What must be included in the furnishing provider’s advanced imaging claim to Medicare and CDSM compliance certificate?
Three values need to be included:
- The CDSM’s G-code (specific to each CMS-approved CDSM software vendor; Infinx’s G-code is 1018),
- The unique consultation identifier which is the proof of consult (similar to an authorization number in prior authorizations), and
- The adherence modifier, which indicates whether the procedure selected adheres to the criteria, does not adhere to the criteria, or if the criteria were unavailable.