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 preapproval


Gene Expression Profiling for Risk Stratification of Inflammatory Bowel Disease (IBD) Severity

0203U , 81479, 81599

Added 4/1/2021


Serologic Testing for Biomarkers of Irritable Bowel Syndrome (IBS)

0164U, 0176U

Added 4/1/2021


Implantable Peripheral Nerve Stimulation Devices as a Treatment for Pain

64555, 64575, 64590, C1767, C1778, C1787, L8679, L8680, L8683

Added 4/1/2021



Codes added to existing preapproval documents


Molecular Marker Evaluation of Thyroid Nodules

0208U, 0204U, 81546

Added 0208U, 0204U 4/1/2021

Added 81546 1/1/2021, New Code


Genetic Testing for TP53 Mutations

81351, 81352, 81353

Added 1/1/2021, New Codes


Home Health

G0068, G0069, G0070, G0088, G0089, G0090

Added 1/1/2021, New Codes


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

81419, 0237U, 0238U

Added 1/1/2021, New Codes


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

0627T, 0628T, 0629T, 0630T

Added 1/1/2021, New Codes


Mechanical Circulatory Assist Devices (Ventricular Assist Devices, Percutaneous Ventricular Assist Devices and Artificial Hearts)


Added 1/1/2021, New Codes


Assessment of Autism Spectrum Disorders and Rett Syndrome


Added 1/1/2021, New Codes


Sacral Nerve Stimulation and Percutaneous Tibial Nerve Stimulation for Urinary and Fecal Incontinence; Urinary Retention


Added C1883 4/1/2021


Genetic Testing and Biochemical Markers for the Diagnosis of Alzheimer's Disease

0206U, 0207U

Added 0206U, 0207U 4/1/2021


Circulating Tumor DNA Testing for Cancer (Liquid Biopsy)

0229U, 0239U

Added 1/1/2021, New Codes


Janus Kinase 2, CALR and MPL Gene Mutation Assays

81279, 81338, 81339

Added 1/1/2021, New Codes


Genetic Testing for PTEN Hamartoma Tumor Syndrome


Added 1/1/2021, New Codes


Genetic Testing for Inherited Diseases

0230U, 0231U, 0232U, 0233U, 0234U, 0236U

Added 1/1/2021, New Codes


Nasal Surgery for the Treatment of Obstructive Sleep Apnea and Snoring


Added 1/1/2021, New Codes


Gene Expression Profiling of Melanomas


Added 1/1/2021, New Codes


Balloon Dilation of Eustachian Tubes

69705, 69706

Added 1/1/2021, New Codes


81191, 81192, 81193, 81194

Added 1/1/2021, New Codes



Featured In:
January 2021 Anthem Provider News - Georgia