E66 with Anthem Blue Cross and Blue Shield: what the policy says
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
What Anthem Blue Cross and Blue Shield's policy says about E66
E66 is the ICD-10-CM code for overweight and obesity. 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. Obesity list on the adult BMI 30 or higher row. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- Billed with. The child row shows the same obesity list, with Z68.54, for ages 6 through 18. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- Diagnosis position. It goes second. The first-listed diagnosis is Z71.3, Z72.4 or Z72.3. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- Also. The guide prints E66.8 and does not list the newer E66.811 to E66.89 codes. Ask Anthem which obesity codes it accepts on these rows. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
E66 at other payers
- E66 with Blue Cross NC: listed.
- E66 with Aetna: listed.
- E66 with UnitedHealthcare: 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, 97803, Z68, G0447 and 99401-99404. What E66 means at any payer is on the E66 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.