State & FederalMedicare AdvantageFebruary 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

AIM Specialty Health® groups CPT codes on authorizations so they can be reviewed together to support a procedure or therapy. Grouped codes are used for radiology, cardiology, and sleep and radiation therapy programs. The groupings can be found at http://aimspecialtyhealth.com/ClinicalGuidelines.html by selecting the appropriate solution and then the exam or therapy being performed. Additional information is available at anthem.com/ca/medicareprovider under Important Medicare Advantage Updates.