Anthem Medical Policies for Radiation Oncology
| Document # | Medical Policy Title |
| SURG.00143 | Perirectal Spacers for Use During Prostate Radiotherapy |
AIM Clinical Guidelines for Radiation Oncology
Radiation Oncology
The AIM Clinical Appropriateness Guidelines for Radiation Oncology address brachytherapy, intensity-modulated radiation therapy, stereotactic body radiation therapy, and stereotactic radiosurgery.
For Commercial and Medicare members
OPEN THE GUIDELINES FOR RADIATION ONCOLOGY EFFECTIVE NOVEMBER 7, 2021 for Commercial/Medicare
For Medicaid members
OPEN THE GUIDELINES FOR RADIATION ONCOLOGY EFFECTIVE MARCH 14, 2021 for Medicaid
Proton Beam Therapy
The AIM Clinical Appropriateness Guidelines for Proton Beam Therapy address proton beam therapy, also known as proton radiation therapy or proton radiotherapy.
OPEN THE GUIDELINES FOR PROTON BEAM THERAPY EFFECTIVE MARCH 14, 2021
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 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
Radiation Oncology
- Radiation Oncology effective March 14, 2021 – November 6, 2021 for Commercial and Medicare
- Radiation Oncology effective February 9, 2020 – March 13, 2021
- Radiation Oncology effective March 9, 2019 – February 8, 2020
- Radiation Oncology effective January 27, 2019 – March 8, 2019
- Radiation Oncology effective January 1, 2018 – January 26, 2019
- Radiation Oncology effective September 5, 2017 – December 31, 2017
- Radiation Oncology effective February 20, 2017 – September 4, 2017
Proton Beam Therapy
- Proton Beam Therapy effective November 10, 2019 – March 13, 2021
- Proton Beam Therapy effective March 9, 2019 – November 9, 2019
- Proton Beam Therapy effective March 12, 2018 – March 8, 2019
- Proton Beam Therapy effective September 5, 2017 – March 11, 2018
- Proton Beam Therapy effective February 20, 2017 – September 4, 2017