E66 with UnitedHealthcare: what the policy says
The short answerYes, for most E66 codes. UnitedHealthcare's weight loss row lists E66.01, E66.09, E66.1, E66.2, E66.811 to E66.813, E66.89 and E66.9, plus E88.82. E66.3 (overweight) appears only on the cardiovascular and pre-diabetes rows.
By Javier Alvarez · Updated · 1 min read
1 row: UnitedHealthcare. Public policy, not the member's benefits.
UnitedHealthcare
Commercial and Individual Exchange · All states
| 97802 | Listed (on the preventive rows) [1] |
|---|---|
| 97803 | Listed (on the preventive rows) [1] |
| G0270 | Listed (on the preventive rows) [1] |
| G0271 | Listed (on the preventive rows) [1] |
| Diagnoses | Prediabetes row: R73.03, ages 35 to 70. Healthy diet row: one of the listed cardiovascular risk factor codes. Weight-loss row: Z68.30 to Z68.45, or E66.01, E66.09, E66.1, E66.2, E66.811 to E66.813, E66.89, E66.9, E88.82. Z71.3 is not on these lists. [1] |
| Other codes | 97804 and 99401 to 99404 on the preventive rows. S9470 is replaced by 97802 or 97803. [1][2] |
| Telehealth POS | POS 02 or 10, with live audio and video, for codes on UHC's Telehealth Eligible Services list. [3] |
| Telehealth modifier | Not required. UHC accepts 95, GT, GQ and G0 as informational. [3] |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
- UnitedHealthcare: Preventive Care Services, commercial and individual exchange medical policy (effective 10/01/2026), checked October 30, 2026
- UnitedHealthcare: Replacement Codes Policy, Professional, 2026R0128A (PDF), checked October 22, 2026
- UnitedHealthcare: Telehealth/Virtual Health Policy, Professional, 2026R0046A (PDF), checked October 22, 2026
What UnitedHealthcare's policy says about E66
E66 is the ICD-10-CM code for overweight and obesity. At UnitedHealthcare it is listed: named in the payer's public policy. Each line below is from UnitedHealthcare's own text:
- Where it is listed. Obesity list on the adult BMI 30 or higher row. (UnitedHealthcare, checked October 30, 2026)
- Billed with. The child row lists the same obesity codes, and Z68.54 to Z68.56 (120 percent or more of the 95th percentile) as the BMI alternative. (UnitedHealthcare, checked October 30, 2026)
- When it pays. E66.3 is grouped with Z68.25 to Z68.29 as Overweight. That group is on the pre-diabetes and cardiovascular risk factor rows, not on the adult weight loss row. (UnitedHealthcare, checked October 30, 2026)
- Also. The E66 list is paired with 97802, 97803, 97804, G0270 and G0271, and a listed code is needed for 99401 to 99404 on those rows. (UnitedHealthcare, checked October 30, 2026)
E66 at other payers
- E66 with Blue Cross NC: listed.
- E66 with Aetna: listed.
- E66 with Anthem Blue Cross and Blue Shield: listed.
The rest of UnitedHealthcare's MNT rules
The UnitedHealthcare row has its codes, telehealth rule, limits and referrals, each with its source. Other codes we checked at UnitedHealthcare: 97803, Z68, R73.03, G0447 and 99401-99404. What E66 means at any payer is on the E66 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.