Z71.3 with Cigna: what the policy says
The short answerYes. Z71.3 is one of the designated wellness codes in Cigna's Code Group 1. Put it first on the claim with 97802, 97803, 97804 or S9470 for the preventive benefit to apply.
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 Z71.3
Z71.3 is the ICD-10-CM code for dietary counseling and surveillance. 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. Cigna's Code Group 1 diagnosis list includes Z71.3. (Cigna, checked October 30, 2026)
- Billed with. Group 1 is the required wellness code for 97802, 97803, 97804 and S9470 when counseling adults with cardiovascular risk factors, or obese adults and children 6 and older. (Cigna, checked October 30, 2026)
- When it pays. If the claim carries a diagnosis that represents treatment of illness or injury, Cigna reviews it under the medical benefit instead of as preventive care. (Cigna, checked October 30, 2026)
- Diagnosis position. Preventive screenings and interventions go on the claim with a designated wellness or maternity diagnosis code in the primary position. (Cigna, checked October 30, 2026)
Z71.3 at other payers
- Z71.3 with Blue Cross NC: listed.
- Z71.3 with Anthem Blue Cross and Blue Shield: 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: 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.