Article - Independent Diagnostic Testing Facilities- physician supervision and technician requirements (A54953)

95807Sleep study, attendedMD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO)Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT)95808Polysom any age 1-3> paramMD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO)Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT)95810Polysom 6/> yrs 4/> paramMD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO)Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT)95811Polysom 6/>yrs cpap 4/> parmMD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO)Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT)95812EEG, 41-60 minutesNeurologistCredentialed by ABRET as R. EEG T95813Eeg extnd mntr 61-119 minNeurologistCredentialed by ABRET as R. EEG T95816EEG, awake and drowsyNeurologistCredentialed by ABRET as R. EEG T95819EEG, awake and asleepNeurologistCredentialed by ABRET as R. EEG T95822EEG, coma or sleep onlyNeurologistCredentialed by ABRET as R. EEG T95824EEG, cerebral death onlyNeurologistCredentialed by ABRET as R. EEG T95830Insert electrodes for EEGNeurologistPhysician only service95836Ecog impltd brn npgt <30 dNeurologistCredentialed by ABRET as R. EEG T95860Muscle test, one limbNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95861Muscle test, 2 limbsNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95863Muscle test, 3 limbsNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95864Muscle test, 4 limbsNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95867Muscle test cran nerv unilatNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95868Muscle test cran nerve bilatNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95869Muscle test, thor paraspinalNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95870Muscle test, nonparaspinalNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95872Muscle test, one fiberNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95875Limb exercise testNeurologist Physical Medicine & Rehab NeurologistPhysician only service95885Musc tst done w/nerv tst limNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95886Musc test done w/n test compNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95887Musc tst done w/n tst nonextNeurologist Physical Medicine & RehabProcedure must be performed by PT w/ ABPTS95905Motor &/sens NCV testNeurologist Physical Medicine & RehabRegistered evoked potential technologist (R.EPT)95907Nvr cndj tst 1-2 studiesNeurologist Physical Medicine & RehabRegistered evoked potential technologist (R.EPT)95908Nvr cndj tst 3-4 studiesNeurologist Physical Medicine & RehabRegistered evoked potential technologist (R.EPT)95909Nvr cndj tst 5-6 studiesNeurologist Physical Medicine & RehabRegistered evoked potential technologist (R.EPT)95910Nvr cndj tst 7-8 studiesNeurologist Physical Medicine & RehabRegistered evoked potential technologist (R.EPT)95911Nvr cndj tst 9-10 studiesNeurologist Physical Medicine & RehabRegistered evoked potential technologist (R.EPT)95912Nvr cndj tst 11-12 studiesNeurologist Physical Medicine & RehabRegistered evoked potential technologist (R.EPT)95913Nvr cndj tst 13/> studiesNeurologist Physical Medicine & RehabRegistered evoked potential technologist (R.EPT)95921Autonomic parasym testingNeurologist Physical Medicine & RehabCredentialed by ABRET as R. EPT95922Autonomic testing sympathetic > 5 minutes tiltNeurologist Physical Medicine & RehabCredentialed by ABRET as R. EPT95923Sudomotor plusNeurologist Physical Medicine & RehabCredentialed by ABRET as R. EPT95924Ans parasymp & symp w/tiltNeurologist Physical Medicine & RehabCredentialed by ABRET as R. EPT95925Somatosensory testingNeurologistCredentialed by ABRET as R. EPT95926Somatosensory testingNeurologistCredentialed by ABRET as R. EPT95927Somatosensory testingNeurologistCredentialed by ABRET as R. EPT95928C motor evoked, uppr limbsNeurologistCredentialed by ABRET as R. EPT95929C motor evoked, lwr limbsNeurologistCredentialed by ABRET as R. EPT95930Visual ep test cns w/i&rNeurologistCredentialed by ABRET as R. EPT95933Blink reflex testNeurologist Physical Medicine & RehabPT w/ ABPTS95937Neuromuscular junction testNeurologist PT w/ ABPTS95938Somatosensory testingNeurologist Physical Medicine & RehabPT w/ ABPTS95939C motor evoked upr&lwer limbsNeurologist Physical Medicine & RehabPT w/ ABPTS95954EEG monitoring/giving drugsNeurologistPhysician only service95957EEG digital analysisNeurologistCredentialed by ABRET as R. EEG T95958EEG monitoring/function testNeurologistPhysician only service95976Alys smpl cn npgt prgrmgNeurologistPhysician only service95977Alys cplx cn npgt prgrmgNeurologistPhysician only service95983Alys brn npgt prgrmg 15 minNeurologistPhysician only service95984Alys brn npgt prgrmg addl 15NeurologistPhysician only service96000Motion analysis, video/3DNeurologistPT w/ ABPTS96001Motion test w/ft press measNeurologistPT w/ ABPTS96002Dynamic surface EMGNeurologistPhysician Only Service96003Dynamic fine wire EMGNeurologistPhysician Only Service96004Phys review & interpretation of motion testsNeurologistPhysician only serviceG0248Demonstrate use home inr monPhysician: General SupervisionRegistered NurseG0249Provide inr test mater/equipPhysician: General SupervisionDemonstrates ProficiencyG0398Home sleep test/type 2 portaMD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO)Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT)G0399Home sleep test/type 3 portaMD/DO certified with (ABSM), or Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO)Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT)G0400Home sleep test/type 4 portaMD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO)Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT)G2066Inter devc remote 30dBoard Certified (ABMS) CardiologistState Licensed: RN or Paramedic, or Credentialed by CCI: CCT; Certified Rhythm Analysis Technician (CRAT), NCCT-NCET, NHA-CET0501TCor FFR Derived Cor CTA DataBoard Certified CardiologistN/A0502TCor FFR Data Prep & TransmisBoard Certified CardiologistN/A0503TCor FFR Alys Gnrj FFR MdlBoard Certified CardiologistN/A0504TCor FFR Data Review I&RBoard Certified CardiologistN/AKey for Abbreviations used in the table:The physician (MD/DO) performing the service must meet the criteria in our Polysomnography and OtherSleep Studies LCD (L36839)Physician and Technician Requirements for Sleep Studies and Polysomnography Testing:The physician performing the service must meet one of the following:be a diplomate of the American Board of Sleep Medicine (ABSM);ORhas a Sleep Certification issued byONEof the following Boards:American Board of Internal Medicine (ABIM),American Board of Family Medicine (ABFM),American Board of Pediatrics (ABP),American Board of Psychiatry and Neurology (ABPN),American Board of Otolaryngology (ABOto),American Osteopathic Board of Neurology and Psychiatry (AOBNP),American Osteopathic Board of Family Medicine, (AOBFP)American Osteopathic Board of Internal Medicine, (AOBIM)American Osteopathic Board of Ophthalmology and Otorhinolaryngology (AOBOO);ORbe an active physician staff member of a credentialed sleep center or laboratory that have active physician staff members meeting the criteria above inaorb.