LiverMultiScan achieves nationwide payer coverage

2017 03 06 17 07 58 262 Man Liver 400

Specialty benefits management company AIM Specialty Health has updated its appropriate use guidelines for imaging the abdomen and pelvis to include Perspectum's LiverMultiScan.

AIM Specialty's new AIM Advanced Imaging guideline includes the stand-alone CPT Code 0648T for billing for the LiverMultiScan, which provides reports from quantitative multiparametric liver MRI scans to help doctors diagnose and treat fatty liver disease, including nonalcoholic steatohepatitis.

The new guidance directs radiology benefit management decisions within the following health plans: Anthem (California, New York, Colorado, Connecticut, Georgia, Indiana, Kentucky, Missouri, Ohio, Wisconsin, Maine, New Hampshire, Nevada, Virginia), BlueCross BlueShield Alabama, BlueCross BlueShield Arkansas, BlueCross BlueShield Louisiana, BlueCross BlueShield Massachusetts, BlueCross BlueShield North Carolina, LifeWise Health Plans, Premera, and Pacificsource.

In addition, the following Medicare administrative contractors (MACs) have updated Hospital Outpatient fee schedules to include reimbursement of LiverMultiScan when ordered and billed as a stand-alone procedure under CPT Code 0648T: Novitas Solutions, National Government Services, Palmetto GBA, and First Coast Service Options.

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