Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3.1.4
Independent Diagnostic Testing Facility (IDTF) Mammography
20.3.1.4 - Independent Diagnostic Testing Facility (IDTF) Mammography
Payment
(Rev. 4071, Issued: 06-08-18, Issued: 07-09-18, Implementation: 07-09-18)
If an IDTF furnishes any type of mammography service (Screening or diagnostic), it must have a
Food and Drug Administration (FDA) certification to perform such services. An entity that only
performs diagnostic mammography service should not be enrolled as an IDTF.
Screening mammographies (including those that are self-referred) are payable by Medicare when
performed in and by an IDTF entity.
For additional information, refer to 100-04 – Medicare Claims Processing Manual, Chapter 35 –
Independent Diagnostic Testing Facility, Section 10.2 – Claims Processing.