Beginning with dates of service on and after July 1, 2018, the following updates will apply to AIM Musculoskeletal Program Clinical Appropriateness Guidelines.


Spine surgery guideline: 

  • Cervical decompression with or without fusion:
    • Added osteotomy and corpectomy definitions
    • Clarified implant/instrumentation failure
  • Lumbar fusion and treatment of spinal deformity (including scoliosis and kyphosis):
    • Added osteotomy and corpectomy definitions
  • Spinal stenosis:
    • Removed bilateral or wide decompression


Interventional pain management guideline: 

  • Epidural injection procedures and diagnostic selective nerve root blocks:
    • Added pre-service clinical review exemption for CPT codes 62320 and 62322 when used for post-procedural pain with certain ICD-10-CM diagnoses
  • Repeat therapeutic epidural steroid injections, clarified initial injection as therapeutic:
    • Clarified injection sessions for procedural requirements
  • Paravertebral facet injection/nerve block/neurolysis:
    • Increased procedural limitation for diagnostic medial branch blocks
    • Increased procedural limitation for therapeutic intra-articular facet joint injections and clarified requirement for conservative treatment between injections
  • Sacroiliac joint injections:
    • Added HCPCS code G0260


Ordering and servicing providers may submit pre-service clinical review requests to AIM in one of the following ways:



For questions related to guidelines, please contact AIM via email at Additionally, you may access and download a copy of the current guidelines here.


Featured In:
June 2018 New Hampshire newsletter