Z68 with UnitedHealthcare: what the policy says
The short answerYes. UnitedHealthcare's Preventive Care Services policy splits Z68 by range: Z68.25 to Z68.29 as Overweight, Z68.30 to Z68.39 as BMI 30.0 to 39.9, Z68.41 to Z68.45 as BMI 40.0 and over, and Z68.54 to Z68.56 for children.
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 Z68
Z68 is the ICD-10-CM code for body mass index [BMI]. 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. Adult BMI 30.0 to 39.9 group on the weight loss row. (UnitedHealthcare, checked October 30, 2026)
- Billed with. Overweight BMI codes Z68.25 to Z68.29 are listed with E66.3 on the pre-diabetes and cardiovascular risk rows. (UnitedHealthcare, checked October 30, 2026)
- When it pays. BMI 40.0 and over (Z68.41 to Z68.45) is also counted in the Obesity group on the cardiovascular risk factor row. (UnitedHealthcare, checked October 30, 2026)
- Also. Children: Z68.54, Z68.55 and Z68.56 apply when BMI is 120 percent or more of the 95th percentile for age. (UnitedHealthcare, checked October 30, 2026)
Z68 at other payers
- Z68 with Blue Cross NC: limited.
- Z68 with Blue Cross and Blue Shield of Alabama: listed.
- Z68 with Aetna: listed.
- Z68 with Anthem Blue Cross and Blue Shield: listed.
- Z68 with Medicare: limited.
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, R73.03, G0447 and 99401-99404. What Z68 means at any payer is on the Z68 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.