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AIM to allow pre-service review for arterial ultrasounds

September 4, 2019

As of July 13, 2019, AIM Specialty Health® (AIM), an independent company, updated their internal process for arterial ultrasounds. AIM now allows pre-service requests for extremity arterial duplex imaging.

The CPT® codes for services impacted by this update are:

  • 93978
  • 93979
  • 93880
  • 93882
  • 93922
  • 93923
  • 93924
  • 93925
  • 93926
  • 93930
  • 93931

 

These services can still be submitted to AIM for post-service review.

Background

Independence has contracted with AIM to perform utilization management activities for cardiovascular tests/diagnostic procedures and nonsurgical treatments for our managed care members. AIM uses the Clinical Appropriateness Guidelines for Arterial Ultrasound to determine the medical necessity for these services. To view AIM’s current guidelines, go to the Resources section of AIM’s website.

Policies and guidelines

The following medical policies include a list of procedure codes and a link to the cardiology guidelines on AIM’s website:

  • Commercial: #11.02.27b: Percutaneous Coronary Intervention, Coronary Angiography, and Arterial Ultrasound
  • Medicare Advantage: #MA11.113b: Percutaneous Coronary Intervention, Coronary Angiography and Arterial Ultrasound

To access these medical policies, visit our Medical Policy Portal

CPT Copyright 2017 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.


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