CLINICAL APPROPRIATENESS GUIDELINES
age 19 and older, and “pediatric” refers to persons age 18 and younger. Where separate indications exist, they are specified as Adult or Pediatric. Where not specified, indications and prerequisite information apply to persons of all ages. In addition, these guidelines for oncologic conditions will address the
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aimspecialtyhealth.comherein or not contained herein. The following code list is not meant to be all-inclusive. Authorization requirements will vary by health plan. Please consult the applicable health plan for guidance on specific procedure codes. Specific CPT codes for …
ADVANCED IMAGING - AIM Specialty Health
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Clinical Appropriateness Guidelines: Advanced Imaging
aimspecialtyhealth.comCT 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
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CLINICAL APPROPRIATENESS GUIDELINES
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