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ADVANCED IMAGING

8600 West Bryn Mawr Avenue South Tower Suite 800 Chicago, IL 60631 2017 2021 AIM Specialty Health CLINICAL APPROPRIATENESS GUIDELINES ADVANCED IMAGING Appropriate Use Criteria: IMAGING of the abdomen and pelvis EFFECTIVE NOVEMBER 7, 2021 Proprietary Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. AIM Specialty Health disclaims any responsibility for the completeness or accuracy of the information contained herein. IMAGING of the abdomen and pelvis 2021 AIM Specialty Health. All rights reserved. 2 Table of Contents Appropriate Use Criteria: IMAGING of the abdomen and Pelvi s .. 1 Table of Contents .. 2 Description and Appli cation of the Guidelines .. 5 General Clini cal Guideline .. 6 Clinical Approp riateness Simultaneous Ordering of Multiple Diagnostic or Therapeutic Interventions ..6 Repeat Diagnostic Repeat Therapeutic IMAGING of the abdomen and Pelvi s.

Appropriate Use Criteria: Imaging of the Abdomen and Pelvis EFFECTIVE NOVEMBER 7, 2021 Proprietary Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. AIM Specialty Health disclaims any responsibility for the completeness or accuracy of the information contained herein.

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