CARDIOLOGY

AIM Clinical Appropriateness Guidelines for Cardiology

Advanced Imaging of the Heart

For Commercial and Medicare members

OPEN THE GUIDELINES FOR CARDIAC IMAGING EFFECTIVE NOVEMBER  7, 2021 FOR COMMERCIAL/MEDICARE

For Medicaid members

OPEN THE GUIDELINES FOR CARDIAC IMAGING EFFECTIVE SEPTEMBER 12, 2021 FOR MEDICAID 

 

Diagnostic Coronary Angiography

OPEN THE GUIDELINES FOR DIAGNOSTIC CORONARY ANGIOGRAPHY EFFECTIVE SEPTEMBER 12, 2021  

 

Percutaneous Coronary Intervention

OPEN THE GUIDELINES FOR PERCUTANEOUS CORONARY INTERVENTION EFFECTIVE JUNE 13, 2021

 

Arterial Ultrasound criteria moved to Vascular Imaging effective November 10, 2019

Tests previously addressed in the AIM Clinical Appropriateness Guidelines for Arterial Ultrasound are now addressed in AIM Vascular Imaging Guidelines.

Code cross-reference guide

Download a helpful spreadsheet to find current and archived procedure codes for each solution!

Anthem medical policy site:

For a complete listing of Anthem medical policies, please go to Anthem Provider site > select your state > Scroll down page, select Review Policies > view Medical Policies & Clinical UM Guidelines

Other client policy sites:

Other Clinical Guidelines

Archived Guidelines

For guidelines older than 3 years, please contact AIM.guidelines@aimspecialtyhealth.com

Advanced Imaging of the Heart
Arterial Ultrasound
Diagnostic Coronary Angiography
Percutaneous Coronary Intervention