AIM Specialty Health

AIM Guidelines and AIM administered medical policies

Radiology
Sleep
Radiation Oncology
Cardiology
Musculoskeletal

Please Note

Anthem, Inc. Medical Policies have been developed for specific services and supersede any AIM clinical appropriateness guideline relevant to that service.

For a complete listing of Anthem medical policies, please go to  Anthem Provider site > select your state > Scroll down page, click “See Policies and Guidelines”

For a complete listing of Unicare medical policies, please go to Unicare Provider site

For a complete listing of Healthlink medical policies, please go to Healthlink Provider site

For a complete listing of Amerigroup medical policies, please go to Amerigroup Provider site > Select your state

For a complete listing of Simply Healthcare medical policies, please go to Simply Healthcare site > Select your state



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.


Radiology

Please Note

The following Anthem radiology medical policies have been developed for specific services and supersede any AIM clinical appropriateness guideline relevant to that service. For a complete listing of Anthem radiology medical policies, please go directly to links listed above for medical policies.

Document # Medical Policy Title
RAD.00001 Computed Tomography to Detect Coronary Artery Calcification
RAD.00036 MRI of the Breast
RAD.00037 Whole Body Computed Tomography Scanning
RAD.00052 Positional MRI
RAD.00054 MRI of the Bone Marrow

AIM Advanced Imaging Clinical Appropriateness Guidelines:


COMING SOON: Guideline enhancements effective February 09, 2020


Archived AIM Advanced Imaging Clinical Appropriateness Guidelines:

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Sleep

June 29, 2019 - AIM Sleep Disorder Management Diagnostic & Treatment Guidelines


COMING SOON: Guideline enhancements effective February 09, 2020



Archived Sleep Disorder Management Diagnostic & Treatment Guidelines


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Radiation Oncology

March 9, 2019 - AIM Clinical Guidelines Radiation Oncology


COMING SOON: Guideline enhancements effective February 09, 2020


November 10, 2019 - AIM Clinical Guidelines Proton Beam Therapy


Archived Clinical Guidelines Radiation Oncology


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Cardiology

Effective November 10, 2019, the Arterial Ultrasound appropriateness criteria were moved to the AIM Clinical Appropriateness Guidelines for Vascular Imaging.

November 10, 2019 - AIM Clinical Appropriateness Guidelines for Cardiac imaging


COMING SOON: Guideline enhancements effective January 01, 2020


March 9, 2019 - AIM Clinical Appropriateness Guidelines for Diagnostic Coronary Angiography:


March 9, 2019 - AIM Clinical Appropriateness Guidelines for Percutaneous Coronary Intervention:


Archived Clinical Guidelines Cardiac Imaging

Archived Clinical Guidelines Arterial Ultrasound

Archived Clinical Guidelines Diagnostic Coronary Angiography

Archived Clinical Guidelines Percutaneous Coronary Intervention

 

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Musculoskeletal (MSK)

Document # Medical Policy Title
SURG.00052 Intradiscal Annuloplasty Procedures (Percutaneous Intradiscal Electrothermal Therapy [IDET], Percutaneous Intradiscal Radiofrequency Thermocoagulation [PIRFT] and Intradiscal Biacuplasty [IDB])
SURG.00067 Percutaneous Vertebroplasty, Kyphoplasty and Sacroplasty
SURG.00071 Percutaneous and Endoscopic Spinal Surgery
SURG.00072 Lysis of Epidural Adhesions
SURG.00092 Implanted Devices for Spinal Stenosis
SURG.00111 Axial Lumbar Interbody Fusion
SURG.00127 Sacroiliac Joint Fusion
TRANS.00035 Mesenchymal Stem Cell Therapy For Orthopedic Indications

 

AIM Clinical Guidelines Musculoskeletal:

June 29, 2019

March 9, 2019

May 18, 2019


COMING SOON: Guideline enhancements effective January 01, 2020


COMING SOON: Guideline enhancements effective February 09, 2020


COMING SOON: Guideline enhancements effective January 01, 2020




 

Archived Clinical Guidelines Musculoskeletal (MSK)


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