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Appropriate Use Criteria for Advanced Diagnostic Imaging

Page 1 of 8 Appropriate USE Criteria FOR Advanced Diagnostic IMAGINGICN 909377 December 2018 PRINT-FRIENDLY VERSIONT arget Audience: Medicare Part B Practitioners and ProvidersThe Hyperlink Table, at the end of this document, provides the complete URL for each Fact SheetAppropriate Use Criteria for Advanced Diagnostic ImagingICN 909377 December 2018 Page 2 of 8A QUICK GUIDEB eginning in 2020, if you order Medicare Part B Advanced Diagnostic Imaging services, you must consult Appropriate use Criteria (AUC) through a qualified Clinical Decision Support Mechanism (CDSM). You must also provide the information to furnishing professionals and facilities, because they must report AUC consultation information on their Medicare claims.

Appropriate Use Criteria for Advanced Diagnostic Imaging MLN Fact heet Page 6 of 8 ICN 909377 December 2018 Claims from the professional and facility for advanced diagnostic imaging services furnished in these settings . and paid by CMS using one of the following payment systems will be required to append AUC consultation information.

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