Z68 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 Z68
Z68 is the ICD-10-CM code for body mass index [BMI]. 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. BMI 40.0 and over group on the adult BMI 30 or higher row. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- Billed with. Children's row: Z68.54 is printed in the obesity list 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 same BMI ranges appear on the midlife women row. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
Z68 at other payers
- Z68 with Blue Cross NC: limited.
- Z68 with Blue Cross and Blue Shield of Alabama: listed.
- Z68 with Aetna: listed.
- Z68 with UnitedHealthcare: listed.
- Z68 with Medicare: limited.
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, E66, G0447 and 99401-99404. What Z68 means at any payer is on the Z68 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.