Effective November 1, 2021, Anthem Blue Cross and Blue Shield (Anthem) will transition the clinical criteria for medical necessity review of computed tomography to detect coronary artery calcification to AIM imaging of the heart clinical appropriateness guideline. 

 

As part of this transition of clinical criteria, the following procedures will be subject to prior authorization at AIM: 

 

CPT code

Description

75571

Computed tomography, heart, without contrast material, with quantitative evaluation of coronary artery calcium

S8092

Electron beam CT (also known as ultrafast CT, cine CT)

 

For questions related to guidelines, please contact AIM via email at aim.guidelines@aimspecialtyhealth.com.

 

Additionally, you may access and download a copy of the current guideline here.

 

1258-0821-PN-CNT



Featured In:
August 2021 Anthem Provider News - Missouri