Clinical Appropriateness Guidelines: Advanced Imaging

CT of cervical spine, without contrast, followed by re-imaging with contrast Standard Anatomic Coverage Entire cervical spine (C1-C7), from the craniocervical junction through the T1 vertebra Axial images are routinely obtained, with capability for coronal and sagittal reconstructions

  Without, Spine, Cervical, Contrast, Cervical spine, Without contrast

ADVANCED IMAGING - AIM Specialty Health

Magnetic resonance imaging (MRI) is preferable to CT in most clinical scenarios. It is the study of choice for visualization of brain parenchyma and white matter tracts. It is also preferred for imaging of the posterior fossa and brainstem structures. Standard anatomic coverage of head MRI is from the base of

  Imaging, Magnetic, Resonance, Magnetic resonance imaging

ADVANCED IMAGING

• To encourage standardization of medical practice patterns ... conversation, factors such as patient acuity and setting of service may also be taken into account. ... MRI is usually preferred over CT for evaluation of the sella turcica and visual pathways. For imaging of the

  Visual, Acuity, Standardization

ADVANCED IMAGING

especially in the right upper quadrant and in the pelvis and especially in pediatric patients and pregnant women. Computed tomography (CT) is often utilized for imaging the abdomen and pelvis. It provides excellent 3-

  Tomography, Abdomen, Computed, Computed tomography, Pelvis, The abdomen and pelvis

CLINICAL APPROPRIATENESS GUIDELINES

milk. Dynamic imaging is then carried out, typically at 10 seconds per frame for one hour. The number of reflux episodes is determined, as well as the proximal extent of the reflux. Hepatic scintigraphy refers to nuclear medicine imaging of the liver. Depending on the reason for imaging, there are several radiotracers which may be used.

  Imaging, Hepatic

ADVANCED IMAGING - aimspecialtyhealth.com

8600 West Bryn Mawr Avenue South Tower – Suite 800 Chicago, IL 60631 www.aimspecialtyhealth.com 2057 Appropriate.Safe.Affordable © 2017 ©©©© 2019 AIM Specialty ...

ADVANCED IMAGING - aimspecialtyhealth.com

8600 West Bryn Mawr Avenue South Tower – Suite 800 Chicago, IL 60631 www.aimspecialtyhealth.com 2057 Appropriate.Safe.Affordable © 2017 ©©©© 2019 AIM Specialty ...

  Advanced, Imaging, Advanced imaging

ADVANCED IMAGING - AIM Specialty Health

8600 West Bryn Mawr Avenue Appropriate.Safe. South Tower – Suite 800 Chicago, IL 60631 www.aimspecialtyhealth.com Affordable © 2017 ©©©© 2021 AIM Specialty Health

  Imaging

Musculoskeletal Program Clinical Appropriateness ...

Appropriate.Safe.Affordable © 2019 AIM Specialty Health 2063-0119 V.3 Spine Surgery Guidelines Musculoskeletal Program Clinical Appropriateness Guidelines

  Surgery

MUSCULOSKELETAL PROGRAM

MUSCULOSKELETAL PROGRAM Appropriate Use Criteria: Interventional Pain Management EFFECTIVE NOVEMBER 7, 2021 Proprietary ... o Physician or physical therapist-supervised home treatment program which may include flexibility and muscle strengthening exercises

  Programs, Management, Pain, Musculoskeletal, Pain management, Musculoskeletal program

Appropriate Use Criteria for Advanced Diagnostic Imaging …

ordering advanced diagnostic imaging services and/or furnishing Part B advanced diagnostic imaging ... identify outlier ordering professionals who will become subject to prior authorization. Voluntary Period. Appropriate Use Criteria for Advanced Diagnostic Imaging MLN Fact heet Page 3 of 8 ICN 909377 December 2018.

  Advanced, Criteria, Authorization, Imaging, Appropriate, Diagnostics, Prior, Prior authorization, Appropriate use criteria, Advanced diagnostic imaging

Appropriate Use Criteria (AUC) for Advanced Diagnostic ...

Dec 06, 2019 · Before the prior authorization component of this program begins, there will be notice and comment rulemaking to develop the outlier methodology. AUC Policy . Regulatory language for this program is in 42 Code of Federal Regulations (CFR), Section . 414.94, titled, “Appropriate Use Criteria for Advanced Diagnostic Imaging Services.” In the

  Advanced, Authorization, Imaging, Diagnostics, Prior, Prior authorization, Advanced diagnostic, Advanced diagnostic imaging

Prior Authorization of Advanced Diagnostic Imaging ...

Prior Authorization Required: • CT, CTA (Computed Tomography, Computed Tomography Angiography) • MRI, MRA (Magnetic Resonance Imaging, Magnetic Resonance Angiography) • PET (Positron Emission Tomography) • NCM/MPI (Nuclear Cardiac Imaging) • Echocardiography (TTE, TEE and SE) • Diagnostic Heart Catheterizations • OB/NON-OB Ultrasounds

  Advanced, Authorization, Imaging, Diagnostics, Prior, Prior authorization, Prior authorization of advanced diagnostic imaging

Advanced Imaging and Cardiology Services Program

Advanced Imaging and Cardiology Services Program . Nuclear Medicine New CPT Code List . December 2018 . When ordering the following procedures, ANY Imaging Category and ANY Service Type can be selected in NaviNet®. CPT® Code CPT Code Description Prior Authorization Required? 78012 Thyroid uptake, single or multiple quantitative measurement(s)

  Advanced, Authorization, Imaging, Prior, Prior authorization, Advanced imaging

WellMed Texas Medicare Advantage Prior Authorization ...

This list contains prior authorization requirements for participating care providers in Texas for inpatient and outpatient services. Prior authorization is not required for emergency or urgent care. Included Plans The following listed plans1 require prior authorization in San Antonio, Austin, Corpus Christi, El Paso, Rio Grande Valley,

  Requirements, Authorization, Prior, Prior authorization, Prior authorization requirements

Prior Authorization of Radiology/Cardiology for Fidelis Care

• Diagnostic • Prior authorization does not apply to services that are performed in: • Emergency room Inpatient • 23-hour observation It is the responsibility of the ordering provider to request prior authorization approval for services. It is the responsibility of the performing facility to confirm that the referring physician

  Authorization, Diagnostics, Prior, Prior authorization