G0270 with Premera Blue Cross: what the policy says
The short answerPremera lists G0270 in two preventive rows: cardiovascular diet counseling, and obesity counseling where it must be billed with a listed E66, E88.82 or Z68 diagnosis. It was added to the obesity row on 05/01/25.
By Javier Alvarez · Updated · 1 min read
1 row: Premera Blue Cross. Public policy, not the member's benefits.
Premera Blue Cross
Preventive Care benefit coverage guideline 10.01.523 · WA, AK
| 97802 | Limited (listed only as preventive obesity and cardiovascular diet counseling codes.) [1] |
|---|---|
| 97803 | Limited (listed only as preventive obesity and cardiovascular diet counseling codes.) [1] |
| G0270 | Limited (listed only as preventive obesity and cardiovascular diet counseling codes.) [1] |
| G0271 | Limited (listed only as preventive obesity and cardiovascular diet counseling codes.) [1] |
| Where it applies | ACA preventive services in network at no member cost share. Guideline effective Jun. 1, 2026, last revised Sep. 21, 2026. Grandfathered or exempt plans are not required to cover them. [1] |
| Diagnoses | Obesity counseling codes are listed when billed with E66.01, E66.09, E66.1, E66.2, E66.3, E66.811 to E66.813, E66.9, E88.82, Z68.3 to Z68.45, Z68.53 or Z68.54. [1] |
| Other codes | 97804, S9470, S9452, G0447, G0473, G0108, G0109 and 99401 to 99404 appear in the same preventive lists. [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 guideline says services need to be provided by an in-network provider for no member cost share. It does not name Washington or Alaska separately. [1] |
What Premera Blue Cross' policy says about G0270
G0270 is the HCPCS code for mNT reassessment after second referral, individual. At Premera Blue Cross it is listed: named in the payer's public policy. Each line below is from Premera Blue Cross' own text:
- Where it is listed. G0270 is in the row for healthy diet and physical activity counseling for adults with cardiovascular risk factors and in the obesity screening and counseling row. (Premera Blue Cross, checked October 30, 2026)
- When it pays. In the obesity row the codes apply "when billed with diagnosis" E66.01 through E66.9, E88.82, or Z68.3 to Z68.45, Z68.53 or Z68.54. The cardiovascular row prints no diagnosis list. (Premera Blue Cross, checked October 30, 2026)
- Also. The revision log says G0270 and G0271 were added to the obesity recommendation on 05/01/25 to comply with USPSTF. (Premera Blue Cross, checked October 30, 2026)
G0270 at other payers
- G0270 with BCBS of IL, TX, OK and NM (HCSC): limited.
- G0270 with Medicare: listed.
The rest of Premera Blue Cross' MNT rules
The Premera Blue Cross row has its codes, telehealth rule, limits and referrals, each with its source. Other codes we checked at Premera Blue Cross: G0447. What G0270 means at any payer is on the G0270 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.