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ADVANCED IMAGING

8600 West Bryn Mawr Avenue South Tower Suite 800 Chicago, IL 60631 CLINICAL APPROPRIATENESS GUIDELINES ADVANCED IMAGING Appropriate Use Criteria: IMAGING of the Heart EFFECTIVE JANUARY 1, 2022* Proprietary 2022 AIM Specialty Health. All rights reserved. *Not for Anthem Medicaid 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 Heart 2022 AIM Specialty Health. All rights reserved. 2 Table of Contents CLINICAL APPROPRIATENESS GUIDELINES .. 1 Appropriate Use Criteria: IMAGING of the Heart .. 1 Table of Contents .. 2 Description and Application of the Guidelines .. 4 General Clinical Guideline .. 5 ADVANCED CARDIAC IMAGING .. 7 Cardiac CT with Quantitative Evaluation of Coronary Calcification.

ASCVD = atherosclerotic cardiovascular disease • Other coronary risk factors such as family history of premature coronary artery disease, coronary artery ) Imaging of the Heart . Imaging of the Heart . Clinical Indications . Clinical Indications ) . . . . . . .

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