Z71.3 with Anthem Blue Cross and Blue Shield: what the policy says
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 Z71.3
Z71.3 is the ICD-10-CM code for dietary counseling and surveillance. 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. Healthy diet and physical activity counseling for adults with cardiovascular risk factors: Z71.3 or Z83.42. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- Billed with. Paired with 97802, 97803, 97804, S9470, G0270, G0271, 99401 to 99404 and G0447 or G0473 on the adult BMI 30 or higher row. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- When it pays. Outside a preventive visit, a listed diagnosis code is needed for the preventive benefit to apply. Inside a wellness visit, the counseling is normally part of that visit. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
- Diagnosis position. On the obesity counseling rows, Z71.3, Z72.4 and Z72.3 are Primary Diagnosis Codes. The BMI or obesity code goes second. (Anthem Blue Cross and Blue Shield, checked October 30, 2026)
Z71.3 at other payers
- Z71.3 with Blue Cross NC: listed.
- Z71.3 with Cigna: 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: 97803, E66, Z68, G0447 and 99401-99404. What Z71.3 means at any payer is on the Z71.3 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.