CLINICAL GUIDELINES MUSCULOSKELETAL

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. Guidelines for joint surgery, spine surgery, and interventional pain management are included below.

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.

For Commercial members

OPEN THE GUIDELINES FOR INTERVENTIONAL PAIN MANAGEMENT EFFECTIVE JANUARY 01, 2020

COMING SOON INTERVENTIONAL PAIN MANAGEMENT GUIDELINES EFFECTIVE AUGUST 16, 2020

For Medicare members

OPEN THE GUIDELINES FOR INTERVENTIONAL PAIN MANAGEMENT EFFECTIVE JANUARY 01, 2020

COMING SOON INTERVENTIONAL PAIN MANAGEMENT GUIDELINES EFFECTIVE SEPTEMBER 26, 2020

For Medicaid members

OPEN THE GUIDELINES FOR INTERVENTIONAL PAIN MANAGEMENT EFFECTIVE JANUARY 01, 2020

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.

For Commercial members

OPEN THE GUIDELINES FOR JOINT SURGERY EFFECTIVE MAY 17, 2020

For Medicare members

OPEN THE GUIDELINES FOR JOINT SURGERY EFFECTIVE JUNE 29, 2019

COMING SOON JOINT SURGERY GUIDELINES EFFECTIVE SEPTEMBER 26, 2020

For Medicaid members

OPEN THE GUIDELINES FOR JOINT SURGERY EFFECTIVE JUNE 29, 2019

AIM CLINICAL APPROPRIATENESS GUIDELINES FOR SMALL JOINT SURGERY

The interventions addressed in the AIM Clinical Appropriateness Guidelines for Small Joint Surgery include hallux rigidus surgery; hallux valgus and bunionette surgery; and treatment of lesser toe deformities and ankle arthritis.

For Commercial members

COMING SOON SMALL JOINT SURGERY GUIDELINES EFFECTIVE NOVEMBER 1, 2020

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.

OPEN THE GUIDELINES FOR SPINE SURGERY

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).

OPEN THE GUIDELINES FOR SACROILIAC JOINT FUSION

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.

OPEN THE GUIDELINES FOR LEVEL OF CARE

COMING SOON LEVEL OF CARE GUIDELINES EFFECTIVE NOVEMBER 1, 2020

 

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