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June 2022

Prior authorization requirements change for radiology code *71271

Radiology code *71271 no longer requires prior authorization through AIM Specialty Health® for these members:

  • Medicare Plus Blue℠
  • Blue Care Network commercial
  • BCN Advantage℠

This information is intended to clarify earlier communications about prior authorization requirements for this procedure code.

We’ve updated the document Procedures that require prior authorization by AIM Specialty Health: Cardiology, radiology (high technology) and sleep studies (in lab) to reflect this.

As a reminder, AIM Specialty Health makes authorization determinations for select high-tech imaging services and other services performed in freestanding facilities, outpatient hospital settings, ambulatory surgery centers and physician offices.

For additional information about submitting prior authorization requests to AIM, visit these webpages at ereferrals.bcbsm.com:

AIM Specialty Health is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to manage authorizations for select services.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.