Policy Updates Medical Policy & Clinical GuidelinesCommercialJuly 31, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

Effective for dates of service on and after July 14, 2019, the following updates will apply to the AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline.

 

  • Prostate Cancer: Added criteria for the appropriate use of PET-CT with the radiotracers Axumin and 11-Choline, establishing the position of this test in the care continuum for prostate cancer primarily related to biochemical recurrence

 

  • Neuroendocrine Tumors: Added criteria for the appropriate use of PET-CT with the radiotracer DOTA-TATE, establishing the position of this test in the care continuum for neuroendocrine tumors


As a reminder, ordering and servicing providers may submit pre-certification requests to AIM in one of several ways:

  • Access AIM ProviderPortalSM directly at providerportal.com. Online access is available 24/7 to process orders in real-time, and is the fastest and most convenient way to request authorization.
  • Call the AIM Contact Center toll-free number: 877-291-0366, Monday - Friday, 8:00 a.m. - 6:00 p.m. MT.

 

For questions related to guideline updates, please contact AIM via email at aim.guidelines@aimspecialtyhealth.com.  To access and download a copy of the current guidelines, go to:  http://www.aimspecialtyhealth.com/ClinicalGuidelines.html.