Independent Diagnostic Testing Facility
This page is a central location for independent diagnostic testing facility (IDTF) information, including CMS resources.
Spotlight
Enrolling
The following resources support enrollment activities for IDTFs:
- IDTF
- IDTF Quick Reference
- Completing the Medicare CMS-855B Enrollment Application
- Tutorial: Change of Practice Address for Part B Group / Organization Providers (Using CMS-855B)
- Life Cycle of an Enrollment Application
- Independent Diagnostic Testing Facility (IDTF) Performance Standards
- CMS IOM Pub. 100-08 Medicare Program Integrity Manual, Chapter 10, Section 10.2.2.4
- 42 CFR §410.33, Independent Diagnostic Testing Facility
Policy Information
Not all services have a policy associated with them. We will consider Reasonable and Necessary Guidelines in the absence of an LCD, billing and coding article, NCD, or CMS manual instruction that limits coverage.
LCDs
Learn more about the LCD development process through the following:
Search for IDTF-related LCDs using these available resources:
- LCD Interactive Index Tool
- View active / proposed LCDs on CMS Medicare Coverage Database (MCD)
NCDs
Search for IDTF-related NCDs using these available tools:
Medical Documentation
For a claim to be valid, documentation must demonstrate compliance with all applicable coverage, coding and billing requirements and substantiate the level of care billed. The following resources are specific to IDTFs, but may not address all required medical documentation requirements:
- Medical Documentation Checklists
- Checklist: Diagnostic Radiology
- Signature Requirements: Guidelines for Authentication of Medicare Services
- CMS IOM Pub. 100-02 Medicare Benefit Policy Manual, Chapter 15, Sections 80 and 90
- 42 CFR § 410.26, Services and Supplies Incident to a Physician’s Professional Services
- 42 CFR § 410.32, Diagnostic X-ray Tests, Diagnostic Laboratory Tests, and Other Diagnostic Tests
Claim Submission and Reimbursement
- CMS IOM Pub. 100-04 Medicare Claims Processing Manual, Chapter 26
- CMS IOM Pub. 100-04 Medicare Claims Processing Manual, Chapter 35
Additional Information
- View our FastTrack to Medicare Coverage Policies Tool to locate guidelines
- Physician Supervision of Diagnostic Tests
CMS
Education
View our wide selection of free, live and on-demand training options:
- View our upcoming Educational Events Calendar
- View On-demand Learning
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