CPT 76376 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
National average reimbursement for CPT 76376 by major payers:
$36.07
$53.84
$89.69
$67.17
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 76376 | ||||||
United | 76376 | $15.65 | 1487805115 - KENNETH JUSKO | 300976099 | PA | Diagnostic Radiology Physician (2085R0202X) |
United | 76376 | $43.09 | 1144751017 - MAURO HANAOKA | 232743545 | PA | Diagnostic Radiology Physician (2085R0202X) |
United | 76376 | $29.00 | 1457327561 - RANDOLPH WOOD | 251744392 | PA | Anesthesiology Physician (207L00000X) |
United | 76376 | $23.82 | 1104842137 - SUBHANKAR BANDYOPADHYAY | 440605373 - CHILDRENS MERCY HOSPITAL | PA | Emergency Medicine Physician (207P00000X) |
United | 76376 | $36.59 | 1841584547 - MONA VAKIL | 582030692 - EMORY UNIVERSITY | GA | Diagnostic Radiology Physician (2085R0202X) |
United | 76376 | $12.03 | 1386693513 - ROBERT HODGES | 232380812 - ST LUKES PHYSICIAN GROUP INC | PA | Anesthesiology Physician (207L00000X) |
United | 76376 | $16.02 | 1689672412 - WILLIAM CASTRO | 251432446 - GREATER WASHINGTON RADIOLOGISTS INC | PA | Diagnostic Radiology Physician (2085R0202X) |
United | 76376 | $29.68 | 1497741532 - ALI MENDELSON | 131740118 - (NY) NORTHERN WESTCHESTER HOSPITAL ASSOCIATION | PA | Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X) |
United | 76376 | $8.93 | 1720036536 - MICHAEL BARTON | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | Emergency Medicine Physician (207P00000X) |
United | 76376 | $10.56 | 1033827324 - RLM ANESTHESIA CONSULTANTS PLLC | 883102793 - (PA) RLM ANESTHESIA CONSULTANTS PLLC | PA | Anesthesiology Physician (207L00000X) |
United | 76376 | $45.22 | 1033778428 - LIANG GE | 232919472 - UPMC | PA | Diagnostic Radiology Physician (2085R0202X) |
United | 76376 | $17.71 | 1952862369 - COURTNEY LEE | 232359401 - MAIN LINE HEALTHCARE | PA | Diagnostic Radiology Physician (2085R0202X) |
United | 76376 | $10.56 | 1306334727 - SYED ALI | 205689327 - (PA) CHESTNUT HILL CLINIC COMPANY LLC | PA | Emergency Medicine Physician (207P00000X) |
United | 76376 | $53.45 | 1780881193 - LONNIE FENDER | 251857035 | PA | Anesthesiology Physician (207L00000X) |
United | 76376 | $133.19 | 1053563965 - RAYMOND LIEBER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 76376 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76376 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 76376 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 76080-CPT | Low | Rad Exam Fistula Sinus Tract Study Rad S |
| 76098-CPT | Low | X-Ray Breast Surgical Specimen |
| 76125-CPT | Low | Cineradiography/Videoradiography To Complement Routine Examination (List Separately In Addition To Code For Primary Procedure) |
| 76376-CPT | Low | 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 Indepen- Dent Workstation(Revised 1/1/2013) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76376. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76376 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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