97803 with Anthem Blue Cross and Blue Shield: what the policy says
By Javier Alvarez · Updated · 2 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
What Anthem Blue Cross and Blue Shield's policy says about 97803
97803 is the CPT code for medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes. At Anthem Blue Cross and Blue Shield it is listed: named in the payer's public policy. Each line below is from Anthem Blue Cross and Blue Shield's own text:
- Where it is listed. 97803 is in the Medical Nutrition Therapy list with 97802, 97804, S9470, G0270 and G0271 on each of those rows. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- Billed with. On the obesity rows the claim carries a primary Z71.3, Z72.3 or Z72.4 plus a BMI or obesity code as secondary. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- When it pays. Children and adolescents with a high BMI: the row covers ages 6 through 18. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- Also. Midlife women ages 40 through 60: 97803 appears on the weight maintenance counseling row. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
97803 at other payers
- 97803 with UnitedHealthcare: listed.
- 97803 with Medicare: listed.
The rest of Anthem Blue Cross and Blue Shield's MNT rules
The Anthem Blue Cross and Blue Shield row has its codes, telehealth rule, limits and referrals, each with its source. Other codes we checked at Anthem Blue Cross and Blue Shield: Z71.3, E66, Z68, G0447 and 99401-99404. What 97803 means at any payer is on the 97803 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.