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 www.anthem.com/medicareprovider under Important Medicare Advantage Updates.
February 2019 Anthem Provider Newsletter - Virginia