{
    "code": "76376",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/76376/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/76376/2019/A",
    "description": "Reconstruction of an existing imaging dataset - CT, MRI, ultrasound, or similar - into three-dimensional or reformatted views, together with the physician's interpretation and report of those views. This version covers the work when it is done on the scanner or ordinary review software rather than on a separate dedicated postprocessing workstation; the workstation version is a different code. It is reported alongside the underlying scan, not on its own.",
    "answer": {
        "question": "How much did Medicare pay for CPT 76376 in Q1 2019?",
        "text": "Medicare paid $23.43 for CPT 76376 in the office (non-facility) setting and $23.43 in a facility under the Q1 2019 Physician Fee Schedule, effective January 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.4% decrease from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "A",
        "label": "Q1 2019",
        "effective": "January 1 – March 31, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 23.43,
        "facility": 23.43,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.2,
        "practice_expense_non_facility": 0.43,
        "practice_expense_facility": 0.43,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q1 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/A",
        "file": "PPRRVU19_V1213.csv",
        "row": 12721,
        "sha256": "027b1b615e25a1c68ccff88175acf40056bc59d858295f8e37b0c5a88a2e7d35"
    },
    "modified_at": "2026-08-04T03:08:45+00:00"
}