS), the MPFS physician supervision indicators provide clarification

re: 3D rendering for CT or MRI

Can you explain what is meant by "concurrent supervision"? Does the Radiologist need to process the images at the time they are done, or is this done later during his reading? Thank you

re: 3D rendering for CT or MRI

“Concurrent supervision” means active participation and monitoring of the image post-processing 3D manipulation of volumetric data set and image rendering process. American College of Radiology (ACR) Clinical Examples in Radiology (Winter 2006) provided a detailed description of “concurrent physician supervision”:
“Concurrent physician supervision, as noted in the new 3D codes 76376 and 76377, defines a temporal relationship to creating the 3D volume rendered images. 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 (e.g., bone, organs, and vessels)
Determination of the images or cine loops that are to be archived
Monitoring and adjustment of the 3D work product
Concurrent does not relate to the definitions for general, direct, and personal supervision that have been established by the Centers for Medicare & Medicaid Services (CMS).