Here is the relevant paragraph from Apple’s documentation:
“as an additional safeguard, the visual derivatives themselves are matched to the known CSAM database by a second, independent perceptual hash. This independent hash is chosen to reject the unlikely possibility that the match threshold was exceeded due to non-CSAM images that were adversarially perturbed to cause false NeuralHash matches against the on-device encrypted CSAM database. If the CSAM finding is confirmed by this independent hash, the visual derivatives are provided to Apple human reviewers for final confirmation.”
https://www.apple.com/child-safety/pdf/Security_Threat_Model...