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:
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.
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