AIM Speciality Health®

AIM Specialty Health, a separate company, is a nationally recognized leader delivering specialty benefits management on behalf of Anthem for certain health plan members. Determine if preapproval is needed for a Georgia Anthem member by visiting the “Medical Policy and Clinical UM Guidelines” page on our provider website or by calling the preapproval phone number printed on the back of the member’s ID card. To submit your request for any of the services below, contact AIM online via AIM’s ProviderPortal at From the drop-down menu, select GA. You may also call AIM toll-free at 866-714-1103, Monday–Friday, 8:00 a.m.–6:00 p.m. ET


AIM provides benefits management for the programs listed below:

  • Imaging Level of Care
  • Genetic Testing
  • Diagnostic Imaging Management
  • Cardiovascular Services
  • Radiation Therapy Services
  • Outpatient Sleep Testing and Therapy Services
  • Cancer Care Quality Program
  • Musculoskeletal (for Fully Insured)
  • Upper Gastrointestinal Endoscopy

For more details on these programs, please visit the AIM Specialty Health® site at By clicking on the previous links, you will be directed to sites created and/or maintained by another, separate entity (“External Site”). Upon linking you are subject to the terms of use, privacy, copyright and security policies of the External Sites. We provide these links solely for your information and convenience. We encourage you to review the privacy practices of the External Sites. The information contained on the External Sites should not be interpreted as medical advice or treatment provided by us.


Eligibility and benefits

Eligibility and benefits can be verified by through or by calling the number on the back of the member’s identification card. Service preapproval is based on member’s benefit plan/eligibility at the time the service is reviewed/approved. Benefit plans vary widely and are subject to change based on the contract effective dates. The provider is responsible for verification of member eligibility and covered benefits. Except in the case of an emergency, failure to obtain preapproval prior to rendering the designated services listed below will result in denial of reimbursement.

Add to preappoval


Non-invasive Heart Failure and Arrhythmia Management and Monitoring System

0607T, 0608T

Add 2/1/2021


Implanted Artificial Iris Devices

0616T, 0617T, 0618T, C1839

Add 2/1/2021


Minimally Invasive Treatment of the Posterior Nasal Nerve to Treat Rhinitis

30999, 30117

Add 2/1/2021

Codes added to existing preapproval documents


Automated Evacuation of Meibomian Gland


Add 2/1/2021


Uterine Fibroid Ablation: Laparoscopic, Percutaneous or Transcervical Image Guided Techniques


Previous title: Uterine Fibroid Ablation: Laparoscopic or Percutaneous Image Guided Techniques


Add 2/1/2021


Implantation of Occipital, Supraorbital or Trigeminal Nerve Stimulation Devices (and Related Procedures)


Previous title: Occipital Nerve and Supraorbital Nerve Stimulation

61885, 64568, 64569, C1767, C1778

Add 2/1/2021


Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or Snoring

C1767, C1778, C1787, L8680, L8681, L8688

Add 2/1/2021


Allogeneic, Xenographic, Synthetic and Composite Products for Wound Healing and Soft Tissue Grafting

Q4249, Q4250, Q4254, Q4255

Add 10/1/2020, New Code


Powered Robotic Lower Body Exoskeleton Devices


Add 10/1/2020, New Code


Genetic Testing for Macular Degeneration


Add 10/1/2020, New Code


Genetic Testing for DMD Mutations (Duchenne or Becker Muscular Dystrophy)


Add 10/1/2020, New Code


Chromosomal Microarray Analysis (CMA) for Developmental Delay, Autism Spectrum Disorder, Intellectual Disability (Intellectual Developmental Disorder) and Congenital Anomalies


Add 10/1/2020, New Code


Whole Genome Sequencing, Whole Exome Sequencing, Gene Panels, and Molecular Profiling


Add 10/1/20-New Codes



Gender Reassignment Surgery

54400, 54401, 54405, 55899, C1813, C2622, L8699

Add 9/01/2020


Featured In:
November 2020 Anthem Provider News - Georgia