{
    "code": "76376",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/76376/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/76376/2021/D",
    "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 Q4 2021?",
        "text": "Medicare paid $23.03 for CPT 76376 in the office (non-facility) setting and $23.03 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 1.8%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "D",
        "label": "Q4 2021",
        "effective": "October 1 – December 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 23.03,
        "facility": 23.03,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.2,
        "practice_expense_non_facility": 0.44,
        "practice_expense_facility": 0.44,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q4 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/D",
        "file": "PPRRVU21_OCT.csv",
        "row": 13103,
        "sha256": "f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297"
    },
    "modified_at": "2026-08-04T03:10:59+00:00"
}