Clinical Guidelines Musculoskeletal

Radiology

AIM Clinical Appropriateness Guidelines for Musculoskeletal

The foundation of our solution platform for specialty benefits management is our clinical appropriateness guidelines.

AIM Clinical Appropriateness Guidelines for Musculoskeletal are developed through a rigorous process integrating evidence-based literature with expert physician review. Included below are guidelines for spine surgery, joint surgery, and interventional pain management.

Effective March 9, 2019, the enhanced AIM Specialty Health General Clinical Guideline will replace the Administrative Guidelines which previously applied to AIM Clinical Appropriateness Guidelines for Radiology. The new General Clinical Guideline standardizes language related to clinical appropriateness, simultaneous ordering of multiple diagnostic or therapeutic interventions, and repeat diagnostic or therapeutic interventions, making this information applicable to all AIM Clinical Appropriateness Guidelines—Radiology, Cardiology, Sleep Medicine, Radiation Oncology, and Musculoskeletal. There are no changes to specific clinical criteria.



AIM CLINICAL APPROPRIATENESS GUIDELINES FOR SPINE SURGERY

The interventions addressed in the AIM Clinical Appropriateness Guidelines for Spine Surgery include bone grafts, bone growth stimulators, foraminotomies, fusions, laminectomy, discectomy, disc arthroplasty, treatment of spinal deformity, and vertebroplasty and kyphoplasty.

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AIM CLINICAL APPROPRIATENESS GUIDELINES FOR JOINT SURGERY

The interventions addressed in the AIM Clinical Appropriateness Guidelines for Joint Surgery include total replacement of the hip, knee, and shoulder; arthroscopy of the hip, knee, and shoulder; treatment of osteochondral defects; and meniscal allograft transplantation.

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AIM CLINICAL APPROPRIATENESS GUIDELINES FOR INTERVENTIONAL PAIN MANAGEMENT

The interventions addressed in the AIM Clinical Appropriateness Guidelines for Interventional Pain Management include epidural steroid injections; paravertebral facet injection, nerve block, and neurolysis; sacroiliac steroid injections; spinal cord stimulators; and regional sympathetic nerve block.

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AIM CLINICAL APPROPRIATENESS GUIDELINES FOR SACROILIAC JOINT FUSION

The intervention addressed in the AIM Clinical Appropriateness Guidelines for Sacroiliac Joint Fusion is the minimally invasive sacroiliac joint fusion with the IFuse system (titanium triangular implant).

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AIM LEVEL OF CARE GUIDELINES FOR MUSCULOSKELETAL SURGERY AND PROCEDURES

The Level of Care Guidelines for Musculoskeletal Surgery and Procedures are intended to assist in determining the appropriate level of care necessary to safely and effectively perform the requested surgical procedure.

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