IDTF Physician and Technician Qualification Requirements - JE Part B

Independent Diagnostic Testing Facilities (IDTFs) must have the proper technical staff on duty with the appropriate credentials to perform tests. Each non-physician who performs IDTF diagnostic testing must be listed on the IDTF's enrollment record (CMS-855B). If the IDTF is billing for the interpretation, all the interpreting physicians need to be listed. A Supervising Physician needs to be on the enrollment record as well. The below CPT codes do not imply coverage of the procedure. All of the procedure codes are subject to Medicare rules and regulations, applicable Local Coverage Decisions (LCDs), and medical necessity. This list was compiled based on current billing patterns. Therefore, some codes may have been inadvertently omitted.

Qualification and supervision information for the procedure codes can be found at the link below. If the requested procedure code is not listed, providers will need to send a written request explaining the procedure they would like to perform. If Contract Medical Directors determine it is an appropriate diagnostic procedure to be safely performed in an IDTF, it will be added to the provider’s file. It is the provider’s responsibility to obtain Contractor approval to bill each HCPCS code that it intends to bill.

Physician Technician Qualification Requirements [Excel]

IDTF Table Abbreviations

American Board of Electrodiagnostic Medicine (ABEM)
Certified Nerve Conduction Technologist (CNCT)

American Board of Family Medicine (ABFM)
ABFM: Sleep Medicine Subspecialty Certification

American Board of Internal Medicine (ABIM)
ABIM: Sleep Medicine Subspecialty Certification

American Board of Nuclear Medicine (ABNM)

American Board of Otolaryngology (ABOto)
ABOto: Sleep Medicine Subspecialty Certification

American Board of Psychiatry and Neurology (ABPN)
ABPN: Sleep Medicine Subspecialty Certification

American Board of Medical Specialties (ABMS)

American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET)
Registered Electroencephalographic technologist (R. EEG T.)
Registered Evoked Potential Technologist (R.EP T.)

American Board of Sleep Medicine (ABSM)

American Registry of Diagnostic Medical Sonographers (ARDMS)
Registered Diagnostic Cardiac Sonographer (RDCS)
Registered Diagnostic Medical Sonographer (RDMS) Registered Vascular Technologist (RVT)

American Registry of Magnetic Resonance Imaging Technologists (ARMRIT)
Certified Magnetic Resonance Imaging Technologist

American Society of Neuroimaging (ASN)
ASN: Neuroimaging Subspecialty Certification

The American Registry of Radiologic Technologists (ARRT)
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)

Board of Registered Polysomnographic Technologists (BRPT)
Registered Polysomnographic Technologist (RPSGT)

Cardiovascular Credentialing International (CCI)
Certified Cardiographic Technician (CCT)
Registered Cardiac Sonographer (RCS)
Registered Cardiovascular Invasive Specialist (RCIS) Registered Vascular Specialist (RVS)

The International Society for Clinical Densitometry (ISCD)
Certified Bone Densitometry Technologist (CBDT)

Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO)
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)
Certified Pulmonary Function Technologist (CPFT) Registered Pulmonary Function Technologist (RPFT)
Certified Respiratory Therapist (CRT): Sleep Disorder Specialist (SDS) Registered Respiratory Therapist (RRT): Sleep Disorder Specialist (SDS)

Nuclear Medicine Technology Certification Board (NMTCB)
Certified Nuclear Medicine Technologist (CNMT)

United Council for Neurologic Subspecialties (UCNS)
UCNS: Neuroimaging Subspecialty Certification