G0447 with Premera Blue Cross: what the policy says
The short answerPremera lists G0447 only in its obesity screening and counseling row, billed with a listed E66, E88.82 or Z68 diagnosis. The cardiovascular diet counseling row lists G0446 instead.
By Javier Alvarez · Updated · 2 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 G0447
G0447 is the HCPCS code for face-to-face behavioral counseling for obesity, 15 minutes. 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. G0447 is in the obesity screening and counseling row with 97802 to 97804, 99401 to 99404, G0270, G0271, G0473, S9452 and S9470. (Premera Blue Cross, checked October 30, 2026)
- Billed with. The cardiovascular diet counseling row lists G0446, not G0447. The obesity row's comment covers screening people aged 18 and older with a BMI of 30 or higher, and people aged 6 and older. (Premera Blue Cross, checked October 30, 2026)
- When it pays. The row applies "when billed with diagnosis" 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. (Premera Blue Cross, 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 UnitedHealthcare: listed.
- G0447 with Cigna: listed.
- G0447 with Anthem Blue Cross and Blue Shield: listed.
- G0447 with Medicare: limited.
- G0447 with TRICARE: 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: G0270. 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.