CMS Rescinds Instruction on Use of Subspecialty Code 95 for ADI

CMS Rescinds Instruction on Use of Subspecialty Code 95 for ADI The Centers for Medicare and Medicaid Services (CMS) announced at the Open Door Forum on May 17 that it will rescind any previous instruction to CMS contractors, which discussed the changes to the Provider Enrollment, Chain and Ownership System and the new subspecialty code 95. Subspecialty code 95 was scheduled to be implemented in July 2011 and used as a valid primary and/or secondary code to identify Advanced Diagnostic Imaging (ADI) accredited facilities. CMS stated that it intends to work with the three accreditation bodies to obtain the...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a CMS announcement affecting advanced diagnostic imaging accreditation guidance, including enrollment-related instructions, implementation timing, and deadlines tied to Medicare participation. It is intended for physicians, nonphysician practitioners, independent diagnostic testing facilities, and billing or compliance staff who need to track CMS policy changes affecting imaging provider enrollment and accreditation requirements.

Why This Topic Matters

It helps readers understand changes in CMS guidance that may affect provider enrollment records, accreditation planning, and Medicare payment eligibility for advanced diagnostic imaging services.

What You Will Learn

  • What CMS announced regarding prior enrollment guidance
  • How the update relates to advanced diagnostic imaging accreditation
  • Which provider groups are affected by the timing and accreditation requirements
  • Where CMS directs readers for additional information

Who Should Read This

  • Physicians
  • Nonphysician practitioners
  • Independent diagnostic testing facilities
  • Medical coders
  • Billing staff
  • Compliance staff
  • Healthcare administrators

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