ICD-10 code R63.6 for Underweight Use additional code to identify body mass index (BMI), if known (Z68.-) Excludes1: abnormal weight loss (R63.4)
Full Answer
Underweight. R63.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM R63.6 became effective on October 1, 2018. This is the American ICD-10-CM version of R63.6 - other international versions of ICD-10 R63.6 may differ.
A: The 2019 ICD-10-CM Official Guidelines for Coding and Reporting state you cannot use a BMI code (found in ICD-10-CM code category Z68.-) alone. BMI codes need to be supported as medically relevant by an associated diagnosis that is considered a reportable diagnosis.
If not, what documentation should we look for to justify the use of a BMI code? A: The 2019 ICD-10-CM Official Guidelines for Coding and Reporting state you cannot use a BMI code (found in ICD-10-CM code category Z68.-) alone. BMI codes need to be supported as medically relevant by an associated diagnosis that is considered a reportable diagnosis.
R63.8 is a valid billable ICD-10 diagnosis code for Other symptoms and signs concerning food and fluid intake . It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 .
ICD-10 code R63. 8 for Other symptoms and signs concerning food and fluid intake is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
For patients with provider documentation identifying “morbid” obesity, the code E66. 01 (morbid [severe] obesity due to excess calories) can be assigned even if the BMI is not greater than 40, per the Coding Clinic.
Z68ICD-10 code Z68 for Body mass index [BMI] is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
No, BMI can never be the first listed code. The primary diagnosis is the reason the patient is coming in for treatment. They're not coming in for treatment of their BMI. They're coming in for treatment of an associated condition.
Coding Guidance ICD‐10‐CM Coding Guidelines, Section I.B. 14 states “The BMI codes should only be reported as secondary diagnoses.”5 Additionally, the patient's BMI must be clearly documented as coders are not allowed to calculate BMI.
ICD-10 Official Guidelines2 Document Remember BMI may be documented by any clinician. The treating provider must be the one to document obesity, morbid obesity, or any other diagnosis-related code from a BMI measurement. BMI codes should only be reported as a secondary diagnosis code.
ICD-Code E66* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Overweight and Obesity. Its corresponding ICD-9 code is 278. Code E66* is the diagnosis code used for Overweight and Obesity. It is a disorder marked by an abnormally high, unhealthy amount of body fat.
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aapc com). To report BMI codes, they must be accompanied by a weight diagnosis (such as obesity or overweight). BMI codes should only be reported as secondary diagnoses. To assign BMI codes, they must meet the definition of a reportable additional diagnosis.
ICD-10 code Z68. 5 for Body mass index [BMI] pediatric is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Morbid (severe) obesity due to excess calories E66. 01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E66. 01 became effective on October 1, 2021.
Having a high amount of body fat (body mass index [bmi] of 30 or more). Having a high amount of body fat. A person is considered obese if they have a body mass index (bmi) of 30 or more.
Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.”. This guidance is important since there are some situations where a patient can have severe or morbid obesity with a BMI of 35-39.9 due to co-existing comorbid conditions.
Coding professionals must remember that BMI codes were never intended to be used as standalone codes.