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Question:
Can Independent Diagnostic Testing Facility perform mammography screenings?
Answer:
ASK AN EXPERT

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. However, an entity that only performs diagnostic mammography services 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.

Medicare Part B covers screening mammogram once in 12 months (11 full months must have passed since previous screening) and diagnostic mammogram in case of medical necessity. No coinsurance and deductible applies to screening, but does to diagnostic mammogram.

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Insights
July 2018