### Question
How does the law define appropriate use criteria?


### Answer
Under *42 U.S.C. § 1395m*, **appropriate use criteria** is defined as:

> criteria, only developed or endorsed by national professional medical specialty societies or other provider-led entities, to assist ordering professionals and furnishing professionals in making the most appropriate treatment decision for a specific clinical condition for an individual

#### Citation:
  - *42 U.S.C. § 1395m*
  - Heading: **CHAPTER 7-SOCIAL SECURITY > SUBCHAPTER XVIII-HEALTH INSURANCE FOR AGED AND DISABLED > Part B-Supplementary Medical Insurance Benefits for Aged and Disabled**

