Article - Billing and Coding: Independent Diagnostic Testing Facility (IDTF) (A57807)

G039809Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN or AOA: Sleep Medicine Subspecialty CertificationCredentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRTG039909Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN or AOA: Sleep Medicine Subspecialty CertificationCredentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRTG040009Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN or AOA: Sleep Medicine Subspecialty CertificationCredentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRTQ003501Board Certified* CardiologistCredentialed by CCI: CCT, NHA: CET, State Licensed Paramedic or RN*Note:The CPT/HCPCS codes that have Licensed Audiologist designated with an asterisk in the Technician Qualification Requirements column would not be subject to direct supervision of a physician. Licensed Audiologist designated with an asterisk are for CPT/HCPCS codes included on the CMS Audiology Code List (revised CY2023). As defined in the Social Security Act, section 1861(ll) (3), the term audiology services specifically means such hearing and balance assessment services furnished by a qualified audiologist as the audiologist is legally authorized to perform under State law (or the State regulatory mechanism provided by State law), as would otherwise be covered if furnished by a physician. Additional information on Audiology Services and the CMS Audiology Code List may be found on the CMS website at https://www.cms.gov/Medicare/Medicare-Fee-For-Service-Payment/PhysicianFeeSched/audiology.htmlNote:The technical component (TC) of services represented by CPT codes 95925-95927 and 95938-95939 may be performed by an appropriately certified PT. However, in an IDTF supervision by the appropriate physician(s) is required for global and professional component (PC) billing.Please refer to A57540, Billing and Coding: Somatosensory Testing for additional information on CPT codes 95925-95930, 95938 and 95939.Note:Board Certified* Nuclear Medicine meets the supervising physician and interpreting physician qualification requirements for the tests 93015, 93016, 93017, and 93018 when performed in conjunction with myocardial perfusion and cardiac blood pool imaging studies. In this situation, a Certified Nuclear Medicine Technologist (ARRT: N or NMTCB: CNMT) meets the technician qualification requirements for 93015, 93016, and 93017 when performed under direct supervision of a Board Certified* Nuclear Medicine physician.Note:Nonphysician practitioners such as nurse practitioners (NPs), clinical nurse specialists (CNSs) and physician assistants (PAs) who personally perform diagnostic psychological and neuropsychological tests are excluded from having to perform these tests under the general supervision of a physician or a clinical psychologist (CP). Rather, NPs and CNSs must perform such tests under the requirements of their respective benefit instead of the requirements for diagnostic psychological and neuropsychological tests. Accordingly, NPs and CNSs must perform tests in collaboration (as defined under Medicare law at section 1861(aa)(6) of the Act) with a physician. PAs perform tests under the general supervision of a physician as required for services furnished under the PA benefit. (Reference CMS IOM Pub. 100-02, Chapter 15, Section 80.2)Key for IDTF Table AbbreviationsAmerican Association of Electrodiagnostic Technologists (AAET)http://www.aaet.infoRegistered Nerve Conduction Study Technologist (R.NCS.T.)American Board of Electrodiagnostic Medicine (ABEM)http://www.abemexam.org/Certified Nerve Conduction Technologist (CNCT)American Board of Family Medicine (ABFM)http://www.theabfm.orgABFM: Sleep Medicine Subspecialty CertificationAmerican Board of Internal Medicine (ABIM)https://www.abim.org/certification/policies/internal-medicine-subspecialty-policies/sleep-medicine/ABIM: Sleep Medicine Subspecialty CertificationAmerican Board of Nuclear Medicine (ABNM)http://www.abnm.orgAmerican Board of Otolaryngology - Head and Neck Surgery (ABOHNS)https://www.abohns.org/ABOHNS: Sleep Medicine Subspecialty CertificationAmerican Board of Psychiatry and Neurology (ABPN)http://www.abpn.comABPN: Sleep Medicine Subspecialty CertificationAmerican Board of Medical Specialties (ABMS)http://www.abms.orgAmerican Board of Physical Therapy Specialties (ABPTS)https://specialization.apta.orgABPTS Physical TherapistAmerican Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET)http://www.abret.org/exam_info/eligibility.phpRegistered Electroencephalographic technologist (R. EEG T.)Registered Evoked Potential Technologist (R. EP T.)American Board of Sleep Medicine (ABSM)www.absm.orgAmerican Osteopathic Association (AOA)https://osteopathic.orgAOA Doctor of Osteopathic Medicine (D.O.)American Registry of Diagnostic Medical Sonographers (ARDMS)http://www.ardms.orgRegistered Diagnostic Cardiac Sonographer (RDCS)Registered Diagnostic Medical Sonographer (RDMS)Registered Vascular Technologist (RVT)American Registry of Magnetic Resonance Imaging Technologists (ARMRIT)http://www.armrit.orgCertified Magnetic Resonance Imaging TechnologistAmerican Society of Neuroimaging (ASN)http://www.asnweb.orgASN: Neuroimaging Subspecialty CertificationThe American Registry of Radiologic Technologists (ARRT)https://www.medical-professionals.com/en/arrt-certification-guide/Certified Magnetic Resonance Imaging Technologist (ARRT: MR) Certified and Registered Technologist -Bone Densitometry (R.T.-BD) Certified and Registered Technologist-Breast Sonography (R.T.-BS)Certified and Registered Technologist  Cardiac Interventional Radiography (ARRT: CI Certified and Registered Technologist -Computed Tomography [R.T.-CT])Certified and Registered Technologist -Magnetic Resonance Imaging (R.T.-MR) Certified and Registered Technologist-Mammography (R.T.-M)Certified and Registered Technologist-Nuclear Medicine Technology (R.T.-N)Certified and Registered Technologist-Radiography (R.T.-R)Certified and Registered Technologist Sonography (R.T.-S)Certified and Registered Technologist Vascular Sonography (R.T.-VS)The Board of Certification of the Ophthalmic Photographers Societyhttps://mail.opsweb.org/Certif/Certif.htmlCertified Retinal Angiographer (CRA)Board of Registered Polysomnographic Technologists (BRPT)http://www.brpt.org/Registered Polysomnographic Technologist (RPSGT)Certified Polysomnographic Technician (CPSGT)Cardiovascular Credentialing International (CCI)http://www.cci-online.org/Certified Cardiographic Technician (CCT)Registered Cardiac Sonographer (RCS)Registered Cardiovascular Invasive Specialist (RCIS)Registered Vascular Specialist (RVS)Certified Rhythm Analysis Technician (CRAT)The International Society for Clinical Densitometry (ISCD)http://www.iscd.org/Certified Bone Densitometry Technologist (CBDT)Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO)https://www.jcahpo.org/certification/certifications/JCAHPO offers three levels of certification: Certified Ophthalmic Assistant (COA)Certified Ophthalmic Technician (COT) (Intermediate Level)Certified Ophthalmic Medical Technologist (COMT) (Advanced Level)National Board for Respiratory Care (NBRC)http://www.nbrc.orgCertified Pulmonary Function Technologist (CPFT)Registered Pulmonary Function Technologist (RPFT)Certified Respiratory Therapist (CRT)Sleep Disorders Specialist (SDS)Registered Respiratory Therapist (RRT)National Healthcareer Association (NHA)https://www.nhanow.com/Certified EKG Technician (CET)Nuclear Medicine Technology Certification Board (NMTCB)http://www.nmtcb.org/Certified Nuclear Medicine Technologist (CNMT)United Council for Neurologic Subspecialties (UCNS)http://www.ucns.org/UCNS: Neuroimaging Subspecialty Certification