CPT code 76380: CT follow-up2026 Medicare rate & RVUs in Delaware
A focused CT recheck evaluates a previously identified finding in a limited area when a complete examination of the region is not performed.
Medicare pays $130.99 for 76380 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 76380 covers
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.
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 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $130.99 | Unavailable |
How the 76380 rate is calculated
Each of 76380’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 76380
RVUs × geographic indexes × conversion factor
Work0.96
0.96 RVUs× 1.000 GPCI
Practice expense2.92
2.92 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
3.9600
Conversion factor
$33.4009
Medicare rate
$132.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 76380
The CMS indicators that decide how 76380 is paid alongside other services.
CMS payment indicators · 76380
CT follow-up
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
76380 without 26 · national office
$132.27
CT follow-up
76380-26 · Professional component
$44.76
Pays only the interpretation and report.
76380 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 70450Head CT
- This code describes a complete head CT without contrast. Use 76380 only when the actual CT examination is confined to a limited area.
- 71250Chest CT
- This code describes a complete chest CT without contrast; 76380 is for a localized CT recheck, not a full chest protocol.
- 763763D rendering
- This code represents three-dimensional postprocessing, not acquisition of a limited CT follow-up examination.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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