$113.44
This code describes a complete head CT without contrast. Use 76380 only when the actual CT examination is confined to a limited area.
On this page
CMS RVU26D · Effective 2026-10-01
76380 CT follow-up Medicare reimbursement rates in Connecticut
A focused CT recheck evaluates a previously identified finding in a limited area when a complete examination of the region is not performed. Compare 76380 office and facility rates across CMS payment localities in Connecticut.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 76380 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$140.98
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Computed tomography
About 76380: Limited follow-up computed tomography
A focused CT recheck evaluates a previously identified finding in a limited area when a complete examination of the region is not performed.
This service is a focused CT examination of a limited area, often used to reassess a known, localized finding or to check interval change in a specific site. It is distinct from a full examination of an anatomic region: the imaging protocol and area covered should support a genuinely limited study. A radiology technologist typically acquires the images in a hospital or outpatient imaging department, and a radiologist interprets them.
Select the code based on the extent of the CT examination, not simply because the reason for imaging is follow-up. The report should identify the limited area examined and the finding or clinical question being reassessed. CMS recognizes separately priced professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier for the global service that includes both components.
CMS billing rules for 76380
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.96 · 24%
- Practice expense (office) RVU2.92 · 74%
- Malpractice RVU0.08 · 2%
11.5K
Medicare services in 2024 · #1400 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
76380 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$141.12
This code describes a complete chest CT without contrast; 76380 is for a localized CT recheck, not a full chest protocol.
$27.05
This code represents three-dimensional postprocessing, not acquisition of a limited CT follow-up examination.
Compare 76380 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$140.98
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 76380 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
8,682
- Code
- 76380
- Physician work
- 0.96
- Practice expense
- 2.92
- Malpractice
- 0.08
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.96 | × 1.020 | 0.9792 |
| Practice expense | 2.92 | × 1.077 | 3.1448 |
| Malpractice | 0.08 | × 1.210 | 0.0968 |
| Total RVUs | 4.2208 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$140.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.96 | 1.02 |
| Practice expense | 2.92 | 1.077 |
| Malpractice | 0.08 | 1.21 |
(0.96 × 1.02 + 2.92 × 1.077 + 0.08 × 1.21) × $33.4009 = $140.98
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
76380 billing questions
When should this code be chosen instead of a full-region CT code?
Use it when the examination is limited to a localized area rather than a complete anatomic-region study. A follow-up indication by itself does not make a full CT examination a limited study.
What documentation supports reporting this service?
The record should show the clinical reason for reassessment, the limited area imaged, and the findings or question addressed. The imaging report should support that the examination was localized rather than a full regional protocol.
How do modifiers 26 and TC apply?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Reporting the code without either modifier represents the global service.
Can this code be reported with a full CT of the same region?
Choose the code that reflects the actual examination performed. Do not report this limited study as a substitute for a full-region CT or use it solely because the full study is a follow-up.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,67976377,,3d render w/intrp postproces,A,,0.77,1.52,,1.52,NA,0.07,2.36,2.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,68076377,26,3d render w/intrp postproces,A,,0.77,0.29,,0.29,,0.05,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,68176377,TC,3d render w/intrp postproces,A,,0.00,1.23,,1.23,NA,0.02,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
8,68276380,,Cat scan follow-up study,A,,0.96,2.92,,2.92,NA,0.08,3.96,3.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.96,2.96,0.08
8,68376380,26,Cat scan follow-up study,A,,0.96,0.31,,0.31,,0.07,1.34,1.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,68476380,TC,Cat scan follow-up study,A,,0.00,2.61,,2.61,NA,0.01,2.62,2.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.65,2.65,0.01
8,68576390,,Mr spectroscopy,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808