G0447 with Cigna: what the policy says
The short answerYes. Cigna lists G0447 with G0446, G0473 and G0538 as allowed with any diagnosis on the nutrition and physical activity counseling row, unlike 97802 to 97804, which need a Code Group 1 wellness code.
By Javier Alvarez · Updated · 1 min read
1 row: Cigna. Public policy, not the member's benefits.
Cigna
Commercial · All states
| 97802 | Listed [1] |
|---|---|
| 97803 | Listed [1] |
| G0270 | Not named (not on A004's preventive list; may pay under the medical benefit) [1] |
| G0271 | Not named (not on A004's preventive list; may pay under the medical benefit) [1] |
| Diagnoses | A wellness code from Code Group 1 (includes Z71.3) for the preventive rows: adults with cardiovascular risk factors, adults and children 6 and older with obesity, and midlife women. An illness or injury diagnosis goes to the medical benefit. 97802 to 97804 and S9470 are also preventive with a maternity diagnosis code for pregnant members. [1] |
| Other codes | 97804 and S9470; 99401 to 99404, 99411 and 99412 allowed with any diagnosis. [1] |
| Telehealth POS | POS 02. Cigna's system accepts POS 10 but asks providers not to bill it "until further notice". [2] |
| Telehealth modifier | 95, GT or GQ. Paid at 100% of face-to-face rates when the requirements are met. [2] |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
- Cigna: Administrative Policy A004, Preventive Care Services (effective 10/1/2026), checked October 30, 2026
- Cigna: Virtual care billing guidance for commercial plans (updated 08/23/2022), checked October 22, 2026
What Cigna's policy says about G0447
G0447 is the HCPCS code for face-to-face behavioral counseling for obesity, 15 minutes. At Cigna it is listed: named in the payer's public policy. Each line below is from Cigna's own text:
- Where it is listed. G0447 is on the behavioral interventions row for adults with cardiovascular risk factors and for obese adults and children 6 and older. (Cigna, checked October 30, 2026)
- When it pays. The 97802 to 97804 and S9470 codes on the same row require Group 1; G0447 does not. (Cigna, checked October 30, 2026)
- Units. Cigna describes G0447 as face-to-face behavioral counseling for obesity, 15 minutes. (Cigna, checked October 30, 2026)
- Also. Cigna does not treat modifier 33 as enough to process a claim as preventive; the preventive diagnosis and procedure codes decide. (Cigna, checked October 30, 2026)
G0447 at other payers
- G0447 with BCBS of IL, TX, OK and NM (HCSC): limited.
- G0447 with Blue Cross Blue Shield of Massachusetts: listed.
- G0447 with Premera Blue Cross: listed.
- G0447 with UnitedHealthcare: listed.
- G0447 with Anthem Blue Cross and Blue Shield: listed.
- G0447 with Medicare: limited.
- G0447 with TRICARE: listed.
The rest of Cigna's MNT rules
The Cigna row has its codes, telehealth rule, limits and referrals, each with its source. Other codes we checked at Cigna: Z71.3 and 99401-99404. What G0447 means at any payer is on the G0447 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.