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April 2022

Overweight and obesity diagnoses now payable diagnosis codes

Obesity continues to be a nationwide epidemic, affecting all age groups, according to the Centers for Disease Control and Prevention.

To help address this problem, Blue Cross Blue Shield of Michigan is updating its policy to allow overweight and obesity diagnoses to be payable diagnosis codes. This change will allow providers to better diagnose and treat obesity in their patient population, improving patients’ health and well-being. It applies to all lines of business, including Blue Cross commercial, Blue Care Network commercial and our Medicare Advantage plans (Medicare Plus Blue℠ and BCN Advantage℠).

This change doesn’t affect existing benefit structures, national coverage determinations or local coverage determinations. Click here to see the list of affected codes.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.