CPT Codes for Radiological Supervision & Interpretation (2024)

These four codes distinguish who performs the supervision & interpretation (S&I) of diagnostic imaging. They are not for the imaging procedure itself (which has separate technical component codes).

Code	Description	Typical User
76140	Radiological S&I by qualified health care professional (non-physician)	PA, NP, CRNA, radiologist assistant (RA) – per state scope & facility policy
76141	Radiological S&I by a physician (MD/DO)	Radiologist, cardiologist, any physician interpreting own/referred study
76142	Radiological S&I by a non-physician practitioner (NPP)	Specific NPP category (e.g., radiologist assistant) – similar to 76140 but distinct category
76143	Radiological S&I by qualified HCP including consultation with referring physician	RA/PA/NP interpreting + documented consultation with referrer

Key Rules

• Global vs. Split Billing: If same entity owns equipment & provides interpretation → bill global (no 26/TC). If separate → 26 (professional) + TC (technical).
• Supervision Levels: General / Direct / Personal – per modality & setting (CMS manual).
• Consultation (76143): Requires documented interactive dialogue, not just report.
• Not for: Nuclear medicine (78xxx), radiation therapy (77xxx), cardiac cath (93xxx).

2024 Updates

No new codes; descriptors clarified for NPP vs. qualified HCP. Check CMS NCCI edits for bundling with imaging codes.

Reference: AMA CPT Professional 2024; CMS Physician Fee Schedule Final Rule.