Effective for dates of service on and after August 16, 2020, the following updates will apply to the AIM Advanced Imaging of the Chest and AIM Oncologic Imaging Clinical Appropriateness Guidelines.
Advanced Imaging of the Chest updates by section:
Tumor or Neoplasm
Allowed follow up of nodules less than 6 mm in size seen on incomplete thoracic CT, in alignment with follow up recommendations for nodules of the same size seen on complete thoracic CT
Added new criteria for which follow up is indicated for mediastinal and hilar lymphadenopathy
Separated mediastinal/hilar mass from lymphadenopathy, which now has its own entry
Parenchymal Lung Disease – not otherwise specified
Removed as it is covered elsewhere in the document (parenchymal disease in Occupational lung diseases and pleural disease in Other thoracic mass lesions)
Interstitial lung disease (ILD), non-occupational including idiopathic pulmonary fibrosis (IPF)
Defined criteria warranting advanced imaging for both diagnosis and management
Occupational lung disease (Adult only)
Moved parenchymal component of asbestosis into this indication
Added Berylliosis
Chest Wall and Diaphragmatic Conditions
Removed screening indication for implant rupture due to lack of evidence indicating that outcomes are improved
Oncologic Imaging updates by section:
MRI breast
New indication for BIA-ALCL
New indication for pathologic nipple discharge
Breast cancer screening
Lung cancer screening
For questions related to guidelines, please contact AIM via email at aim.guidelines@aimspecialtyhealth.com. Additionally, you may access and download a copy of the current and upcoming guidelines here.