Z68 with Blue Cross and Blue Shield of Alabama: what the policy says
The short answerBCBS of Alabama's MNT diagnosis list includes BMI codes Z68.1, Z68.25 to Z68.29, Z68.30 to Z68.45 and pediatric Z68.51 to Z68.54, so it is not limited to obesity-range BMIs.
By Javier Alvarez · Updated · 1 min read
1 row: Blue Cross and Blue Shield of Alabama. Public policy, not the member's benefits.
Blue Cross and Blue Shield of Alabama
Provider portal list of ICD-10 codes covered under Medical Nutrition Therapy services · Alabama
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Diagnoses | The list covers diabetes (E08 to E13), obesity (E66), disorders of lipoprotein metabolism, hypertension (I10 to I16), CKD (N18), celiac disease, Crohn's disease, cancer, HIV, vitamin and nutrient deficiencies and protein-calorie malnutrition. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
| Also | The list is dated February 1, 2021 and states that it is subject to change. It does not name CPT or HCPCS codes. [1] |
What Blue Cross and Blue Shield of Alabama's policy says about Z68
Z68 is the ICD-10-CM code for body mass index (BMI). At Blue Cross and Blue Shield of Alabama it is listed: named in the payer's public policy. Each line below is from Blue Cross and Blue Shield of Alabama's own text:
- Where it is listed. The list includes Z68.1 (BMI 19 or less), Z68.25 to Z68.29 (adult BMI 25.0 to 29.9) and Z68.30 to Z68.45 (adult BMI 30.0 to 40 and above). (Blue Cross and Blue Shield of Alabama, checked October 30, 2026)
- When it pays. It also lists pediatric BMI codes Z68.51 (below the 5th percentile), Z68.52, Z68.53 and Z68.54 (95th percentile or higher). (Blue Cross and Blue Shield of Alabama, checked October 30, 2026)
- Also. The list is effective February 1, 2021, says it is subject to change, and names no procedure codes. (Blue Cross and Blue Shield of Alabama, checked October 30, 2026)
Z68 at other payers
- Z68 with Blue Cross NC: limited.
- Z68 with Aetna: listed.
- Z68 with UnitedHealthcare: listed.
- Z68 with Anthem Blue Cross and Blue Shield: listed.
- Z68 with Medicare: limited.
The rest of Blue Cross and Blue Shield of Alabama's MNT rules
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.