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.



Adipose-derived Regenerative Cell Therapy and Soft Tissue Augmentation Procedures

11950, 11951, 11952, 11954, 15771, 15772, 15773, 15774, 31574, C1878, L8607, 0489T, 0490T, 0565T, 0566T, G0429, Q2026, Q2028

Add 11/1/2020


Ingestion Event Monitors

99199, A9279

Add 11/1/2020


Electrophysiology-Guided Noninvasive Stereotactic Cardiac Radioablation

77299, 77399

Add 11/1/2020


Codes added to existing preapproval documents


PIK3CA Mutation Testing for Malignant Conditions


Add 7/1/2020


Gene Mutation Testing for Solid Tumor Cancer Susceptibility and Management

81120, 81121, 81245, 81246, 81272, 81314, 0023U, 0046U, 0154U

Add 11/1/2020


BRCA Testing for Breast and/or Ovarian Cancer Syndrome


Add 7/1/2020


Vacuum Assisted Wound Therapy in the Outpatient Setting

97607, 97608, A9272

Add 5/21/2020


Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and Percutaneous Devices


Add 11/1/2020


Panel and other Multi-Gene Testing for Polymorphisms to Determine Drug-Metabolizer Status

0173U, 0175U

Add 7/1/2020


Circulating Tumor DNA Testing for Cancer (Liquid Biopsy)


Add 7/1/2020


Analysis of Proteomic Patterns


Add 7/1/2020


Technologies for the Evaluation of Skin Lesions (including Dermatoscopy, Epiluminescence Microscopy, Videomicroscopy, Ultrasonography)

96931, 96932, 96933, 96934, 96935, 96936

Add 11/1/2020


Gene Therapy for Spinal Muscular Atrophy


Add 7/1/2020


Treatments for Urinary Incontinence

0596T, 0597T

Add 7/1/2020


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

Q4227-Q4242, Q4244-Q4248

Add 7/1/2020


0600T, 0601T

Add 7/1/2020



Add 7/1/2020



Featured In:
September 2020 Anthem Provider News - Georgia