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​​Changes to policy on musculoskeletal services

September 12, 2022

​Effective September 11, 2022, AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey have updated their medical policy on musculoskeletal services for Commercial members.

Effective for dates of service on or after September 11, 2022, AIM Specialty Health® (AIM) has revised their Clinical Appropriateness Guidelines for Musculoskeletal. For full details, view the specific guidelines.

Additionally, effective September 11, 2022, the coverage position of CPT® code 27345 will be considered medically necessary and will require precertification with AIM.

Fo​r more information about AIM's revised Clinical Appropriateness Guidelines for Musculoskeletal, please refer to Medical Policy #00.01.66f: Musculoskeletal Services.

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