Blue Shield of California MNT coverage: codes
The short answerBlue Shield of California's preventive benefit policy lists 97802, 97803 and 97804 for diet and activity counseling in adults with cardiovascular risk factors, but only with specific lipid and metabolic diagnosis codes. We did not find a public standalone MNT policy.
By Javier Alvarez · Updated · 1 min read
1 row: Blue Shield of California. Public policy, not the member's benefits.
Blue Shield of California
Benefit Intent Policy BI-003 (preventive services) · California
| 97802 | Limited (preventive diet counseling only, with listed diagnosis codes.) [1] |
|---|---|
| 97803 | Limited (preventive diet counseling only, with listed diagnosis codes.) [1] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Preventive Health Services benefit intent policy BI-003, revision/last review 08/19/2026. The copy on the provider site is marked Company Internal Use Only. [1] |
| Diagnoses | 97802, 97803 and 97804 are allowable only with E78.2, E78.3, E78.41, E78.49, E78.5, E78.6, E88.810, E88.811, E88.818 or E88.819. [1] |
| Other codes | The same preventive section lists 99401 to 99404, 99411, 99412, G0446, Q3014 and 97804. [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 | Behavioral counseling for diet and activity can also be included during the Annual Health Appraisal. [1] |
Check a Blue Shield of California claim against the row
Before a Blue Shield of California claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Blue Shield of California with another payer, then download the PDF of what you see.