G0447 with UnitedHealthcare: what the policy says
The short answerYes. UnitedHealthcare lists G0447 under Behavioral Counseling or Therapy on its pre-diabetes, cardiovascular risk, adult weight loss, child BMI and pregnancy weight rows. The diagnosis lists are not required on the cardiovascular, weight loss and child 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 G0447
G0447 is the HCPCS code for face-to-face behavioral counseling for obesity, 15 minutes. 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. G0447 is in the Behavioral Counseling or Therapy list with 0403T, G0446, G0473, G9886 and G9887. (UnitedHealthcare, checked October 30, 2026)
- Billed with. The pre-diabetes row is different: its only diagnosis is R73.03, and the row is limited to ages 35 to 70. (UnitedHealthcare, checked October 30, 2026)
- When it pays. On the cardiovascular risk, adult weight loss and child high BMI rows, the row's diagnosis codes are not required for G0447, G0446 or G0473. (UnitedHealthcare, checked October 30, 2026)
- Also. The pregnancy weight gain row lists G0447 and G0473 as Behavioral Counseling or Therapy. (UnitedHealthcare, 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 Cigna: listed.
- G0447 with Anthem Blue Cross and Blue Shield: listed.
- G0447 with Medicare: limited.
- G0447 with TRICARE: 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, E66, Z68, R73.03 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.