R73.03 with UnitedHealthcare: what the policy says
The short answerYes. R73.03 is the only diagnosis code on UnitedHealthcare's Pre-Diabetes Preventive Interventions row. Nutrition and counseling codes pay as preventive only for ages 35 to 70.
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 R73.03
R73.03 is the ICD-10-CM code for prediabetes. 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. It is the sole diagnosis code on the pre-diabetes interventions row (USPSTF rating B, August 2021). (UnitedHealthcare, checked October 30, 2026)
- Billed with. The row's procedure codes are 97802, 97803, 97804, G0270, G0271, 99401 to 99404, and 0403T, G0447, G0473, G9886, G9887. (UnitedHealthcare, checked October 30, 2026)
- When it pays. Limited to ages 35 to 70, ending on the 71st birthday, and the claim must carry R73.03. (UnitedHealthcare, checked October 30, 2026)
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, G0447 and 99401-99404. What R73.03 means at any payer is on the R73.03 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.