Independent Diagnostic Testing Facility (IDTF)

Published 12/01/2016

Important Independent Diagnostic Testing Facility (IDTF) Resources

IDTF Diagnostic Tests: CMS-855 Application     
When submitting a CMS-855B (PDF, 843 KB) application for change of information to an IDTF Provider Number, Section 1 of the Attachment 2 must reflect the specific codes (e.g., codes for global and/or technical services, for which the IDTF intends to perform and submit to Medicare Part B). 

  • Only those codes listed on Attachment 2 of the CMS-855 B application will be considered for payment
  • Attachment 2 must be completed in its entirety

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