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Documenting concurrent supervision for CD volume-rendered images


 What is “concurrent supervision” in relation to the 3D CPT® codes 76376 and 76377, and how must it be documented? 


Concurrent supervision defines a “temporal relationship” to creating the 3D volume-rendered images. The physician must actively participate in and monitor the reconstruction process, including: 

  • Design of the anatomic region to be reconstructed;
  • Determine the tissue types and structures to be displayed (e.g., bones, organs, vessels);
  • Determine the images or cine loops to be archived; and 
  • Monitor and adjust the 3D work product. 

If the physician is providing supervision as above, a note in the dictated report that “the 3D reconstructions were performed under my concurrent supervision” would suffice for documentation.