Anthem Blue Cross and Blue Shield MNT coverage: codes and telehealth
The short answerAnthem's commercial plans list 97802, 97803, G0270 and G0271 as preventive. On the obesity rows Z71.3, Z72.3 or Z72.4 goes first and a BMI or obesity code second. Telehealth takes POS 02 or 10 with modifier 95 or GT for audio and video. This applies in Anthem's 13 states; other Blue plans publish their own rules.
By Javier Alvarez · Updated · 1 min read
1 row: Anthem Blue Cross and Blue Shield. Public policy, not the member's benefits.
Anthem Blue Cross and Blue Shield
Commercial · CO, CT, GA, IN, KY, ME, MO, NV, NH, NY, OH, VA, WI
| 97802 | Listed [1] |
|---|---|
| 97803 | Listed [1] |
| G0270 | Listed [1] |
| G0271 | Listed [1] |
| Where it applies | Anthem's commercial plans in CO, CT, GA, IN, KY, ME, MO, NV, NH, NY, OH, VA and WI. Other Blue plans publish their own policies. [1] |
| Diagnoses | Obesity rows: primary Z71.3, Z72.3 or Z72.4; secondary Z68.30 to Z68.45 or E66.01, E66.09, E66.1, E66.8, E66.9. Healthy diet row: Z71.3 or Z83.42 when the counseling is outside a preventive visit. [1] |
| Other codes | 97804 and S9470; 99401 to 99404. [1] |
| Telehealth POS | POS 02 or 10, for a code in CPT Appendix P. Professional virtual visits are "eligible for non-office place of service reimbursement". [2] |
| Telehealth modifier | 95 or GT for audio and video; 93 or FQ for audio only. [2] |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
- Anthem Blue Cross and Blue Shield: ACA preventive care coding guidelines, commercial (August 2026), checked October 30, 2026
- Anthem: Commercial Reimbursement Policy C-08002, Virtual Visits, approved 03/26/2026 (PDF), checked October 22, 2026
Check an Anthem Blue Cross and Blue Shield claim against the row
Before an Anthem Blue Cross and Blue Shield claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Anthem Blue Cross and Blue Shield with another payer, then download the PDF of what you see. More on the Anthem Blue Cross and Blue Shield coverage guide and the one-page Anthem Blue Cross and Blue Shield code sheet.