Advanced Imaging Policies

Draft Imaging Policies

There are no policies currently in draft status.

Comment on Draft Imaging Policies

To ensure that the development of medical policies occurs through an open, collaborative process, we welcome comments about medical policies that are in the draft stage. 

Providers are invited to submit scientific, evidence-based information, professional consensus opinions and other information supported by medical literature relevant to draft policies for consideration. Comments are accepted for 45 days from the posting date listed on the draft policy.

How to Submit Comments
Make sure your voice is heard by providing feedback directly to us:

• Complete our online medical policy feedback form, or 

• Send comments by mail or fax to:

Medical Director's Office
Patrius Health
Attn: Health Management - Medical Policy
P.O. Box 12364
Birmingham, AL 35202-2364

Fax: 205-220-0878

Previous Imaging Policies

For a copy of previous imaging policies, email MedicalBenefitsManagement.Guidelines@Carelon.com, indicating the specific dates and guidelines needed.

Precertification of Advanced Imaging Services

Some advanced imaging services require precertification. Click the link below to view a list of applicable CPT/HCPCS codes.

Advanced Imaging CPT Codes Requiring Precertification