Effective February 9, 2020, AIM Specialty
Health® (AIM), an independent company, will be using updated
Clinical Appropriateness Guidelines for Radiology for Independence
members.
Independence has contracted with AIM to perform utilization management
activities for outpatient non-emergent diagnostic imaging services and certain
high-technology radiology services for our managed care members. AIM will use
the updated Clinical Appropriateness Guidelines for Radiology to
determine the medical necessity for these services. To view current and future
guidelines, go to the Resources section of AIM’s website.
Summary of the changes
Effective February 9, 2020, changes will be implemented to
the Abdomen and Pelvis section of the Clinical Appropriateness Guidelines
for Radiology.
Policies and guidelines
The following policies were posted as Notifications on November 11, 2019,
and will go into effect on February 9, 2020.
These policies include a list of procedure codes and a link to current and
future radiology guidelines on AIM’s website:
- Commercial: #09.00.46y: High-Technology Radiology
Services
- Medicare Advantage: #MA09.002k: High-Technology
Radiology Services
To view Notifications for these policies, go to our Medical Policy Portal.