939 Form

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Medical Policy Carelon Medical Benefits Management (formerly AIM Specialty Health) What’s New Page
Policy Number: 939

Blue Cross Blue Shield of Massachusetts has delegated utilization management to Carelon Medical Benefits Management the following medical policy categories:

Imaging/Radiology Carelon Advanced Imaging Radiology, #968 • Carelon Advanced Imaging/Radiology CPT and HCPCS Codes, #900 • Carelon Abdomen and Pelvic Imaging CPT and Diagnoses Codes, #930 • Carelon Brain Imaging CPT and Diagnoses Codes, #931 • Carelon Chest Imaging CPT and Diagnoses Codes, #932 • Carelon Extremity Imaging CPT and Diagnoses Codes, #933 • Carelon Head and Neck Imaging CPT and Diagnoses Codes, #934 • Carelon Oncologic Imaging CPT, HCPCS and Diagnoses Codes, #929 • Carelon Spine Imaging CPT and Diagnoses Codes, #935 • Carelon Vascular Imaging CPT and Diagnoses Codes, #936

Carelon Advanced Imaging of the Heart, #972 • Carelon Advanced Imaging of the Heart CPT and HCPCS Codes, #971

Medicare Advantage Advanced Imaging/Radiology and Sleep Disorder Management Redirect, #923

Sleep Disorder Management Carelon Sleep Disorder Management, #969 • Carelon Sleep Disorder Management CPT and HCPCS Codes, #970

Genetic Testing Carelon Genetic Testing Management Program, #954
• Carelon Genetic Testing Management Program CPT and HCPCS Codes, #957

Radiation Oncology Carelon Quality Care Cancer Program (Radiation Oncology), #937 • Carelon Quality Care Cancer Program (Radiation Oncology) CPT and HCPCS Codes, #938