AIM Clinical Appropriateness Guidelines for Cardiology
Advanced Imaging of the Heart
For commercial and Medicare members
OPEN THE CARDIAC IMAGING GUIDELINES FOR COMMERCIAL/MEDICARE EFFECTIVE NOVEMBER 6, 2022
For Medicaid members
OPEN THE CARDIAC IMAGING GUIDELINES EFFECTIVE MARCH 13, 2022
For commercial, Medicare, and Medicaid members
COMING SOON CARDIAC IMAGING GUIDELINES EFFECTIVE APRIL 9, 2023
Diagnostic Coronary Angiography
For commercial and Medicare members
For Medicaid members
OPEN THE DIAGNOSTIC CORONARY ANGIOGRAPHY GUIDELINES EFFECTIVE MARCH 13, 2022
Percutaneous Coronary Intervention
OPEN THE GUIDELINES FOR PERCUTANEOUS CORONARY INTERVENTION EFFECTIVE MARCH 13, 2022
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 medical policies, please go to Anthem Provider site > select your state > Scroll down page, select Review Policies > view Medical Policies & Clinical UM GuidelinesOther client policy sites:
- Amerigroup Provider site > Select your state
- Healthlink Provider site
- Healthy Blue LA Provider site
- Healthy Blue SC Provider site
- Simply Healthcare site
- Summit Community Care AR Provider site
- Unicare Provider site
Other Clinical Guidelines
Archived Guidelines
For guidelines older than 3 years, please contact AIM.guidelines@aimspecialtyhealth.com
Advanced Imaging of the Heart
- Imaging of the Heart effective March 13, 2022 – November 5, 2022 for commercial and Medicare
- Imaging of the Heart effective January 1 – March 12, 2022 for commercial and Medicare
- Imaging of the Heart effective January 1 – March 12, 2022 for Anthem Medicaid except Simply Healthcare (FL Medicaid); – September 10, 2022 for Simply Healthcare (FL Medicaid)
- Imaging of the Heart effective November 7, 2021 – December 31, 2021 for Commercial and Medicare
- Imaging of the Heart effective September 12, 2021 – November 6, 2021 for Commercial and Medicare; – December 31, 2021 for Medicaid
- Imaging of the Heart effective March 14, 2021 – September 11, 2021
- Imaging of the Heart effective January 1, 2020 – March 13, 2021
- Imaging of the Heart effective November 10, 2019 – December 31, 2019
- Imaging of the Heart effective June 29, 2019 – November 9, 2019
- Imaging of the Heart effective March 9, 2019 – June 28, 2019
- Imaging of the Heart effective January 27, 2019 – March 8, 2019
- Imaging of the Heart effective January 1, 2018 – January 26, 2019
- Imaging of the Heart effective November 20, 2017 – December 31, 2017
- Imaging of the Heart effective September 5, 2017 – November 19, 2017
Arterial Ultrasound
- Arterial Ultrasound effective June 29, 2019 – November 9, 2019
- Arterial Ultrasound effective March 9, 2019 – June 28, 2019
- Arterial Ultrasound effective January 27, 2019 – March 8, 2019
- Arterial Ultrasound effective January 2, 2018 – January 26, 2019
Diagnostic Coronary Angiography
- Diagnostic Coronary Angiography effective March 13, 2022 – November 5, 2022 for commercial and Medicare
- Diagnostic Coronary Angiography effective September 12, 2021 – March 12, 2022
- Diagnostic Coronary Angiography effective March 14, 2021 – September 11, 2021
- Diagnostic Coronary Angiography effective March 9, 2019 – March 13, 2021
- Diagnostic Coronary Angiography effective June 11, 2018 – March 8, 2019
- Diagnostic Coronary Angiography effective January 2, 2018 – June 10, 2018
Percutaneous Coronary Intervention
- Percutaneous Coronary Intervention effective June 13, 2021 – March 12, 2022
- Percutaneous Coronary Intervention effective March 9, 2019 – June 12, 2021
- Percutaneous Coronary Intervention effective June 11, 2018 – March 8, 2019
- Percutaneous Coronary Intervention effective January 2, 2018 – June 10, 2018