State & FederalMedicare AdvantageJanuary 31, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

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 empireblue.com/medicareprovider under Important Medicare Advantage Updates.