Three-Dimensional (3D) Radiology Services
Customize your policy alerts
Sign up for Empire Bluecross Policy C-22004 alerts
Get alerted when Policy C-22004 changes without checking for updates manually.
Monitor payer policy activity
Defines Empire Bluecross's reimbursement stance that 3D radiology rendering is considered an included part of the imaging study and is not separately reimbursable for professional and facility claims unless contracts or mandates require otherwise; applies to commercial reimbursement.
Removed Connecticut facility exemption and clarified the policy applies to both professional and facility services as a single blended policy.
Coverage Determination for 3D Radiology Rendering
Coverage rules for 3D radiology rendering
Covered when ALL of the following are met:
Relevant Procedure Codes
| 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 post-processing on an independent workstation. Not eligible for separate reimbursement; modifiers will not override these edits. |
| 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 post-processing on an independent workstation. Not eligible for separate reimbursement; modifiers will not override these edits. |
Billing Guidance and Provider Responsibilities
3D rendering billed as part of the imaging study — not separately reimbursable
3D radiology rendering is considered included in the reimbursement for the imaging study and is not eligible for separate reimbursement; follow applicable provider, state, or federal contracts and mandates and use proper billing and submission guidelines. Claims may be rejected, denied, or recovered if coding/billing guidelines are not followed.
- 3D radiology services are elective visual enhancements and are included in the imaging study reimbursement.
- If provider, state, or federal contracts and/or mandates require different handling, those contracts/mandates supersede this policy.
- Use industry-standard compliant CPT/HCPCS codes and proper billing/submission guidelines to avoid claim denials or recoveries.
Definitions
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.